Supporting research and evidence-based interventions to promote access and quality of reproductive health and family planning services

	Global Health Technical Briefs Survey Share Your Views! Supporting research and evidence-based interventions to promote access and quality of reproductive health and family planning services

About the MAQ Initiative

Purpose  ♦  Structure  ♦  The Range of MAQ Activities  ♦  Subcommittees  ♦  Participating Organizations

Subcommittees

Organization of Work Meeting Minutes - July 2, 2002

Population Leadership Program Main Conference Room
National Press Club Building
529 14th Street
Washington, D.C.

Attendees:

Erin Mielke, EngenderHealth Thada Bornstein, URC Marcel Vekemans, PRIME II Lauren Voltero, PRIME II Bill Boyd, CDC Robert Rice, FHI Alison Ellis, MSH Gail Rae, PLP

Lauren Pindzola, Advance Africa Heidi Reynolds, FHI Jim Shelton, USAID Sharon Rudy, PLP/PHI John Stanback, FHI Tisna Veldhuyzen van Zanten, URC Edgar Necochea, JHPIEGO Marc Luoma, PRIME II

Orientation to Organization of Work (Jim Shelton)

Review of Current Domestic Research (Lauren Voltero)

Summary of CDC's Patient Flow Analysis (Bill Boyd)

Meeting Objectives

1. Inventory of best practices
   • Perspective:
     • Client
     • Provider
     • Manager
   • Elements across
     • Technology
     • Manage for change
     • Clients' perspective
2. Define and develop parameters of organization of work
   • Who's work
     • 85% the work at the clinic level, by clinic staff; but that the balance includes the support of a supervision system as well as community based workers
   • What is the gap?
     • Single source of best practice

Objectives for Organization of Work Group

Provide a single-source for best practices around the 9 OOW areas (similar to other MAQ areas).

Organization of Work Tools Inventory

1. Right Intervention
   1. EBM
   2. Guidelines
   3. Best Practices
   4. Assessment Tools (Mapping out)(JHPIEGO)
   5. Job aids
   6. Communication of guidelines
2. Division of Labor/ Job design
   1. Family Planning Manager's Handbook (MSH)
   2. C.O.R.E. (Cost Revenue Analysis) (MSH)
   3. PRIME's PI Stages, Steps, and Tools, section on Defining new performance
   4. Task Analysis/ QAP/ Rummler's Improving Performance
   5. Staff time for Procedure Cost Analysis Tool (EngenderHealth)
   6. HR Development Assessment Tool (MSH)
   7. HR Binder (Internal DOC- MSH)
   8. Delegation/ Leadership (PLP)
   9. ZAP! (QAP)
3. Hours/Scheduling/Follow up
   1. Quality design and redesign (QAP)
      1. Scheduling
      2. Waiting times
      3. Client perspective
   2. Community COPE (EngenderHealth)
   3. The Manager -(MSH)
      1. "Focusing on customer service"
      2. "Managing gender perspective…"
   4. Training module- Men's Reproductive Health Curriculum (EngenderHealth)
4. Paperwork
   1. Family Planning Manager's handbook- informational system (MSH)
   2. The Manager (MSH) issues- use of data
   3. Assessment tools- data, information flow, use of data for decision making
   4. Facilitative supervision Handbook (EngenderHealth)
   5. Curricula related to data [Who's is this?] (JHPIEGO, Pathfinder, CCP)
5. Procedural Barriers
   1. Subsumed under other topic areas.
6. Client Flow
   1. COPE- client flow analysis (EngenderHealth)
   2. The Manager (MSH) (2 issues)
   3. Operations research to test client flow (FHI)
   4. AVSC International 1997 chapter on layout:
      1. "Organization of Family Planning Services: A Manual for Family Planning Professionals"
   5. Case studies from quality assurance (QAP)
   6. 27 Change Strategies, Tom Nolan
   7. Community COPE- discharge (EngenderHealth)
   8. Title 10 Clinics - Client Flow (CDC)
   9. Patient Flow Analysis software (CDC)
7. Physical Factors
   1. AVSC manual "Organization of FP Services"
   2. QIQ checklist (MEASURE)
   3. QUAL measuring tool (EH)
   4. The Manager (MSH)- "Making your clinic work"
   5. UNFPA? (check)
   6. Community COPE- site walk through (EH)
   7. Domestic Architecture/ Design
   8. Pop Council - Situation Analysis
   9. Job aids, logistics and Storage of commodities
      1. DELIVER
      2. CDC
      3. MSH
8. Links to Other Sites/ Services
   1. HIV case management literature
   2. Health Resources and Services Administration (HRSA)
   3. EngenderHealth's Inreach
   4. Common Sense Principles
   5. Decision tree
   6. CBD Checklist prototypes (FHI)
   7. Kenya PAC Technical Reports (PRIME II)
   8. WHO- Maternal Care
   9. DOTS
   10. Mobile Services
9. Flexibility/Resilience vs. Brittleness
   1. Whole site training (EH)
   2. Structured OJT (JHPIEGO)
   3. Quality Management Approach (QAP)
   4. Change Management (TRG)
   5. Leadership
      1. Managers who lead
      2. Leading issues in decentralization

Next Steps:

• selection of co-chairs for this subcommittee
• Define gap between tools available and needed
• Decision: one best tool for each area, or choice?
• Complete list of activities to reach single-source of best practices
  1. State-of-the-art (SOTA) paper on best practices in these areas.
  2. Literature review, review of tools, references?
• MSH offered to organize a seminar on Organization of Work through their collaboration with PAHO and Global Health Council
• Add a link to info on OOW from the MAQ website
• URC said they would discuss with Jim Heiby how to address OOW through their new QAP Cooperative Agreement

Maximizing Access and Quality (MAQ) Initiative Site maintained by The INFO Project E-mail: webmaster@maqweb.org Security and Privacy Policy Disclaimer: The information provided on this web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development or the U.S. Government.