Strengthening health systems and services in the developing world
Developed for the Zambia Integrated Health Programme (ZIHP) by Initiatives Inc., 2004.
The Performance Improvement Review is a self-directed process for improving the effectiveness, sustainability and quality of NGO programs. Guidance and tools for conducting PIRs have been packaged as a CD-ROM to make the materials more accessible to users. The tools address six different program areas: family planning; growth monitoring and promotion; HIV/AIDS (home-based care, VCT, and peer education); malaria; safe motherhood; and water and sanitation, and are designed for use by Program Managers, Donors, District Health Management Teams, and Trainers.
(Available as interactive CD only.)
Produced for the Central Board of Health in Zambia, with support from the USAID-funded Zambia Integrated Health Programme, Component 3 (ZIHP-Systems). Initiatives Inc. and ZIHP, July 2002.
The Integrated Technical Guidelines (ITGs) outline key interventions for each of the technical areas of the Basic Health Care Package (BHCP), as well as the minimum standards of performance expected at community, health post, and health centre levels. These guidelines are intended to enhance frontline healthworkers' knowledge about the most important health problems in Zambia, and cost-effective interventions to tackle these problems. Use of these guidelines should improve the ability of frontline health workers to promote health and prevent illness, including proper case management and referrals, and thereby contribute to the attainment of the ultimate goal of "Better Health for all Zambians."
Produced by Initiatives Inc. for ESHE/JSI Awasa Ethiopia, 2002.
This workshop report contains the background, guidance and tools from the Supportive Supervision Workshop conducted for supervisory staff in the SNNPR region of Ethiopia. The Facilitators' Guide provides guidance and tools for local trainers to organize, manage and lead workshop activities focused on improving supportive supervision. It includes a workshop schedule, objectives, session guide and detailed notes, overhead transparency formats, and interactive session outlines (such as role-plays).
Phase 1: Strengthening of Supportive Supervision in the SNNPR Health Sector (Ethiopia)
Facilitators' Guide: Phase 1: Strengthening of Supervision Management in the Health Sector SNNPR (Ethiopia)
Developed for the SEATS Project by Joyce V. Lyons, Jenny Huddart and Donna Bjerregaard, Initiatives Inc., 1999.
A guide to organizing training of trainers (TOT) and Integration workshops. Part One focuses on how to organize Integration and TOT workshops, Part Two provides guidance on conducting the Integration workshop and Part Three comprises the TOT Workshop structure and implementation guidelines.
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.
