The Leadership, Management & Governance (LMG) Project works to strengthen health systems worldwide by improving leadership, management, and governance practices. It has three priorities: 1) strengthening the capacity of individuals and institutions in these areas through training and networking, 2) generating evidence of the value of leadership, management, and governance, and 3) strengthening global support through partnerships. The LMG Project promotes gender equity and inclusive processes, and believes good governance improves health services. It works in over 30 countries in areas like training, professional associations, and evaluating its impact. Its goal by 2016 is to have strengthened health systems and improved vulnerable populations' health through inspired leadership.
AWA Experts 2015 Meeting_eMTCT Best Bractices Presentation RwandaAIDS Watch Africa
The document summarizes best practices in Rwanda's PMTCT (prevention of mother-to-child transmission) program. It discusses bottlenecks identified in the program's review, including lack of integration and coordination. Strategies to address these included creating a single coordinating body, decentralizing planning, and integrating PMTCT services into maternal and child health platforms. These changes led to successes like improved coverage, but challenges remain around multi-sector engagement and decentralization. Lessons include the importance of community involvement, public-private partnerships, and performance-based financing to motivate health workers.
AWA Experts 2015 Meeting_eMTCT Best Bractices Presentation NigeriaAIDS Watch Africa
The document summarizes Nigeria's efforts to integrate HIV counseling and testing (HCT) services into its Maternal Newborn & Child Health (MNCH) Week program. Key points include:
- Over 200,000 pregnant women received integrated HCT and MNCH services in six states, exceeding targets. The program identified over 1,400 HIV-positive women.
- The initiative leveraged existing MNCH structures at health facilities and engaged communities to increase access to HCT, especially for hard-to-reach groups.
- Successes included improved testing coverage, linkages to care, and health-seeking behaviors. Challenges included late test kit arrivals and staffing issues.
-
This presentation was given by Miriam Taegtmeyer at a meeting of the Overseas Development Institute on the 20 January 2016. In it she discusses the REACHOUT quality improvement approach.
Day 2 panel 4 quality improvement for mnh tz 108020ea-imcha
This document provides an overview of the Quality Improvement for Maternal and Newborn Health At District-level Scale in Mtwara Region, Tanzania (QUADS) project and a proposed Synergy proposal. The QUADS project uses a quality improvement approach to strengthen health systems and improve maternal and newborn health services across three levels - community, health facility, and district. Key lessons learned include building proper attitudes towards quality improvement and integrating supportive supervision. The Synergy proposal aims to establish an electronic tool to measure quality of care, use this data to empower quality improvement processes, develop scalable change packages, and provide valuable information to decision-makers. The focus will be on electronic data collection, increasing decision-maker engagement, and
Presentation_Pregel - Practical Approaches to Disability Inclusion in HealthcareCORE Group
This document outlines Sightsavers' journey towards mainstreaming disability inclusion in their health programs from 2016 to 2019. It describes pilots conducted in several countries to test an inclusive health model and the creation of an internal task team. It then presents Sightsavers' inclusive health toolkit, which provides recommended activities, indicators, and tools for mainstreaming disability inclusion across various health domains like leadership, financing, infrastructure, workforce, and service delivery. The goal is to establish a comprehensive and strategic approach to inclusive healthcare through partnership with governments and organizations of persons with disabilities.
Jennifer Mason, Senior Advisor for FP/HIV Integration for USAID's Office of Population and Reproductive Health describes the agency's approach to integrating family planning services with HIV health services and provides country examples of integration practices.
Perception and experience of group supervision as quality improvement interve...REACHOUTCONSORTIUMSLIDES
Group supervision was introduced as a quality improvement intervention to improve the performance of Health Extension Workers (HEWs) providing maternal health services in Sidama Zone, Ethiopia. The intervention included training supervisors and implementing monthly group meetings where HEWs discussed collected data, problems, and solutions. Results showed the intervention improved HEW motivation and regularity of supervision meetings. Utilization of maternal health services increased, including antenatal care attendance and skilled delivery rates. However, challenges included lack of transportation support for supervisors and high supervisor turnover. Overall, the findings demonstrated that group supervision can positively impact HEW performance and maternal health outcomes.
The Leadership, Management & Governance (LMG) Project works to strengthen health systems worldwide by improving leadership, management, and governance practices. It has three priorities: 1) strengthening the capacity of individuals and institutions in these areas through training and networking, 2) generating evidence of the value of leadership, management, and governance, and 3) strengthening global support through partnerships. The LMG Project promotes gender equity and inclusive processes, and believes good governance improves health services. It works in over 30 countries in areas like training, professional associations, and evaluating its impact. Its goal by 2016 is to have strengthened health systems and improved vulnerable populations' health through inspired leadership.
AWA Experts 2015 Meeting_eMTCT Best Bractices Presentation RwandaAIDS Watch Africa
The document summarizes best practices in Rwanda's PMTCT (prevention of mother-to-child transmission) program. It discusses bottlenecks identified in the program's review, including lack of integration and coordination. Strategies to address these included creating a single coordinating body, decentralizing planning, and integrating PMTCT services into maternal and child health platforms. These changes led to successes like improved coverage, but challenges remain around multi-sector engagement and decentralization. Lessons include the importance of community involvement, public-private partnerships, and performance-based financing to motivate health workers.
AWA Experts 2015 Meeting_eMTCT Best Bractices Presentation NigeriaAIDS Watch Africa
The document summarizes Nigeria's efforts to integrate HIV counseling and testing (HCT) services into its Maternal Newborn & Child Health (MNCH) Week program. Key points include:
- Over 200,000 pregnant women received integrated HCT and MNCH services in six states, exceeding targets. The program identified over 1,400 HIV-positive women.
- The initiative leveraged existing MNCH structures at health facilities and engaged communities to increase access to HCT, especially for hard-to-reach groups.
- Successes included improved testing coverage, linkages to care, and health-seeking behaviors. Challenges included late test kit arrivals and staffing issues.
-
This presentation was given by Miriam Taegtmeyer at a meeting of the Overseas Development Institute on the 20 January 2016. In it she discusses the REACHOUT quality improvement approach.
Day 2 panel 4 quality improvement for mnh tz 108020ea-imcha
This document provides an overview of the Quality Improvement for Maternal and Newborn Health At District-level Scale in Mtwara Region, Tanzania (QUADS) project and a proposed Synergy proposal. The QUADS project uses a quality improvement approach to strengthen health systems and improve maternal and newborn health services across three levels - community, health facility, and district. Key lessons learned include building proper attitudes towards quality improvement and integrating supportive supervision. The Synergy proposal aims to establish an electronic tool to measure quality of care, use this data to empower quality improvement processes, develop scalable change packages, and provide valuable information to decision-makers. The focus will be on electronic data collection, increasing decision-maker engagement, and
Presentation_Pregel - Practical Approaches to Disability Inclusion in HealthcareCORE Group
This document outlines Sightsavers' journey towards mainstreaming disability inclusion in their health programs from 2016 to 2019. It describes pilots conducted in several countries to test an inclusive health model and the creation of an internal task team. It then presents Sightsavers' inclusive health toolkit, which provides recommended activities, indicators, and tools for mainstreaming disability inclusion across various health domains like leadership, financing, infrastructure, workforce, and service delivery. The goal is to establish a comprehensive and strategic approach to inclusive healthcare through partnership with governments and organizations of persons with disabilities.
Jennifer Mason, Senior Advisor for FP/HIV Integration for USAID's Office of Population and Reproductive Health describes the agency's approach to integrating family planning services with HIV health services and provides country examples of integration practices.
Perception and experience of group supervision as quality improvement interve...REACHOUTCONSORTIUMSLIDES
Group supervision was introduced as a quality improvement intervention to improve the performance of Health Extension Workers (HEWs) providing maternal health services in Sidama Zone, Ethiopia. The intervention included training supervisors and implementing monthly group meetings where HEWs discussed collected data, problems, and solutions. Results showed the intervention improved HEW motivation and regularity of supervision meetings. Utilization of maternal health services increased, including antenatal care attendance and skilled delivery rates. However, challenges included lack of transportation support for supervisors and high supervisor turnover. Overall, the findings demonstrated that group supervision can positively impact HEW performance and maternal health outcomes.
NACCHO 2018 National Conference – An Evaluation Framework to Improve Aborigna...NACCHOpresentations
This document summarizes the development of an evaluation framework for policies, programs, and services aimed at improving Aboriginal and Torres Strait Islander peoples' health and wellbeing. It was developed by a project team funded by the Lowitja Institute. The framework provides guidance on what and how to evaluate based on a review of evaluations from 2007-2017. Key recommendations are that evaluations should address government principles for working with Indigenous peoples, prioritize Indigenous leadership and partnership, and use ethical frameworks that recognize responsibilities of all parties. Case studies are also provided.
Presentation given at the USAID SQALE Symposium, Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services, by Charles Mito on behalf of MEASURE Evaluation PIMA. http://usaidsqale.reachoutconsortium.org/
The document proposes a proof-of-concept and pilot program for an integrated women and child health program using a community outreach model in Gajwel constituency, Hyderabad. The program would address critical gaps in healthcare access and services through three dimensions: 1) segmentation of populations to reach socially and economically vulnerable groups, 2) redefining intervention areas and care services, and 3) a care services continuum of screening, identification, referral, enablement and follow-up. The pilot would focus on women aged 15+, children aged 5-15, pregnant women, and newborns, providing services across primary care, reproductive health, eye care, oral health and more. It would employ community health workers and leverage ICT platforms
This presentation provides an overview of the Affordable Care Act's Maternal, Infant, and Early Childhood Home Visiting Program. It discusses the program's legislative authority, goals of improving maternal and child health outcomes, priority populations, implementation of evidence-based home visiting models, status of program implementation across states, and opportunities the program provides. Evaluation of program impacts is being led by MDRC and partners through the Mother and Infant Home Visiting Project Evaluation.
Day 2 panel 2 integrating demand and supply tz 108023ea-imcha
This project aims to improve access to health services and quality of care for mothers and children in Tanzania through an implementation research study. The study is being conducted in two districts of Iringa Region in Tanzania by a research team led by the University of Dar es Salaam in collaboration with HealthBridge Foundation of Canada. The project involves integrating demand and supply side interventions through women's groups and health facility quality improvement committees. Baseline data collection was completed in 2016 and endline evaluation is planned for 2019. Key findings from baseline include transportation costs as a barrier to care and poor provider attitudes negatively impacting quality of care. The project is ongoing with monthly women's group meetings and health facility quality improvement meetings planned for 2017.
The document discusses RATN's efforts to mainstream gender in HIV/AIDS programs and capacity development. RATN established a gender working group and conducted a gender audit. This informed the development of a gender policy, strategy, and 5-year action plan with 15 indicators. RATN provided gender mainstreaming training to its member institutions to equip them with tools and skills. Challenges included overcoming misconceptions about gender, and the need for stakeholder engagement and gender policies to support mainstreaming efforts.
Strengthening the Building Blocks of Health Systems Doing Better, Reaching Mo...CORE Group
This document summarizes community health interventions in Senegal supported by USAID and ChildFund Senegal from 2006-2021. It discusses expanding access to health services, strengthening service delivery through standardizing tools and training community health volunteers, and institutionalizing community health services. Key accomplishments include expanding coverage, strengthening service delivery, and motivating community health volunteers. Recent initiatives focus on gender and youth, including revising home visiting and community alert strategies to engage men and adolescents. The Community Action Cycle aims to prevent early marriage and pregnancy through community reflection and mobilization.
Sustaining quality approaches for locally embedded community health services ...REACHOUTCONSORTIUMSLIDES
This presentation was given at the Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services Symposium which was held in September 2016
Strengthening the Building Blocks of Health Systems Doing Better, Reaching Mo...CORE Group
This document summarizes strategies for strengthening health services to deliver improved nutrition. It outlines that while evidence-based interventions exist to address persistent nutrition issues like stunting and anemia, they require an equitable and high-quality delivery system. This involves developing the nutrition workforce through appropriate policies, training, supervision and resources. It also stresses the need to build community demand for better services and coordinate delivery across sectors through multi-level strengthening of health systems and partnerships with frontline workers. The goal is to systematically support service providers and empower communities to drive improved nutrition outcomes.
Strengthening the Building Blocks of Health Systems Doing Better, Reaching Mo...CORE Group
The document discusses the importance of health workers and strengthening health systems. It notes that there is currently a shortage of over 7 million health workers globally, projected to rise to nearly 13 million. African countries will be hardest hit, with a shortage of 2 million doctors, nurses and midwives needed. The document reviews different components of health systems and provides examples of projects in the Philippines, Ghana and other countries that have empowered and supported health workers, helping address shortages. It argues for continued efforts to strengthen health systems, optimize resources, and foster an environment where health workers are motivated to help reach more people.
Rh services in crisis areas icfp 2013 finalSaf Pac
This document discusses a project to increase access to modern family planning and post-abortion care in conflict-affected settings in Pakistan, Chad, and the Democratic Republic of Congo. It outlines challenges like limited resources, safety concerns, and conservative opposition. The project adapted approaches by providing training, supportive supervision, and improving supply chains. Outcomes included high sustained demand, with over 39,000 new family planning users and increased use of long-acting reversible contraceptives over time. Recommendations focus on further building training capacity, team-based quality improvement, and respectful care dialogues. The document concludes that reproductive health is a basic right that can be attained even in crisis settings.
The quality improvement programme aims to provide the highest quality mental health and community care in England by 2020 through two stretch aims: reducing harm by 30% each year and ensuring patients receive the right care, in the right place, at the right time. A central QI team coordinates the programme and builds improvement skills within the workforce. Improvement projects use the Model for Improvement and test changes using PDSA cycles. Measurement is key to tracking progress, and successful spread requires patience and not repeating the "seven spreadly sins". The partnership with IHI and BMJ Quality aims to make improvement methods accessible to inspire, innovate, improve and share work across the organization.
George Olago - Health ICT Health Care Strategy PlanOtieno Olago
The document proposes a 3-year eHealth strategy plan for IMA WorldHealth to implement in Nairobi, Kenya from 2016-2018. The plan aims to (1) integrate private and public health providers through a hub-and-spoke model to provide standardized HIV/AIDS, TB, and malaria care; (2) replace paper-based systems with electronic health records and information management; (3) implement the strategy in phases starting with basic eHealth foundations and expanding solutions and governance over time. Key outcomes include more efficient healthcare, improved patient safety, and increased access to services especially in slums and remote areas.
The document describes a shared care planning program in New Zealand that aims to improve health outcomes through integrated care, shared access to patient information, and the use of technology. The program provides a shared care record and communication tools to enable coordinated care across providers. Early results show increased communication and task coordination among care teams, as well as improved care plan development. Recommendations include establishing clear governance, understanding funding models, and taking an iterative approach to technology and workflow refinements.
Break-out session slides Session 2: 2.4 A practice managers perspective - She...NHS England
This document provides a summary of a presentation given by Sheinaz Stansfield on Primary Care Networks from the perspective of a practice manager. The key points are:
1. Sheinaz Stansfield has experience in various roles related to primary care including as a practice manager and advisor to organizations like NHSE.
2. Primary Care Networks aim to reform GP contracts over 5 years through collaboration between practices to improve access, workforce, integration and managing demand.
3. Networks will receive funding to hire additional roles like pharmacists, physiotherapists and social prescribers. Practices will work together on priorities like extended access and online booking.
4. Networks will help manage demand through expanded community
Presentation by Jeff Sanderson at "Post-Ebola Survivors - Research and Recovery Lessons from West Africa," a USAID Brown Bag on May 2, 2019 at USAID/Crystal City.
Together with NIH/PREVAIL, today’s session focuses on learnings from these programs in relation to survivor care and post-outbreak recovery of health services and health systems.
Facilitator: Jeff Sanderson, Team Leader, West Africa Post-Ebola Programs, JSI R&T/APC
The Presenters:
Dr. Libby Higgs, Global Health Science Advisor for the Division of Clinical Research at NIAID, NIH (confirmed)
Dr. Meba Kagone, former Chief of Party for ETP&SS, Guinea, JSI/APC (confirmed)
Dr. Rose Macauley, former Chief of Party for ETP&SS, Liberia, JSI/APC (confirmed)
Jeff Sanderson (for Dr. Kwame Oneill, former Director of the Program Implementation Unit, Ministry of Health and Sanitation, Sierra Leone)
Background:
The Ebola Transmission Prevention & Survivor Services (ETP&SS) program included four components; country programs in Guinea, Liberia and Sierra Leone, and a regional program designed to share best practices and lessons learned.
ETP&SS assisted these governments to prevent further Ebola transmission, reduce stigma and other barriers to care for survivors when accessing health services, support the strengthening of needed specialty services, and build more resilient and self-sustaining health systems.
The regional program sought to ensure the sharing of lessons learned and best practices across the three countries and the region through meetings, exchanges and conferences with partners such as NIH, WHO, and the West African Consortium.
Funded by the Global Health Bureau through the Advancing Partners & Communities Project, John Snow Research & Training Institute implemented the program from July 2016 through July/August 2018.
Day 2 panel 1 community based cause of death etea-imcha
This document summarizes two projects - the IMCHA Project in Ethiopia and a Synergy Proposal linking these efforts between Ethiopia and Mozambique. For the IMCHA Project, key objectives are to generate a national catalogue of cause of death data, pilot an integrated platform to increase quality and feasibility of cause of death surveys, and provide evidence linking causes of death to maternal and child health outcomes. For the Synergy Proposal, the objectives are to build capacity for facility-based cause of death reporting, ensure knowledge translation to health programs and vital statistics institutions, and scale efforts to other priority countries. Both projects involve training health workers, customizing data collection platforms, and engaging stakeholders to strengthen cause of death data and its use
Quality improvement and Community Health Worker performance: A mixed method r...REACHOUTCONSORTIUMSLIDES
A presentation that describes the REACHOUT approach to studying close-to-community providers with quality improvement interventions designed to improve the performance of programmes.
Department of Health Program Directions and Priorities Towards MDGs 4 and 5Michelle Avelino
The document outlines the Department of Health's (DOH) current efforts, status, and directions regarding achieving Millennium Development Goals 4 and 5 in the Philippines. It discusses programs established to improve maternal and child health, including emergency obstetric care facilities, integrated service packages, training programs, and monitoring systems. It notes accomplishments, ongoing challenges, and a proposed approach to scaling up family planning and maternal, newborn and child health programs through collaboration with partners.
National Maternal and children health programLalitaDubile
This document summarizes maternal health initiatives and statistics in India. It notes that India's maternal mortality ratio has declined significantly from 556 per 100,000 live births in 2000 to 130 in 2015, and neonatal mortality has also dropped. However, more progress is still needed to meet national targets. Key programs discussed include Janani Shishu Suraksha Karyakram, which provides free care for deliveries and complications; LaQshya, which improves quality of labor rooms; and various trainings to strengthen health workforce skills. Anemia and institutional delivery rates vary significantly between states. Moving forward, priorities include delayed cord clamping, revised ANC guidelines, improved referral protocols, and a focus on respectful maternity care.
NACCHO 2018 National Conference – An Evaluation Framework to Improve Aborigna...NACCHOpresentations
This document summarizes the development of an evaluation framework for policies, programs, and services aimed at improving Aboriginal and Torres Strait Islander peoples' health and wellbeing. It was developed by a project team funded by the Lowitja Institute. The framework provides guidance on what and how to evaluate based on a review of evaluations from 2007-2017. Key recommendations are that evaluations should address government principles for working with Indigenous peoples, prioritize Indigenous leadership and partnership, and use ethical frameworks that recognize responsibilities of all parties. Case studies are also provided.
Presentation given at the USAID SQALE Symposium, Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services, by Charles Mito on behalf of MEASURE Evaluation PIMA. http://usaidsqale.reachoutconsortium.org/
The document proposes a proof-of-concept and pilot program for an integrated women and child health program using a community outreach model in Gajwel constituency, Hyderabad. The program would address critical gaps in healthcare access and services through three dimensions: 1) segmentation of populations to reach socially and economically vulnerable groups, 2) redefining intervention areas and care services, and 3) a care services continuum of screening, identification, referral, enablement and follow-up. The pilot would focus on women aged 15+, children aged 5-15, pregnant women, and newborns, providing services across primary care, reproductive health, eye care, oral health and more. It would employ community health workers and leverage ICT platforms
This presentation provides an overview of the Affordable Care Act's Maternal, Infant, and Early Childhood Home Visiting Program. It discusses the program's legislative authority, goals of improving maternal and child health outcomes, priority populations, implementation of evidence-based home visiting models, status of program implementation across states, and opportunities the program provides. Evaluation of program impacts is being led by MDRC and partners through the Mother and Infant Home Visiting Project Evaluation.
Day 2 panel 2 integrating demand and supply tz 108023ea-imcha
This project aims to improve access to health services and quality of care for mothers and children in Tanzania through an implementation research study. The study is being conducted in two districts of Iringa Region in Tanzania by a research team led by the University of Dar es Salaam in collaboration with HealthBridge Foundation of Canada. The project involves integrating demand and supply side interventions through women's groups and health facility quality improvement committees. Baseline data collection was completed in 2016 and endline evaluation is planned for 2019. Key findings from baseline include transportation costs as a barrier to care and poor provider attitudes negatively impacting quality of care. The project is ongoing with monthly women's group meetings and health facility quality improvement meetings planned for 2017.
The document discusses RATN's efforts to mainstream gender in HIV/AIDS programs and capacity development. RATN established a gender working group and conducted a gender audit. This informed the development of a gender policy, strategy, and 5-year action plan with 15 indicators. RATN provided gender mainstreaming training to its member institutions to equip them with tools and skills. Challenges included overcoming misconceptions about gender, and the need for stakeholder engagement and gender policies to support mainstreaming efforts.
Strengthening the Building Blocks of Health Systems Doing Better, Reaching Mo...CORE Group
This document summarizes community health interventions in Senegal supported by USAID and ChildFund Senegal from 2006-2021. It discusses expanding access to health services, strengthening service delivery through standardizing tools and training community health volunteers, and institutionalizing community health services. Key accomplishments include expanding coverage, strengthening service delivery, and motivating community health volunteers. Recent initiatives focus on gender and youth, including revising home visiting and community alert strategies to engage men and adolescents. The Community Action Cycle aims to prevent early marriage and pregnancy through community reflection and mobilization.
Sustaining quality approaches for locally embedded community health services ...REACHOUTCONSORTIUMSLIDES
This presentation was given at the Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services Symposium which was held in September 2016
Strengthening the Building Blocks of Health Systems Doing Better, Reaching Mo...CORE Group
This document summarizes strategies for strengthening health services to deliver improved nutrition. It outlines that while evidence-based interventions exist to address persistent nutrition issues like stunting and anemia, they require an equitable and high-quality delivery system. This involves developing the nutrition workforce through appropriate policies, training, supervision and resources. It also stresses the need to build community demand for better services and coordinate delivery across sectors through multi-level strengthening of health systems and partnerships with frontline workers. The goal is to systematically support service providers and empower communities to drive improved nutrition outcomes.
Strengthening the Building Blocks of Health Systems Doing Better, Reaching Mo...CORE Group
The document discusses the importance of health workers and strengthening health systems. It notes that there is currently a shortage of over 7 million health workers globally, projected to rise to nearly 13 million. African countries will be hardest hit, with a shortage of 2 million doctors, nurses and midwives needed. The document reviews different components of health systems and provides examples of projects in the Philippines, Ghana and other countries that have empowered and supported health workers, helping address shortages. It argues for continued efforts to strengthen health systems, optimize resources, and foster an environment where health workers are motivated to help reach more people.
Rh services in crisis areas icfp 2013 finalSaf Pac
This document discusses a project to increase access to modern family planning and post-abortion care in conflict-affected settings in Pakistan, Chad, and the Democratic Republic of Congo. It outlines challenges like limited resources, safety concerns, and conservative opposition. The project adapted approaches by providing training, supportive supervision, and improving supply chains. Outcomes included high sustained demand, with over 39,000 new family planning users and increased use of long-acting reversible contraceptives over time. Recommendations focus on further building training capacity, team-based quality improvement, and respectful care dialogues. The document concludes that reproductive health is a basic right that can be attained even in crisis settings.
The quality improvement programme aims to provide the highest quality mental health and community care in England by 2020 through two stretch aims: reducing harm by 30% each year and ensuring patients receive the right care, in the right place, at the right time. A central QI team coordinates the programme and builds improvement skills within the workforce. Improvement projects use the Model for Improvement and test changes using PDSA cycles. Measurement is key to tracking progress, and successful spread requires patience and not repeating the "seven spreadly sins". The partnership with IHI and BMJ Quality aims to make improvement methods accessible to inspire, innovate, improve and share work across the organization.
George Olago - Health ICT Health Care Strategy PlanOtieno Olago
The document proposes a 3-year eHealth strategy plan for IMA WorldHealth to implement in Nairobi, Kenya from 2016-2018. The plan aims to (1) integrate private and public health providers through a hub-and-spoke model to provide standardized HIV/AIDS, TB, and malaria care; (2) replace paper-based systems with electronic health records and information management; (3) implement the strategy in phases starting with basic eHealth foundations and expanding solutions and governance over time. Key outcomes include more efficient healthcare, improved patient safety, and increased access to services especially in slums and remote areas.
The document describes a shared care planning program in New Zealand that aims to improve health outcomes through integrated care, shared access to patient information, and the use of technology. The program provides a shared care record and communication tools to enable coordinated care across providers. Early results show increased communication and task coordination among care teams, as well as improved care plan development. Recommendations include establishing clear governance, understanding funding models, and taking an iterative approach to technology and workflow refinements.
Break-out session slides Session 2: 2.4 A practice managers perspective - She...NHS England
This document provides a summary of a presentation given by Sheinaz Stansfield on Primary Care Networks from the perspective of a practice manager. The key points are:
1. Sheinaz Stansfield has experience in various roles related to primary care including as a practice manager and advisor to organizations like NHSE.
2. Primary Care Networks aim to reform GP contracts over 5 years through collaboration between practices to improve access, workforce, integration and managing demand.
3. Networks will receive funding to hire additional roles like pharmacists, physiotherapists and social prescribers. Practices will work together on priorities like extended access and online booking.
4. Networks will help manage demand through expanded community
Presentation by Jeff Sanderson at "Post-Ebola Survivors - Research and Recovery Lessons from West Africa," a USAID Brown Bag on May 2, 2019 at USAID/Crystal City.
Together with NIH/PREVAIL, today’s session focuses on learnings from these programs in relation to survivor care and post-outbreak recovery of health services and health systems.
Facilitator: Jeff Sanderson, Team Leader, West Africa Post-Ebola Programs, JSI R&T/APC
The Presenters:
Dr. Libby Higgs, Global Health Science Advisor for the Division of Clinical Research at NIAID, NIH (confirmed)
Dr. Meba Kagone, former Chief of Party for ETP&SS, Guinea, JSI/APC (confirmed)
Dr. Rose Macauley, former Chief of Party for ETP&SS, Liberia, JSI/APC (confirmed)
Jeff Sanderson (for Dr. Kwame Oneill, former Director of the Program Implementation Unit, Ministry of Health and Sanitation, Sierra Leone)
Background:
The Ebola Transmission Prevention & Survivor Services (ETP&SS) program included four components; country programs in Guinea, Liberia and Sierra Leone, and a regional program designed to share best practices and lessons learned.
ETP&SS assisted these governments to prevent further Ebola transmission, reduce stigma and other barriers to care for survivors when accessing health services, support the strengthening of needed specialty services, and build more resilient and self-sustaining health systems.
The regional program sought to ensure the sharing of lessons learned and best practices across the three countries and the region through meetings, exchanges and conferences with partners such as NIH, WHO, and the West African Consortium.
Funded by the Global Health Bureau through the Advancing Partners & Communities Project, John Snow Research & Training Institute implemented the program from July 2016 through July/August 2018.
Day 2 panel 1 community based cause of death etea-imcha
This document summarizes two projects - the IMCHA Project in Ethiopia and a Synergy Proposal linking these efforts between Ethiopia and Mozambique. For the IMCHA Project, key objectives are to generate a national catalogue of cause of death data, pilot an integrated platform to increase quality and feasibility of cause of death surveys, and provide evidence linking causes of death to maternal and child health outcomes. For the Synergy Proposal, the objectives are to build capacity for facility-based cause of death reporting, ensure knowledge translation to health programs and vital statistics institutions, and scale efforts to other priority countries. Both projects involve training health workers, customizing data collection platforms, and engaging stakeholders to strengthen cause of death data and its use
Quality improvement and Community Health Worker performance: A mixed method r...REACHOUTCONSORTIUMSLIDES
A presentation that describes the REACHOUT approach to studying close-to-community providers with quality improvement interventions designed to improve the performance of programmes.
Department of Health Program Directions and Priorities Towards MDGs 4 and 5Michelle Avelino
The document outlines the Department of Health's (DOH) current efforts, status, and directions regarding achieving Millennium Development Goals 4 and 5 in the Philippines. It discusses programs established to improve maternal and child health, including emergency obstetric care facilities, integrated service packages, training programs, and monitoring systems. It notes accomplishments, ongoing challenges, and a proposed approach to scaling up family planning and maternal, newborn and child health programs through collaboration with partners.
National Maternal and children health programLalitaDubile
This document summarizes maternal health initiatives and statistics in India. It notes that India's maternal mortality ratio has declined significantly from 556 per 100,000 live births in 2000 to 130 in 2015, and neonatal mortality has also dropped. However, more progress is still needed to meet national targets. Key programs discussed include Janani Shishu Suraksha Karyakram, which provides free care for deliveries and complications; LaQshya, which improves quality of labor rooms; and various trainings to strengthen health workforce skills. Anemia and institutional delivery rates vary significantly between states. Moving forward, priorities include delayed cord clamping, revised ANC guidelines, improved referral protocols, and a focus on respectful maternity care.
Thinking Locally and Acting Globally to End Preventable Newborn Deaths_Jennif...CORE Group
The document summarizes MCHIP Bangladesh's community interventions to improve maternal and child health outcomes. It describes the scale up of a community-based approach using community health workers and volunteers to deliver services. Key aspects included community microplanning, formation of community action groups, training of community skilled birth attendants, and engaging local governments. Preliminary results from 2010-2012 showed improvements in several maternal and newborn health indicators in project areas. Lessons learned emphasized the importance of an integrated approach and engaging communities and local institutions.
MDG is millineum development goals and 4/5 relate to women care and neonatal care..the deadline to achieve health targets is reset for 2015, but we in south east asia are still far away from these targets.....see who has done it and who will
The document summarizes Nepal's Safe Motherhood program. It describes the program's goals of reducing maternal and neonatal mortality and improving health. Major activities include promoting birth preparedness and emergency funds, expanding skilled birth attendants and emergency obstetric care, managing reproductive health issues, expanding service sites, and programs like Aama that provide incentives for institutional delivery. The program aims to make quality maternal care accessible to all women through these various community-based and facility-based strategies.
The document summarizes key aspects of health sector reforms in India. It discusses reforms related to decentralization, human resources, financing, restructuring the health system, management information systems, community participation, quality assurance, convergence of programs, and public-private partnerships. The reforms aim to improve access to healthcare especially for rural and underserved populations through various policy changes introduced since the 1980s.
Public private partnership in safemotherhood program in NepalBidhya Basnet
The document discusses public private partnerships in Nepal's Safemotherhood program. It provides definitions of key terms, describes the status and activities of the program, and outlines various PPP models used. The program aims to reduce maternal and neonatal mortality by improving access to antenatal care, skilled birth attendance, emergency obstetric care, and postnatal care. It partners with various organizations to implement activities like community mobilization, ultrasound programs, and expanding emergency referral services. However, partnerships face limitations like unclear policies, weak coordination, and a lack of regulatory frameworks and research on the private health sector.
The document summarizes Rwanda's efforts to integrate palliative care into its national health system. Key points include:
- Rwanda established a palliative care program in 2011 with a vision of universal access by 2020. It has trained over 1,000 health care professionals and integrated palliative care services into hospitals, health centers, and communities through a network of home-based care practitioners.
- Palliative care services are part of Rwanda's community-based health insurance and national health information system. A palliative care desk coordinates services at referral and provincial hospitals.
- Lessons from partnerships include the importance of regional collaboration for training and mentorship, decentralizing services to effectively scale up palliative care,
JSI's Chlorhexidine Projects in Nepal, Madagascar and NigeriaJSI
28% of newborn deaths worldwide are due to infections. The entry point for many of these infections is the umbilical cord. Traditional practices to prevent infection (such as alcohol, oil, ash, or turmeric) vary from place to place and may be harmful. Chlorhexidine (CHX) is a simple, effective, 23-cent intervention that has been used to reduce neonatal mortality by 23% and prevent serious cord infections by 68%. Funded by USAID and other donors, a pioneering program led by JSI in Nepal has prevented at least 2.700 newborn deaths and has influenced other countries around the global. More than 25 countries have visited Nepal’s program, and 5 have implemented programs, including two programs funded by USAID and led by JSI in Madagascar and Nigeria. To create and provide a sustainable, affordable, and high-quality supply, JSI partnered with private-sector manufacturers in Nepal and Nigeria. Nepal’s Lomus Pharmaceuticals, whose CHX tubes are displayed here, have exported the antiseptic to Ethiopia, Liberia, Madagascar, Malawi, Nigeria, and Pakistan. Nigeria’s Drugfield Pharmaceuticals has exported to Haiti and Kenya.
TRANSFORMING THE PHC LANDSCAPE IN NIGERIA.pptxVictoriaAzodoh1
The document discusses efforts by the National Primary Health Care Development Agency (NPHCDA) to improve primary health care in Nigeria. It outlines NPHCDA's strategic interventions which include improving access to basic health services and immunization rates, strengthening governance and accountability, and providing strategic direction on primary care. It also discusses measures taken to ensure successful implementation of task-shifting of primary health care workers. Overall, the document aims to provide an overview of NPHCDA's work to transform primary health care delivery and reduce maternal and child mortality in Nigeria.
Labour Room Quality Improvement Initiative (LaQshya).pptxanjalatchi
The document discusses India's Labour Room Quality Improvement Initiative (LaQshya) which aims to improve quality of care in labour rooms and maternity operating theaters. The key points are:
- LaQshya aims to reduce preventable maternal and newborn mortality, morbidity and stillbirths associated with delivery care.
- Objectives include reducing mortality from various causes, improving quality of delivery care, ensuring timely referrals, and providing respectful maternity care.
- Strategies include aligning labour room layouts and workflows, ensuring obstetric HDUs, and adhering to clinical protocols before referral.
- The program targets government medical colleges, district hospitals, and other high-volume
Labour Room Quality Improvement Initiative (LaQshya).pptxanjalatchi
LaQshya program will benefit every pregnant woman and newborn delivering in public health institutions. Program will improve quality of care for pregnant women in labour room, maternity Operation Theatre and Obstetrics Intensive Care Units (ICUs) & High Dependency Units (HDUs)
The PRRINN-MNCH programme operated in four northern Nigerian states from 2006-2013 with the goal of improving maternal, newborn and child health services. It achieved significant impacts including:
1) Reducing maternal and child mortality and morbidity in the target states by strengthening health systems, service delivery, community engagement, and governance.
2) Providing evidence of value for money through improved health indicators and lives saved due to programme interventions.
3) Facing challenges in the unstable security environment, particularly in Yobe State, but continuing operations with government commitment to improving health services.
Conclave indrajit - evidence for policy & impact - 22 apr 2016 v2.1Indrajit Chaudhuri
1) CARE India worked in Bihar through its Bihar Technical Support Program (BTSP) to reduce maternal and child health indicators like MMR, NMR, and malnutrition. It tested and implemented innovative solutions in select districts from 2010-2013.
2) Four key solutions showed successful results - sub-center meetings, quality improvement and nurse mentoring in facilities, team-based goals and incentives for frontline workers, and a comprehensive mHealth solution.
3) These solutions were adopted and scaled up by the Bihar government based on the evidence from their measurement and learning efforts. For example, sub-center meetings were scaled up statewide and the mobile nurse mentoring approach was replicated in many other states. This
1) The DAKSHATA program aims to improve the quality of maternal and newborn care during labor and delivery through strengthening the competency of providers.
2) It focuses on training providers, ensuring essential supplies are available, improving monitoring and accountability, and implementing strategies to reinforce learning.
3) The program's goals are to reduce maternal and newborn mortality and morbidity by promoting evidence-based practices through competent providers.
Safe Motherhood Program in Nepal: Challenges and Way ForwardKusumsheela Bhatta
The safe motherhood programme is one of the priority programme of Nepal. The goal of the National Safe Motherhood Program is to reduce maternal and neonatal morbidity and mortality and to improve the maternal and neonatal health through preventive and promotive activities as well as by addressing avoidable factors that cause death during pregnancy, childbirth and postpartum period. This presentation incorporates historical context, introduction, major achievements, actors, what Went Well, what didn’t go well, limitations, challenges, way forward of Safe Motherhood Program in Nepal.
The document summarizes several HIV/AIDS programs implemented by World Vision across multiple countries in Africa. It discusses key strategies used such as community mobilization, capacity building, and task shifting. Specific interventions discussed include PMTCT, pediatric HIV care, male circumcision, and programs to support orphans and vulnerable children. Results showed improved access to services, increased testing and treatment adherence, and reduced loss to follow up. Lessons highlighted the importance of integrated service delivery, community ownership, and long-term commitment to sustain programs.
The document provides an overview of India's National Health Mission (NHM), which includes the National Rural Health Mission and National Urban Health Mission. The vision of NHM is universal access to equitable, affordable, and quality healthcare. Key goals include reducing maternal and infant mortality rates. The document outlines the governance structure of NHM at the national, state, and district levels. It also describes the major components and initiatives of NHM, including health systems strengthening, reproductive and child health programs, and national disease control programs. Implementation of NHM has increased healthcare infrastructure, utilization, and achieved several of its targets.
This document provides an overview of Malaysia's national eHealth strategy. It discusses the transformation of Malaysia's healthcare system and the role of information and communication technologies (ICT) in improving healthcare delivery and outcomes. Some key points include:
- ICT can help enable a more efficient, equitable healthcare system by facilitating integrated care, data sharing, and patient empowerment.
- MOH has implemented various healthcare IT systems but faces challenges around integration, infrastructure, skills, and funding.
- The proposed eHealth strategy and 11th Malaysia Plan initiatives aim to strengthen ICT governance, develop interoperable systems, build workforce capacity, and foster collaboration to support health system transformation.
Nepal Health Sector Program Implementation Plan II (NHSP-IP2)Dip Narayan Thakur
The document summarizes Nepal's Health Sector Implementation Plan II (NHSP-IP II). NHSP-IP II aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and utilization of essential health services. It reviewed achievements and shortcomings of NHSP-IP I and outlined NHSP-IP II's vision, goals, strategies, and financing plans. Key points included reducing morbidity and mortality through accessible, affordable, quality care; addressing sustainability issues in health financing; and achieving greater efficiency through health systems strengthening. Progress was made in areas like immunization and maternal health, but challenges remained around nutrition, non-communicable diseases, and equity gaps.
Similar to Newborn Care Through the Social and Behavioral Change Lens Experiences from Ethiopia, Pakistan, and Rwanda -- Jamali (20)
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Newborn Care Through the Social and Behavioral Change Lens Experiences from Ethiopia, Pakistan, and Rwanda -- Jamali
1. Dr. Qamar Zaman Jamali
MCHIP, Pakistan
Revitalizing Lady Health Workers’
Role to Promote Newborn and Child
Health Care in Sindh, Pakistan
2. Content
– Background
– Introduction of Lady Health Worker (LHW)
Program
– Introduction to MCHIP Pakistan
– MCHIP Community Support Interventions and
Results
– Conclusion
3. Background
• Pakistan’s neonatal mortality rate is 45.5 (per
1000 live births) contributing 9% of annual global
neonatal death tolls (IGME 2015)
• Pakistan’s under- five mortality rate is 81.1 per
1000 live births.
• Over 245,000 newborn deaths a year in Pakistan
• Major causes include prematurity, birth-related
complications (birth asphyxia) and neonatal sepsis
4. Background
• In 2010 the health portfolio was devolved to
the provinces in Pakistan.
• Federal government retained the coordination
role.
• This restructuring has caused substantial
fragmentation within the health system.
• Although devolution provided opportunities
for provinces but it also resulted in financial
and management issues for provincial
governments as well.
5. Post-devolution Challenges With LHWP
• Budget constraints
• Poor management
• Problems in salaries payment
• Weak supplies and equipment provision
• Weak referral systems
• Poor integration of MIS with health system
• Poor reporting compliance and quality data
6. Introduction to LHW Program (LHWP)
National Programme for
Family Planning and Primary
Health Care (FP&PHC). The
Programme popularly known
as "Lady Health Workers’
Program" (LHWP),
More than 87,000 LHWs
working across Pakistan
Program Launched in 1994.
Links communities with Health
Facilities.
7. Objective of the LHWP
The main objective of the LHWP was
to increase utilization of promotive,
preventive and curative services at
the community level particularly for
women and children in poor and
underserved areas.
8. Role of the LHW
• Raise awareness
• Provide basic services and family
planning
• Refer patients to nearby hospitals
• Organize health committees for men
and women
• Increase uptake of public health
initiatives
9. Introduction to MCHIP
• USAID Global Health’s
flagship maternal, newborn
and child health (MNCH)
program
• MCHIP Pakistan is a
consortium with Jhpiego as
lead and Save the Children,
PATH, JSI and local
implementing partners.
• Project duration:
Oct 2013- Sep2017
10. To improve the quality of
MNCH services across
Sindh, in both public and
private health sectors
Objective
13. MCHIP Community Support interventions
• Introduction of Real Time Monitoring of
WSGs through android based applications
• Capacity building (Chlorhexidine,
Misoprostol, WSG, IPC Tool KIT, and
Referral mechanism)
• Advocacy events to promote positive
behavior on newborn and child health
care
14. Progress So Far
• Capacity Building:
• CHX/Miso – 13,547
• WSG – 3500
• Real time monitoring using android based application:
Monitored 11.6% of total 12,777 WSG meetings.
• Strengthening of Referral Mechanism
LHWs increased referrals from community to health
facility from 312 in Dec. 2014 to 38,810 in Dec. 2016.
15. Real-time monitoring
• Used wireless communication and
smartphone technology to monitor
the quality of WSGs
• A total of 12,777 WSGs (11.6%)
reaching over 148,000 people were
observed
• Findings used to provide direct
input/ feedback to the LHW
Program, LHWs, and supervisors
on improving the WSGs
16. LHWs Facilitation skills
77 78
65
59
76
82
71
63
68
84 83 83 82
88 88
67
76 76
0
20
40
60
80
100
Greetings to
Partcipants
Introduction of
Participants
Settings of
ground rules
Sensitization on
Topics
Information
Provided on topic
Use of IEC
Material
Sumarization of
discussion
Explore Solution Planning for next
SG meeting
Percentage
Quality of CSG as per set Protocols
q3-y2 q4-y4
18. % of Newborn Topics Discussed During WSG Meetings
(Jan. 15 – Dec. 16)
16 17 17
19
7
13
0
20
40
Vaccination DangerSigns BirthPreparedness ExclusiveBreastFeeding NewbornDangerSigns Postnatal Care
19. Cases referred by LHWs
312 473
6,542
9,232
6,995
27,231
25,878
28,154
0
5,000
10,000
15,000
20,000
25,000
30,000
20. Conclusion
• LHWs are frontline health worker in health system of
Pakistan.
• Real time monitoring is an innovative approach to
monitor the quality of WSGs.
• Introduction of new high impact intervention
improved the knowledge and performance of LHWs.
• On the job coaching and supportive supervision are
keys to make LHWs’ role more effective.