scholarly journals IMPLEMENTING QUALITY A MISSING PIECE WITH A NEED FOR PROCESS OF BEHAVIOR CHANGE: A CASE FOR IMPLEMENTING QUALITY CB-IRS DELIVERY MODEL IN ZAMBIA

2020 ◽  
Vol 8 (11) ◽  
pp. 351-373
Author(s):  
Emmanuel Hakwia Kooma ◽  
◽  
David Zinyengere ◽  
Keyword(s):  
Quality Assurance ◽  
Service Delivery ◽  
Community Health ◽  
Team Building ◽  
Delivery Model ◽  
Leadership Support ◽  
Donabedian Model ◽  
Set Up ◽  
Vector Control System ◽  
Community Health Status

Background: In the wake of increasing malaria cases in Zambia, IRS has been coming under increasing accountable pressurefromthe publicfor quality IRS performance and its decentralized approach. In response, anew IRS approach Community-BasedIndoor Residual Spraying (IRS)Delivery model has been introduced in the country and institutionalized in the community health care system.The objective of this study was to introduce quality assurance approach methods to the model in terms of structure, process and outcomes for quality performance. Materials and Methods: We reviewed both published and unpublished documents, articles, papers on quality service delivery and explored field experiences and the understanding of IRS service delivery. The Donabedian model has been found to lead to improvements of quality that in turn could improve the health outcome of the community. Equally, dimensions of quality were analyzed under effectiveness, efficacy, acceptability, equity and relevance to IRS delivery of services and best approaches. Results: Quality assurance becomes strong and successful when its well organized with features of a health atmosphere that motivates IRS teams, Spray operators (SOPs), and the house hold owners, thus becoming a common goal as a result of good level management. The District IRS Operational Committee, typically must possess quality assurance superior technical skills and expertise. However, it is not only quality assurance guidelines that strengthen team building but also established rules, processes, tracking ofprogress, IRS quality assurance learningenvironment, improvements and leadership support initiatives. These could be supplemented by enabling tools and a nurturing qualityfriendly atmosphere within the IRS teams and SOPs as front liners. Donabedian model for improvement of quality has been widely adopted in the hospital care set up, but hasnot yet been fully recognized, utilized and validated in the vector control system. Conclusion: The study suggests that the Donabedian`s structure-process-outcome isa valid modelfor implementingquality CB-IRS Delivery model in the IRS program campaign. The interventions that perform well in terms of structure tend to perform better forquality service delivery processes, that in turn have favorable influence on the community health status outcome.

Example State Programs

2017 ◽  
pp. 72-82
Keyword(s):  
United States ◽  
School Districts ◽  
Service Delivery ◽  
Secondary Level ◽  
The United States ◽  
Service Delivery Model ◽  
Delivery Model ◽  
Training Materials ◽  
Set Up ◽  
State Programs

The IDEA law is vague concerning guidelines on the best process for establishing an RTI service delivery model in schools or school districts. Since education in the United States is a right governed under each individual state's jurisdiction, there conceivably could be 50 different ways to set up such a model. This chapter examines the RTI models developed by two states: Florida and Alaska. Both states have established specific guidelines, training materials, and other resources for implementation of RTI at the secondary level.

Using the ImPAACT program with preschoolers with Down syndrome: a hybrid service-delivery model

2021 ◽  
pp. 1-16
Author(s):  
Erika M. Timpe ◽  
Jennifer Kent-Walsh ◽  
Cathy Binger ◽  
Debbie Hahs-Vaughn ◽  
Nancy Harrington ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Service Delivery ◽  
Service Delivery Model ◽  
Delivery Model

Coaching Co-Teachers: Increasing Specialized Instruction in Inclusive Settings

2021 ◽  
pp. 004005992199747
Author(s):  
Sara Cothren Cook ◽  
Lauren W. Collins ◽  
Jennifer Madigan ◽  
Kimberly McDuffie Landrum ◽  
Lysandra Cook
Keyword(s):  
Service Delivery ◽  
Students With Disabilities ◽  
Educational Outcomes ◽  
Service Delivery Model ◽  
Instructional Coaches ◽  
Delivery Model ◽  
Effective Professional Development ◽  
Inclusive Settings ◽  
Need Support ◽  
The Individual

Although the co-teaching service delivery model is the most commonly used service delivery model used to support co-teachers in the inclusive setting (Cook et al., 2017), research indicates that co-teachers may need support in order to increase the use of specialized instruction to meet the individual needs of students with disabilities (Scruggs et al., 2007). In this manuscript, we provide a process for instructional coaches to use to (a) develop and deliver effective professional development and (b) coach co-teachers. This process maximizes the potential of the co-teaching service delivery model in improving educational outcomes for students with disabilities.

Operational storm surge forecasting in the Netherlands: developments in the last decade

2005 ◽  
Vol 363 (1831) ◽  
pp. 1441-1453 ◽  
Author(s):  
Martin Verlaan ◽  
Annette Zijderveld ◽  
Hans de Vries ◽  
Jan Kroos
Keyword(s):  
Quality Assurance ◽  
The Netherlands ◽  
Kalman Filtering ◽  
Model Calibration ◽  
Storm Surges ◽  
Operational Environment ◽  
Hydrodynamic Models ◽  
Future Developments ◽  
Set Up ◽  
Storm Surge Forecasting

The accurate forecasting of storm surges is an important issue in the Netherlands. With the emergence of the first numerical hydrodynamic models for surge forecasting at the beginning of the 1980s, new demands and possibilities were raised. This article describes the main phases of the development and the present operational set-up of the Dutch continental shelf model, which is the main hydrodynamic model for storm surges in the Netherlands. It includes a brief discussion of applied data-assimilation techniques, such as Kalman filtering, the model calibration process and some thoughts on quality assurance in an operational environment. After further describing some select recent investigations, the paper concludes with some remarks on future developments in a European context.

scholarly journals The status of Ghanaian community health workers’ supervision and service delivery: descriptive analyses from the 2017 Performance Monitoring and Accountability 2020 survey

2019 ◽  
Vol 3 ◽  
pp. 1468
Author(s):  
Dan Schwarz ◽  
June-Ho Kim ◽  
Hannah Ratcliffe ◽  
Griffith Bell ◽  
John Koku Awoonor-Williams ◽  
...  
Keyword(s):  
Service Delivery ◽  
Community Health ◽  
Service Provision ◽  
Performance Monitoring ◽  
Communicable Disease ◽  
Community Based ◽  
Disease Treatment ◽  
Facility Type ◽  
Community Based Services ◽  
Non Communicable Disease

Introduction: Community-based services are a critical component of high-quality primary healthcare. Ghana formally launched the National Community Health Worker (CHW) program in 2014, to augment the pre-existing Community-based Health Planning and Services (CHPS). To date, however, there is scant data about the program’s implementation. We describe the current supervision and service delivery status of CHWs throughout the country. Methods: Data were collected regarding CHW supervision and service delivery during the 2017 round of the Performance Monitoring and Accountability 2020 survey. Descriptive analyses were performed by facility type, supervisor type, service delivery type, and regional distribution. Results: Over 80% of CHWs had at least monthly supervision interactions, but there was variability in the frequency of interactions. Frequency of supervision interactions did not vary by facility or supervisor type. The types of services delivered by CHWs varied greatly by facility type and region. Community mobilization, health education, and outreach for loss-to-follow-up were delivered by over three quarters of CHWs, while mental health counseling and postnatal care are provided by fewer than one third of CHWs. The Western region and Greater Accra had especially low rates of CHW service provision. Non-communicable disease treatment, which is not included in the national guidelines, was reportedly provided by some CHWs in nine out of ten regions. Conclusions: Overall, this study demonstrates variability in supervision frequency and CHW activities. A high proportion of CHWs already meet the expected frequency of supervision. Meanwhile, there are substantial differences by region of CHW service provision, which requires further research, particularly on novel CHW services such as non-communicable disease treatment. While there are important limitations to these data, these findings can be instructive for Ghanaian policymakers and implementers to target improvement initiatives for community-based services.

scholarly journals Implementation of a quality approach in Human Resources Management within the Moroccan university

2016 ◽  
Vol 6 (7) ◽  
Author(s):  
Rachid ELKACHRADI
Keyword(s):  
Quality Assurance ◽  
Human Resources ◽  
Human Resources Management ◽  
Resources Management ◽  
Higher Education System ◽  
Effectiveness And Efficiency ◽  
Set Up ◽  
Hr Function ◽  
The University ◽  
Quality Approach

The university reform in Morocco introduced principles of quality assurance into the Higher Education System. In this regard, the law 01-00 has set up a device which is mainly articulated around the establishment of a system of accreditation of training and the establishment of a global system of evaluation in the whole system. However, Human Resources Management, the keystone of any change project, is not put at the center of the operationalization of reform projects. In our research, we will look at the factors that impede the operationalization of the principles of quality assurance to improve the effectiveness and efficiency of the HR function. Based on the results obtained within the framework of this exploratory study, we let's propose the key determinants for the implementation of a quality approach in Human Resources Management within Moroccan universities.

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