scholarly journals Lessons Learned in Creating Interoperable Fast Healthcare Interoperability Resources Profiles for Large-Scale Public Health Programs

2019 ◽  
Vol 10 (01) ◽  
pp. 087-095
Author(s):  
Susan Matney ◽  
Bret Heale ◽  
Steve Hasley ◽  
Emily Decker ◽  
Brittni Frederiksen ◽  
...  
Keyword(s):  
Family Planning ◽  
Large Scale ◽  
Health Service Delivery ◽  
Lessons Learned ◽  
Health Programs ◽  
Work Processes ◽  
Public Health Programs ◽  
Logical Models ◽  
The Family ◽  
Program Data

Objective This article describes lessons learned from the collaborative creation of logical models and standard Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) profiles for family planning and reproductive health. The National Health Service delivery program will use the FHIR profiles to improve federal reporting, program monitoring, and quality improvement efforts. Materials and Methods Organizational frameworks, work processes, and artifact testing to create FHIR profiles are described. Results Logical models and FHIR profiles for the Family Planning Annual Report 2.0 dataset have been created and validated. Discussion Using clinical element models and FHIR to meet the needs of a real-world use case has been accomplished but has also demonstrated the need for additional tooling, terminology services, and application sandbox development. Conclusion FHIR profiles may reduce the administrative burden for the reporting of federally mandated program data.

Lessons Learned From a Multisite Evaluation of Geriatric and Extended Care Programs

2018 ◽  
Vol 20 (5) ◽  
pp. 778-784
Author(s):  
Omonyêlé L. Adjognon ◽  
Jennifer L. Sullivan ◽  
Ann Hendricks ◽  
Carol VanDeusen Lukas
Keyword(s):  
Program Implementation ◽  
Large Scale ◽  
Care Program ◽  
Lessons Learned ◽  
Health Programs ◽  
Key Factors ◽  
Public Health Programs ◽  
Extended Care ◽  
Complex Evaluation ◽  
Implementation Studies

With the increased use of multisite evaluation and implementation studies in health care, our team of evaluators reflects on our evaluation of a large-scale multiyear geriatric and extended care program implementation. We share lessons from conducting multiple rounds of data collection, analyses, and reporting. We also identify some key factors that can facilitate or hinder multisite evaluation efforts involving programs with different models of implementation. This article strives to improve the quality of large-scale evaluations of health programs implementation. Knowledge gained from this complex evaluation will inform public health programs funders, implementers, and key program staff to better plan for, engage in, and benefit from effective complex evaluations to promote health in diverse settings.

Teaching Graduate Students to Evaluate Public Health Programs Through Community-Based Learning

2019 ◽  
Vol 6 (2) ◽  
pp. 119-127
Author(s):  
Brenda M. Joly
Keyword(s):  
Public Health ◽  
Program Evaluation ◽  
Core Competency ◽  
Learning Opportunities ◽  
Lessons Learned ◽  
Health Programs ◽  
Community Based ◽  
Public Health Programs ◽  
Public Health Professionals ◽  
Community Based Learning

Public health professionals are increasingly called on to demonstrate program evaluation skills, a core competency for the field. Learning opportunities that are connected to community organizations with identified evaluation needs give students meaningful opportunities to build and test new skills. When thoughtfully implemented, community-based learning benefits both the student and the community, yet there are several important considerations for designing a course that incorporates this feature. This article describes one approach for teaching graduate public health students how to conceptualize and write a comprehensive program evaluation plan for a community agency, based on the needs, priorities, and capacity of that agency. Lessons learned and recommendations for adopting this model are discussed.

scholarly journals The influence of gender dynamics on polio eradication efforts at the community, workplace, and organizational level

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Anna Kalbarczyk ◽  
Aditi Rao ◽  
Adedamola Adebayo ◽  
Ellie Decker ◽  
Sue Gerber ◽  
...  
Keyword(s):  
Power Relations ◽  
Large Scale ◽  
Program Planning ◽  
Polio Eradication ◽  
Lessons Learned ◽  
Health Programs ◽  
Organizational Level ◽  
Front Line ◽  
Gender Power

Abstract Background Globally, gender as a barrier or facilitator in achieving health outcomes is increasingly being documented. However, the role of gender in health programming and organization is frequently ignored. The Global Polio Eradication Initiative, one of the largest globally coordinated public health programs in history, has faced and worked to address gender-based challenges as they emerge. This paper seeks to describe the role of gender power relations in the polio program across global, national, subnational, and front-line levels to offer lessons learned for global programs. Methods We conducted qualitative key-informant interviews with individuals purposively selected from the polio universe globally and within seven country partners: Afghanistan, Bangladesh, the Democratic Republic of the Congo, Ethiopia, India, Indonesia, and Nigeria. The interview tool was designed to explore nuances of implementation challenges, strategies, and consequences within polio eradication. All interviews were conducted in the local or official language, audio-recorded, and transcribed. We employed a deductive coding approach and used four gender analysis domains to explore data at the household, community, workplace, and organizational levels. Results We completed 196 interviews globally and within each partner country; 74.5% of respondents were male and 25.5% were female. Male polio workers were not allowed to enter many households in conservative communities which created demand for female vaccinators. This changed the dynamics of front-line program teams and workplaces and empowered many women to enter the workplace for the first time. However, some faced challenges with safety and balancing obligations at home. Women were less likely to receive promotions to managerial or supervisory roles; this was also reflected at the global level. Some described how this lack of diverse management and leadership negatively affected the quality of program planning, delivery and limited accountability. Conclusions Gender power relations play an important role in determining the success of global health programs from global to local levels. Without consideration of gender, large-scale programs may fail to meet targets and/or reinforce gender inequities. Global disease programs should incorporate a gender lens in planning and implementation by engaging men and boys, supporting women in the workplace, and increasing diversity and representation among leadership.

scholarly journals Both Feminist and Practical Politics: The Incorporation of Infertility Treatment into Family Planning in Britain, 1930s–1950s

2021 ◽  
pp. 1-22
Author(s):  
Laura Beers
Keyword(s):  
Family Planning ◽  
Birth Control ◽  
Large Scale ◽  
Population Decline ◽  
Infertility Treatment ◽  
Early Years ◽  
Health Service Provision ◽  
The Family ◽  
Infertility Patients ◽  
The Impact

Abstract In the mid-twentieth century, the Family Planning Association emerged in Britain as one of the largest providers of infertility diagnosis for men and women. In the early years of the century, women were coming to birth control centers seeking cures for their childlessness, well before those centers began officially offering infertility investigation and treatment. What changed by mid-century was the emergence of a determination not only to welcome infertility patients at birth control clinics but to establish the clinics as centers for infertility research and care. Beginning in the late 1930s, eugenicists concerned with the impact of population decline on the social acceptability of birth control formed an alliance with feminist medical professionals determined both to empower women in involuntarily childless marriages to understand and address the causes of their infertility and to shift the paradigm of infertility treatment away from its over-focus on the female body. This political marriage of convenience gave birth to a large-scale movement to diagnose both male and female infertility through the auspices of the Family Planning Association. The organization's infertility program, in turn, spurred the development of infertility as a field of medical research in postwar Britain and encouraged the expansion of National Health Service provision of infertility care.

scholarly journals Performance assessment of six public health programs in Katsina State, Nigeria

2019 ◽  
Vol 8 (1) ◽  
pp. 127
Author(s):  
Laurent Cleenewerck ◽  
Devender Bhalla ◽  
Kabiru Abubakar Gulma
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Performance Indicators ◽  
Gold Standard ◽  
Assessment Tool ◽  
Healthcare Delivery ◽  
Local System ◽  
Health Programs ◽  
Public Health Programs ◽  
Near Term

<p>This research aimed to evaluate the performance of six ongoing public health programs through core performance indicators in Katsina State, Nigeria. The healthcare delivery in Africa is mostly program-based. This requires that such programs need to be evaluated which may in turn help to identify any existing gaps towards the improvement of patients' access and coverage to their given service. We identified all active health facilities where our programs on malaria, Routine Immunization (RI), Family Planning (FP), Tuberculosis and Leprosy (TBL), HIV/AIDS, and Free Medicare (FMC) were being carried out. After that, a representative sample was derived to obtain data regarding five key performance indicators by using a Logistics Indicators Assessment Tool. Of 1,718 facilities, a total of 983 (57.22%) were visited, In other words, by assuming a normal distribution; each facility expectedly covers only 3,371 individuals. All programs provided different and diverse results on each indicator; however, the most obvious challenge was in the stock-out and demand vs. receipt of required medications. These are particularly for malaria, FMC, FP, and HIV. For instance, the stock-out lasted 222 days for malaria and 135 days for FP. Despite this, none of the programs had a lower than gold-standard near-term availability of required products. Program-based healthcare delivery is inadequate and ineffective unless the local system gets simultaneously developed. If required medications are not becoming available, optimal access, coverage, and benefits cannot be expected to be obtained. Clearly, Nigeria experiences a push system of meeting term supplies. Nigeria needs to strengthen its pharmaceutical system.</p>

scholarly journals The Sustainment of Population Health Programs Requires a Systems Approach

2021 ◽  
Author(s):  
Melanie Crane ◽  
Nicole Nathan ◽  
Heather McKay ◽  
Karen Lee ◽  
John Wiggers ◽  
...  
Keyword(s):  
Population Health ◽  
Systems Approach ◽  
National Level ◽  
Population Level ◽  
Health Service Delivery ◽  
Local State ◽  
Health Programs ◽  
Enabling Factors ◽  
Public Health Programs ◽  
Analyse Data

Abstract Background: Achieving sustained implementation of health promotion programs (HPPs) at the population level (i.e. population health) is needed to reduce prevalence of chronic disease. However, population health is highly influenced by social, economic and political environment changes at the local, state and national level. The aim of this research was to examine barriers to the sustainment population-level HPPs and identify key enabling factors that overcome such barriers. Methods: We conducted a qualitative study through interviews with population health experts working within Australian government and non-government agencies with experience in sustaining public health programs at the local, state or national level (n=13). We used an inductive thematic approach to analyse data. Results: Four key barriers to the sustainment of HPPs were identified: 1) short term political and funding cycles; 2) competing public priorities within health and the broader public agenda; 3) silo thinking within health service delivery; and 4) the population fit of the program to population needs. To overcoming these barriers various approaches centred on the importance of long-term planning and resourcing, flexible program design and management, leadership and partnerships, evidence generation, and system support structures. Conclusion: This study provides key insights towards overcoming challenges to the sustainment population health programs amidst complex system-wide changes.

scholarly journals THE STUDY OF BEHAVIOR EVALUATION SURVEY: FAMILY HEALTH

2018 ◽  
Vol 5 (2) ◽  
pp. 72
Author(s):  
Teungku Nih Farisni ◽  
Yarmaliza Yarmaliza ◽  
Fitriani Fitriani ◽  
Fitrah Reynaldi
Keyword(s):  
Family Planning ◽  
Survey Research ◽  
Family Health ◽  
Health Programs ◽  
Healthy Behaviors ◽  
Surrounding Environment ◽  
The Family ◽  
Research Population ◽  
Healthy Family ◽  
Evaluation Survey

The Family health is one of the efforts in health development to encourage overall human development which needs to be considered early on. Ministry of Health 2013, households in Indonesia with PHBS reached 55.6%. Bale Village has health problems that are not paying attention to the cleanliness of the surrounding environment, such as littering, food waste that causes flies and can cause various diseases such as diarrhea. This survey research was conducted in July 2018 which aims to see how behavioral evaluations will affect family health. The research population of all communities in PT. Mifa Brothers in West Aceh Regency as many as 261 houses with a sample using total sampling, which is 261 houses with the target interview (Indep Interview) is the head of the family and mother. Data were analyzed univariately and by measurement of a healthy family index. The results of the study found that the low healthy living behavior of the community by not using family planning was 143 households (54.8%), while for smokers' families were 245 households (93.9%). It can be concluded that the number of unhealthy families is 178 households (68.2%), the number of healthy families is 83 households (31.8%), the total number of healthy families index is 31.8% of all unhealthy families. It is expected that the community will be able to increase knowledge of healthy behaviors that will affect family health by coordinating with relevant agencies in various health programs.

scholarly journals Meeting family planning needs of factory workers in Port Said: Lessons from pilot testing an intervention in eight garment factories

2021 ◽  
Keyword(s):  
Family Planning ◽  
Lessons Learned ◽  
Health Programs ◽  
Factory Workers ◽  
Project Staff ◽  
Health Clinics ◽  
Worker Health ◽  
Large Numbers ◽  
Garment Factories ◽  
Port Said

The Evidence Project conducted an intervention to raise awareness about family planning and reproductive health (FP/RH) topics with factory workers in Port Said, Egypt. This policy brief describes lessons from its implementation over three years and offers recommendations for designing FP/RH worker health programs. These lessons and recommendations are based on insights from factory worker program beneficiaries, their peer educators, factory managers, and project staff. Key lessons learned from the intervention were: (1) worker health programs offered a unique venue for raising young people's awareness of FP/RH issues and available services; (2) factory workers played an important role in sharing FP/RH information with their co-workers, and factory nurses could expand their role to include FP/RH counseling for workers as well as referrals for FP/RH services; (3) factories with large numbers of female workers could consider on-site women's health clinics to address workers' FP/RH needs, and factory health committees for worker health program management may help enhance their sustainability.

scholarly journals Meeting family planning needs of factory workers in Port Said: Lessons from pilot testing an intervention in eight garment factories [Arabic]

2021 ◽  
Keyword(s):  
Family Planning ◽  
Lessons Learned ◽  
Health Programs ◽  
Factory Workers ◽  
Project Staff ◽  
Health Clinics ◽  
Worker Health ◽  
Large Numbers ◽  
Garment Factories ◽  
Port Said

The Evidence Project conducted an intervention to raise awareness about family planning and reproductive health (FP/RH) topics with factory workers in Port Said, Egypt. This policy brief describes lessons from its implementation over three years and offers recommendations for designing FP/RH worker health programs. These lessons and recommendations are based on insights from factory worker program beneficiaries, their peer educators, factory managers, and project staff. Key lessons learned from the intervention were: (1) worker health programs offered a unique venue for raising young people's awareness of FP/RH issues and available services; (2) factory workers played an important role in sharing FP/RH information with their co-workers, and factory nurses could expand their role to include FP/RH counseling for workers as well as referrals for FP/RH services; (3) factories with large numbers of female workers could consider on-site women's health clinics to address workers' FP/RH needs, and factory health committees for worker health program management may help enhance their sustainability.

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