Service Delivery

Health Workforce Productivity Analysis and Improvement Toolkit

Sarah Dwyer — Wed, 18 Feb 2015 19:37:43 +0000

Author's name:

CapacityPlus

February 2015 (All day)

Health Workforce Productivity Analysis and Improvement Toolkit

The health workforce is critical for ensuring access to high-quality family planning/reproductive health, maternal and child health, HIV/AIDS, and other services in order to improve health outcomes. While increasing the number of health workers where there are shortages is essential, it is equally important to improve the productivity of the existing workforce and make service delivery more efficient. The Health Workforce Productivity Analysis and Improvement Toolkit describes a step-wise process to measure the productivity of facility-based health workers, understand the underlying causes of productivity problems, and identify potential interventions to address them. Users can enter and save facility-level data on service delivery outputs and human resources costs in order to calculate total health workforce productivity and compare these rates across facilities. This process differentiates higher-productivity facilities from lower-productivity ones, which through a qualitative assessment can help managers and supervisors to consider which factors are affecting health workforce productivity in the facilities.

Dominican Republic Human Resources for Health

Sarah Dwyer — Fri, 30 Jan 2015 19:15:18 +0000

Author's name:

CapacityPlus

December 2014 (All day)

Dominican Republic Human Resources for Health

The Office of Health Systems in USAID’s Global Health Bureau selected CapacityPlus’s collaboration with the Dominican Republic as one of its Top Ten Health Systems Strengthening Cases. CapacityPlus supported the Ministry of Health in a process of payroll reform and increased transparency in budgeting practices. The process revealed nearly 10,000 ghost workers—individuals who receive a salary but are not working—who represented approximately 30% of the Ministry’s budget. The Ministry began a phased approach to clean its payroll by reclaiming the salaries of the ghost workers, resulting in savings of over $6 million annually. These savings are being used to improve HIV and other health services through hiring of new health workers, increasing salaries by 10% to provide more equitable remuneration and increase motivation, eliminating user fees, and investing in other health sector reforms, such as setting up a better procurement process for HIV testing kits and antiretroviral drugs. In turn, this reinvestment is contributing to improved service delivery and health status.

Optimizing Performance and Quality: Stages, Steps, and Tools

Sarah Dwyer — Tue, 27 Jan 2015 15:14:20 +0000

Author's name:

IntraHealth International

January 2015 (All day)

Optimizing Performance and Quality

Optimizing Performance and Quality (OPQ) is a stakeholder-driven, cyclical process for analyzing human and organizational performance and setting up interventions to improve performance and quality or build on strengths and successes. It has been used by country leaders in over 15 countries to strengthen health-sector governance through greater accountability and transparency, broadened partnerships, and measurable results in improved service quality. The OPQ process builds capacity within an organization to recognize and address problems or performance gaps on an ongoing basis. Each of the seven stages provides evidence-based guidance and steps to follow, with a suite of tools to help users through the process.

Intégration des services de planification familiale et de lutte contre le VIH/SIDA : Réflexions sur le personnel de santé

Sarah Dwyer — Wed, 31 Oct 2012 14:13:23 +0000

Author's name:

Crystal Ng, Sara Pacqué-Margolis, Kathi Kotellos, and Stephanie Brantley

September 2012 (All day)

CapacityPlus Résumé technique n°5

Ce résumé technique évalue un ensemble de données probantes relatives à la manière dont les agents de santé prennent part à l’intégration des services de planification familiale et de lutte contre le VIH et livre quelques réflexions essentielles sur le personnel de santé impliqué dans ce processus, peu importe le modèle d’intégration choisi.

Integrating Family Planning and HIV/AIDS Services: Health Workforce Considerations

Sarah Dwyer — Wed, 12 Sep 2012 13:14:19 +0000

Author's name:

Crystal Ng, Sara Pacqué-Margolis, Kathi Kotellos, and Stephanie Brantley

September 2012 (All day)

CapacityPlus Technical Brief #5 (PDF)

CapacityPlus Technical Brief #5 (Interactive Version)

Governments and the global health community are increasingly paying attention to maximizing and measuring impact through service delivery integration efforts. In family planning/HIV service integration, for example, benefits include increased access to both types of services, improved quality of care, and enhanced program effectiveness. While it takes health workers to deliver these services, most of the evaluations of service integration models have largely ignored health workers as an input to, or output of, integrated service delivery. This technical brief assesses the evidence on the role of health workers in the integration of family planning and HIV services and discusses key health worker considerations when integrating these services.