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Organizational Development

Aligning Ministry of Health Strategic, Operational and Action Planning

Developed for the USAID Health Systems Strengthening II Project in Jordan, Initiatives Inc., 2014.

The Health Systems Strengthening (HSS) II project worked with the Jordanian Ministry of Health to align the goals and objectives of its central ministry, health directorates, and health centers to create a unified and complementary approach to planning. This report describes the top-down, bottom-up approach introduced by the HSS II project, as well as the results and challenges encountered.

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See also: Jordan Health Systems Strengthening II Project

Improving CHW Program Functionality, Performance and Engagement: Operations Research Results from Zambia

Developed for the USAID Health Care Improvement Project (HCI). Initiatives Inc., 2012.

Community health workers (CHWs) are making a substantial contribution to health service delivery the world over. They contribute to filling significant health human resources gaps and they are critical to achieving the Millennium Development Goals (MDGs). Many programs and countries have begun the large-scale deployment of community health workers to improve access to essential health services. Experience shows, however, that while crucial, community health worker programs are often fraught with significant human resources challenges. The USAID-funded Health Care Improvement Project (HCI) developed the Community Health Worker Assessment and Improvement Matrix (CHW AIM) to help assess and strengthen CHW program functionality. HCI conducted operations research in Zambia to test CHW AIM’s effectiveness as an improvement tool and to determine if associations exist among CHW program functionality, CHW performance and CHW engagement. This Research and Evaluation Report – Improving CHW Program Functionality, Performance and Engagement: Operations Research Results from Zambia – presents the findings of the CHW AIM operations research activity.


See also: Health Care Improvement Project

NPI Perspectives: Organizational Capacity Building: Voices of Change

Developed for the USAID Technical Assistance to the New Partners Initiative (TA-NPI) project, 2012.

This document highlights the voices of the 14 NPI partners who received technical assistance over their three-year grant period from the USAID-funded NuPITA project. The goal of this project was to build the technical and management capacity of the NPI partners. Using the Technical and Organizational Capacity Assessments (OCA/TOCA), partners assessed their strengths and weaknesses and generated action plans based on the results of the OCA/TOCA.

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See also: TA-NPI

Building NGO Capacity to Implement High-Quality Programs Using the Organizational Capacity Assessment Tool

Developed for the USAID New Partners Initiative Assistance Project (NuPITA). Initiatives Inc., 2011.

The New Partners Initiative Technical Assistance (NuPITA) Project is a USAID-funded initiative to increase the quality of program implementation and strengthen the institutional capacity of 15 nongovernmental organizations that provide HIV prevention and care services in sub-Saharan Africa. This document highlights components of the Organizational Capacity Assessment (OCA) process implemented by NuPITA and features case studies of a few NGO partners and explores what the OCA process has meant to them.

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Organizational Capacity Assessment for District AIDS Task Forces and NGOs/CBOs

Developed for the Support for the HIV/AIDS Response in Zambia (SHARe) project, 2010

The organizational capacity assessment (OCA) is a facilitated self-assessment process designed to help organizations improve their performance in responding to HIV/AIDS and other health issues. The OCA framework was developed in collaboration with the USAID Support to the HIV/AIDS Response in Zambia Project, Zambia’s National AIDS Council, and numerous district AIDS task forces and nongovernmental and community-based organizations (NGOs/CBOs). The OCA framework and tools can be adapted for different kinds of organizations and contexts. This book includes an overview of the OCA process, followed by customized scoring guides and worksheets for NGOs/CBOs and district AIDS task forces.

Order the full print version or download the OCA Package Introduction.


See also: Support for the HIV/AIDS Response in Zambia, 2010

Network of Zambian People Living with HIV/AIDS Management Handbook

Developed for the Support for AIDS Research in Zambia (SHARe) project, 2010

The Network of Zambian People Living with HIV/AIDS (NZP+) is a national network that advocates for people living with HIV/AIDS, facilitates access to information and services, and helps enhance quality of life. This handbook, developed with Initiatives’ guidance and support through the Support to the HIV/AIDS Response Project, describes NZP+’s management structure, policies, and procedures. Its contents reflect best practices for personnel, program, and financial management systems and describes standards NZP+ district chapters and support groups can attain, regardless of resources. Attachments provide useful, replicable forms and samples for NZP+ members.


See also: Support for the AIDS Response in Zambia, 2010

Guidelines for Supportive Supervision in the Health Sector
including the Integrated Supportive Supervision Checklists (ISCLs)

Developed for the Ethiopian Ministry of Health under the Essential Services for Health in Ethiopia II Project. Initiatives Inc., 2008.

The Integrated Supportive Supervision Checklists (ISCLs) are designed to help guide a more holistic and constructive approach to supervision. The ISCLs measure performance against standards, highlight priority areas in need of support and guide action planning. While comprehensive and integrated, these tools are meant to be used in full only periodically, with more focused supervision being the norm. This is especially important in contexts where few staff are available for supervision and transportation to make supervision visits is difficult to obtain. Scoring systems were added to these checklists to help managers and supervisors identify areas most in need of support so they could target supervision and support activities on a limited number of issues. Leaders of the Regional Health Bureaus in all three regions supported by ESHE expanded the checklist to cover a wider range of issues, but radically shorter versions of the checklist are possible and desirable. Adaptation to other country contexts should consider the framework, approach and scoring methodologies represented in these checklists as they worked well, were appreciated by staff and managers and are relevant to a range of country contexts.

Expediting the Transfer of Funds for HIV/AIDS Programs

Pia Chesnais, Elizabeth Lewis, and Saul Helfenbein. Management Sciences for Health: Occasional Paper No. 1., 2005.

Prepared by Initiatives’ Pia Chesnais as the first in a series of Occasional Papers for Management Sciences for Health. This report explores financial management approaches for rapid funding of HIV/AIDS programs. The authors identify the major constraints to rapid transfer of funds and provide options for avoiding or mitigating these constraints. These options can be applied to disburse funding where and when it is needed, while satisfying accounting and contracting requirements.



Management Performance Standards for the Health Sector

Developed for the Ethiopian Ministry of Health under the Essential Services for Health in Ethiopia Project II. Initiatives Inc., 2004.

Most health systems in Africa are experiencing a management crisis. Individuals available to fill management positions are often clinical personnel with no management training and no clear management guidelines to define their responsibilities and help direct their work. Initiatives Inc. developed the Management Performance Standards to set clear standards for health systems management and contribute to efforts to improve the performance of management and service delivery in the Ethiopian health system. The standards are designed to be used by managers at the regional, district (woreda) and health facility levels and should be adopted in combination with systems for integrated supportive supervision.


Financial Management Course for District & Hospital Managers: Facilitator’s Guide (Zambia Integrated Health Package/Zambia Central Board of Health)

Developed for the Zambia Integrated Health Programme (ZIHP) by Jenny Huddart and Emily Moonze, Initiatives Inc., 2002.

Designed in response to numerous requests from hospital and district managers, this course was developed to build the financial management skills of health facility managers. The course was produced by Initiatives as part of the Zambia Integrated Health Programme and is based upon the roles and responsibilities of district and hospital managers in financial management.


The Action Planning Handbooks (Zambia Integrated Health Package/Zambia Central Board of Health)

Developed for the Zambia Integrated Health Programme (ZIHP) by Jenny Huddart and Emily Moonze, Initiatives Inc., 2000.

Each Zambian district and higher referral hospital is required to develop an annual plan and have it approved by the Centre before it is eligible to receive its financial allocations for the year.

A review of experiences with the planning process was conducted in 1999. Based on these findings, Initiatives (as part of the Zambia Integrated Health Programme) worked with the Central Board of Health, Provinces, and Districts to produce a series of Action Planning Handbooks. The aim of these Handbooks was to provide practical guidance to all levels of the public health system.

The Handbooks are aimed at: a) Health Centres, Health Posts, and Communities; b) 1st Level (District) Referral Hospitals; c) District Health Management Teams; and d) 2nd and 3rd Level Referral Hospitals.

Action Planning Handbooks

Promoting NGO/Business Sector Partnerships for AIDS Prevention: Regional Consultation Proceedings and Manual

Developed for the United Nations Development Program, HIV/AIDS Regional Project for Asia and the Pacific. Joyce V. Lyons and Karen Morita (Eds.), 1993.

Presentations and proceedings from a 4-day regional conference on establishing and strengthening collaboration between the non-governmental and private sectors for AIDS prevention.


HIV in the Workplace: Dealing with the Issues

Developed for the United Nations Development Program, HIV/AIDS Regional Project for Asia and the Pacific by Joyce V. Lyons and Jenny Huddart, Initiatives Inc., 1993.

A series of role plays to assist representatives of NGOs and the business sector to explore the issues surrounding HIV/AIDS in the workplace, identify the potential contributions of NGOs in addressing the issues, and provide an opportunity for participants to practice skills in developing cooperative strategies.


HIV/AIDS Project Planning Manual for NGOs

Developed for the United Nations Development Program, HIV/AIDS Regional Project for Asia and the Pacific by Jenny Huddart, Initiatives Inc., 1992.

A step-by-step manual for NGOs that have little or no experience in planning and project development, particularly those interested in the field of HIV/AIDS. Includes worksheets and thorough instructions.

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