amp improvement of primary health care PHC at the facility and community levels Dr Jennifer Adams Deputy Assistant Administrator Bureau for Global Health USAID Global and bilateral mechanisms are improving primary health care through ID: 752055
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Slide1
Supporting measurement & improvement of primary health care (PHC) at the facility and community levels
Dr. Jennifer Adams,
Deputy Assistant Administrator,
Bureau for Global Health, USAIDSlide2
Global and bilateral mechanisms are improving primary health care through:Financial protection: Reducing financial barriers to access essential life-saving services for the poor
Essential services
: Improving quality of care and scaling up coordinated delivery of essential, evidenced-based services;
Population coverage:
E
nsuring that poor, underserved, marginalized and vulnerable populations have equitable access to essential health services
Responsiveness:
Assuring the dignity, confidentiality, autonomy, quality and timeliness of services for poor and marginalized populationsSlide3
Facility teams independently monitor indicatorsSlide4
Acting on the Call: Ending Preventable Child and Maternal Deaths (EPCMD)24 priority countries2.5 million more children surviving
200,000 maternal deaths avertedSlide5
Ending Preventable Child and Maternal Deaths (EPCMD)
5
Single Roadmap Now Guiding
USAID Efforts
Roadmap to 2020
Annualized Cycle of Planning and Field Support
Reporting Progress Through
Acting On the Call
Operationalizing field support through mission visits
to
strengthen design
efforts and HIP/
OP development
Target
Setting
Planning
Annual
Reporting
EPCMD management dashboards and reviews
Leadership
Mission Visits
Jan & Feb:
Mission Visits to support writing the HIP
Acting on the Call
Ministerial Meeting
June:
Annual
Meeting
Dashboard
Updated Dashboard for FY16
PPR & HIP
Oct:
PPR Guidance Released and Draft
technical considerations
for
HIP;
Dec
:
PPR Due
PPR & HIP
Jan:
PPR Reviews & HIP Guidance Released
Acting on the Call Report
April 30:
Draft of AoTC report, Dashboard Check
in;
May
:
Finalize Report
HIP
June, July
& Aug:
EPCMD Review of 24 Priority HIPs
Q1
Q2
Q3
Q4
Dashboard
Nov:
Dashboards completed by 24 priority Missions
Institutionalizing a culture of transparency / visibility through annual performance reporting
Setting activity targets and improving tools to track progress and technical / leadership capabilities
Strengthening prioritization and transparency of goals and target-setting for aligned actionSlide6
USAID Missions’ Investments inNewborn Health in EPCMD countriesSlide7
Improving and advancing measurementof health systems to improve PHCDeveloping rapid assessment tool for
checking quality
of
medicines to reduce
use of poor quality
medicine
Promoting global
benchmarking of health system functions and performance through
a
health system
benckmarking
tool to
monitor performanceDeveloping tool for better analysis of DHIS data for measuring health system performance and its correlates
Tools under development:Slide8
The Community Health Framework
WHY
should we care about community health?
Community health is foundational to attaining many of the SDGs.
WHERE
can we find examples of effective models and innovations for community health?
This framework includes a library of existing models across each component of community health as well as detailed case studies.
TOOLKIT
HOW
can we take action to strengthen community health ecosystems?
A five step process can help leaders bring the right data to bear for decision making, and set up sustainable community health programs with clear accountability.
WHAT
is needed to create a strong community health ecosystem?
An ecosystem of heath specific and health enabling actors and structures, both formal and informal, working together and supported by the agency, access, and resources needed to ensure the health of community members:
Agency
, e.g., awareness of needs, empowerment, and incentives to act;
Access
, e.g., access to care, access to referral systems; and,
Resources
, e.g., financial resources, medical suppliers.
HOME
LOCAL
COMMUNITY
DISTRICT / NATIONAL
HEALTH SPECIFIC
COMPONENTS
DISTRICT & NATIONAL CARE
COMMUNITY LEVEL CARE
COMMUNITY
MEMBERS
FAMILY
MEMBERS
LOCAL COMMUNITY
DISTRICT & NATIONAL COMMUNITY
HOME LEVEL PROVIDERS
HEALTH ENABLING
COMPONENTS
AGENCY
ACCESS
RESOURCES
ANALYZE BOTTLENECKS
DEVELOP OR STRENGTHEN PROGRAMS
SET
TARGET OUTCOMES
UNDERSTAND EXISTING COMPONENTS
IMPLEMENT, MONITOR & EVALUATESlide9
This framework has been developed to support decision makers in answering key questions about community health
The community health framework is intended to support Ministries of Health in developing and strengthening programs for improved community health outcomes. The intention is for USAID missions and other advisors to use the framework to structure a dialogue, develop recommendations, and foster continuous learning with Ministries of Health.
The community health framework
does
…
The community health framework
does not
…
Bring together a
wealth of existing knowledge and models
that articulate components of community health
Provide a flexible framework for national level
diagnosis of needs and planning of actions
Enable a
long-term view
to planning and developing strong community health
outcomes
Allow for a “common language” with a
classification of interventions and tools
and the creation of a living and growing toolbox
Serve as a
strategy or action plan
with specific programs, targets, or budgets
Seek to provide a
one size fits all view
on community health structures, programs, or interventions
Represent
an exhaustive list
of actors, needs, or opportunities
Prescribe an impact measurement or continuous learning agenda
for countries and programs
In the process of developing this framework,
over 60 community health experts
were interviewed and
over 70 academic articles, reports, and evaluations
were reviewed. Slide10
Measurement for health summitJune 2015
Agree on priority actions required to build robust systems for monitoring SDGs and national priorities
Address challenges facing countries (fragmentation, disjointed efforts etc.)Slide11
Thank you