Strengthening health systems and services in the developing world
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.
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
Health Centers, Health Posts and Communities
1st Level (District) Referral Hospitals
District Health Management Teams
2nd and 3rd Level Referral Hospitals
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.
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.
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.
Volume 1: Guidelines for Supportive Supervision in the Health Sector
Volume 2: Management Standards and Supervision Tools
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.
