scholarly journals Analysis of implementation outcomes of quality improvement initiatives in Haiti: the fingerprint initiative

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Joseph Adrien Emmanuel Demes ◽  
Victor Becerril-Montekio ◽  
Pilar Torres-Pereda ◽  
Ernst Robert Jasmin ◽  
Jean Geto Dube ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Health Facility ◽  
Group Discussion ◽  
Implementation Process ◽  
Health Facilities ◽  
Coding System ◽  
Structured Interviews ◽  
Governmental Organization ◽  
The Public ◽  
Implementation Outcomes

Objective. To assess the process and outcomes of the implementation of an electronic fingerprint initiative as part of quality improvement in three health facilities in the Northern Department of Haiti, in terms of its acceptability, adoption, feasibility, fidelity, and sustainability. In Haiti, poor attendance of the healthcare workforce is a nationwide problem, closely related to the quality of care. Three health institutions have tried to implement an electronic fingerprint system to monitor and improve attendance. Methods. An exploratory and qualitative descriptive study of the implementation outcomes of the fingerprint initiative. It was based on semi-structured interviews and one group discussion using purposeful sampling techniques to recruit participants, and an open coding system and deductive approach to analyze the data using ATLAS.ti 8. Results. The fingerprint initiative was successfully implemented in a non-governmental organization supported health facility but, despite some planning, it was never implemented in the public health facilities. The acceptability of the implementation was high in the not-for-profit organization and low in the public settings, mostly in relation to the presence of champions and the leadership at each health facility. Conclusions. We recommend more involvement of the leadership of health facilities in the different phases of the implementation process in order to guarantee acceptability, adoption, fidelity and sustainability. More research is needed to articulate this technology-driven initiative in the Haitian health system.

scholarly journals SISTEM INFORMASI GEOGRAFIS FASILITAS KESEHATAN BPJS DI KOTA PALANGKA RAYA BERBASIS ANDROID

2020 ◽  
Vol 14 (1) ◽  
pp. 30-39
Author(s):  
Licantik Licantik ◽  
Nova Noor Kamala Sari
Keyword(s):  
Health Facility ◽  
Program Implementation ◽  
System Development ◽  
Emergency Situation ◽  
Health Facilities ◽  
The Public ◽  
Facility Locations ◽  
Human Needs ◽  
Waterfall Model ◽  
Analysis System

Today the development of technology has been increasing rapidly as well as the use of android smartphones in the field of information systems. It is familiar among the public because it can help in getting the information in a fast and accurate way particularly in an emergency situation. Human needs for information, one of them is information of health facilities in collaboration with Badan Penyelenggara Jaminan Sosial (BPJS) or Agency of Social Security. The purpose of this study is to produce an Android-based application that can facilitate the public in getting information of health facilities in collaboration with BPJS in Palangkaraya. The method applied in the system development in this study is the Waterfall model which consists of five stages, namely, need analysis, system of design, program code writing, program testing, and program implementation. In addition, in creating process,  the program uses Android studio software with java programming language and XAMPP connection database, up to UML (Unifield Modeling Language) to depict the system to be made. From this study, the test result shows that the functionality of the BPJS health facility Geographic Information System (GIS) in Palangkaraya City is going well and is in accordance with its function. This android-based application system can display online maps of BPJS health facility locations as well as detailed information from BPJS health facilities in Palangkaraya

scholarly journals Health system’s readiness to provide cardiovascular, diabetes and chronic respiratory disease related services in Nepal: analysis using 2015 health facility survey

2020 ◽  
Author(s):  
Umesh Ghimire ◽  
Nipun Shrestha ◽  
Bipin Adhikari ◽  
Suresh Meheta ◽  
Yashashwi Pokharel ◽  
...  
Keyword(s):  
Health Facility ◽  
Health Facilities ◽  
Public Hospitals ◽  
World Health ◽  
Related Services ◽  
The Public ◽  
Public Facilities ◽  
Health Facility Survey ◽  
Service Readiness ◽  
Facility Survey

Abstract Background: The burgeoning rise of non-communicable diseases (NCDs) is posing serious challenges in resource constrained health facilities of Nepal. The main objective of this study was to assess the readiness of health facilities for cardiovascular diseases (CVDs), diabetes and chronic respiratory diseases (CRDs) services in Nepal. Methods: This study utilized data from the Nepal Health Facility Survey 2015. General readiness of 940 health facilities along with disease specific readiness for CVDs, diabetes and CRDs were assessed using service availability and readiness assessment manual of the World Health Organization (WHO). Health facilities were categorized into public and private facilities. Results: Out of a total of 940 health facilities assessed, private facilities showed higher availability of items of general service readiness, except for standard precautions for infection prevention, compared to public facilities. The multivariable adjusted regression coefficients for CVDs (β=2.87, 95%CI: 2.42-3.39), diabetes (β =3.02, 95%CI: 2.03-4.49) and CRDs (β=15.95, 95%CI: 4.61-55.13) at private facilities were higher than the public hospitals. Health facilities located in hills had higher readiness index for CVDs (β=1.99, 95%CI: 1.02 - 1.39). Service readiness for CVDs (β=1.13, 95%CI: 1.04-1.23) and diabetes (β=1.78, 95%CI: 1.23-2.59) were higher in the urban municipalities than in rural municipalities. Finally, disease related services readiness index was sub-optimal with some degree of variation at the province level in Nepal. Compared to province 1, Province 2 (β=0.83, 95%CI: 0.73-0.95), and province 4 (β =1.24, 95%CI: 1.07-1.43) and province 5 (β =1.17, 95%CI: 1.02-1.34) had higher readiness index for CVDs.Conclusions: This study found sub-optimal readiness of services related to three NCDs at the public facilities in Nepal. Compared to public facilities, private facilities showed higher readiness score for CVDs, diabetes and CRDs. To cope up with the growing burden of NCDs, urgent improvement in health services, particularly in public facilities are critical to manage common NCDs.

scholarly journals Scale to Measure the Determining Factors for Reporting Wrongdoings in the Public Sector Universities

sjesr ◽  
2021 ◽  
Vol 4 (1) ◽  
pp. 44-52
Author(s):  
Nargis Abbas ◽  
Uzma Ashiq ◽  
Maria Yaqoob
Keyword(s):  
Public Sector ◽  
Group Discussion ◽  
Sampling Technique ◽  
Second Phase ◽  
Mixed Method Research ◽  
Structured Interviews ◽  
Two Phase ◽  
Whistle Blowing ◽  
The Public ◽  
Determining Factors

Reporting wrongdoing is significant to the effectiveness of the organization, however, is a challenging task. The objective of this study was to contribute to the research by identifying the determining factors that influence the decision of a faculty member to report unethical behavior in the public sector universities. Further, to develop the validated scales to measure such factors. To achieve these objectives, this research study adopted a two-phase, exploratory sequential mixed method research design. A multistage sampling technique was used and a sample of 300 faculty members from four public sector universities of the Punjab were selected. The first part of the study was a qualitative phase to explore the dimensions by using semi-structured interviews and a focused group discussion method in which five dimensions were explored. With a 42-item Whistle-blowing Procedure Questionnaire was created. In the second phase, in the quantitative phase, six factors connected to the theoretical constructs of decision of reporting wrongdoings/whistle-blowing were explored in the scale construction and validation process by using exploratory factor analysis.

scholarly journals Understanding implementation in complex public organizations – implication for practice

2016 ◽  
Vol 11 (2) ◽  
pp. 213-241
Author(s):  
Gry Cecilie Høiland ◽  
Elisabeth Willumsen
Keyword(s):  
Public Service ◽  
Implementation Process ◽  
Specific Work ◽  
Front Line ◽  
Public Agency ◽  
The Public ◽  
Effective Implementation ◽  
Implementation Outcomes ◽  
Everyday Work ◽  
Front Line Workers

The effective implementation of politically initiated public service innovations to the front-lines of the public service organization, where the innovation is to be applied, is a challenge that both practitioners and researchers struggle to solve. We highlight the importance of analysing contextual factors at several levels of the implementation system, as well as the importance of considering how the practical everyday work situations of the front-line workers influence their application of the innovation in question. We illustrate this by exploring the implementation process of a specific work inclusion measure, looking at its wider context and some of its implementation outcomes at a specific public agency. The intention is to illustrate the significance of considering the contextual complexity influencing implementation work as a reminder for practitioners to take this into account in their planning and practices.

scholarly journals Outcome evaluation of capacity building and mentorship partnership (CBMP) program on data quality in the public health facilities of Amhara National Regional State, Ethiopia: a quasi-experimental evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Melaku Birhanu Alemu ◽  
Asmamaw Atnafu ◽  
Tsegaye Gebremedhin ◽  
Berhanu Fikadie Endehabtu ◽  
Moges Asressie ◽  
...  
Keyword(s):  
Public Health ◽  
Data Quality ◽  
Capacity Building ◽  
Health Facility ◽  
Health Data ◽  
Outcome Evaluation ◽  
Health Facilities ◽  
The Public ◽  
Public Health Facilities ◽  
Regional State

Abstract Background Capacity Building and Mentorship Partnership (CBMP) is a flagship program designed by the Ethiopian Ministry of Health in collaboration with six local universities to strengthen the national health information system and facilitate evidence-informed decision making through various initiatives. The program was initiated in 2018. This evaluation was aimed to assess the outcome of CBMP on health data quality in the public health facilities of Amhara National Regional State, Ethiopia. Methods A matched comparison group evaluation design with a sequential explanatory mixed-method was used to evaluate the outcome of CBMP on data quality. A total of 23 health facilities from the intervention group and 17 comparison health facilities from a randomly selected district were used for this evaluation. The Organization for Economic Cooperation and Development (OECD) evaluation framework with relevance, effectiveness, and impact dimensions was used to measure the program’s outcome using the judgment parameter. The program’s average treatment effect on data quality was estimated using propensity score matching (PSM). Results The overall outcome of CBMP was found to be 90.75 %. The mean data quality in the intervention health facility was 89.06 % [95 %CI: 84.23, 93.88], which has a significant mean difference with the comparison health facilities (66.5 % [95 % CI: 57.9–75]). In addition, the CBMP increases the data quality of pilot facilities by 27.75 % points [95 %CI: 17.94, 37.58] on the nearest neighboring matching. The qualitative data also noted that there was a data quality problem in the health facility and CBMP improved the data quality gap among the intervention health facilities. Conclusions The outcome of the CBMP was highly satisfactory. The program effectively increased the data quality in the health facilities. Therefore, the finding of this evaluation can be used by policymakers, program implementers, and funding organizations to scale the program at large to improve the overall health data quality for health outcome improvement.

scholarly journals PEMAHAMAN DAN PERSEPSI MASYARAKAT TERHADA KEGIATAN REDD+ DI KPHP TASIK BESAR SERKAP

2016 ◽  
Vol 11 (1) ◽  
pp. 36-46
Author(s):  
Emy Sadjati
Keyword(s):  
Group Discussion ◽  
Community Leaders ◽  
Survey Method ◽  
Carbon Trading ◽  
Forest Communities ◽  
Structured Interviews ◽  
The Public ◽  
Factors Associated ◽  
Trading Activities ◽  
Level Of Understanding

The research objective was to determine the level of understanding and perception of forest communities against carbon trading and determine the factors that influence the understanding and perception of forest communities on carbon trading. The experiment was conducted for six months (February 2015 -July 2015), involving 60 respondents from community leaders and ordinary citizens from four villages namely Sungai Rawa village, Rawa Mekar Jaya village, Penyengat village and Teluk Lanus village in the region Sungai Apit district of Siak, Province Riau with a survey method that is divided into two activities: (1) Focus Group Discussion (FGD), and (2) structured interviews with villagers. The study states that the majority of respondents (58.49%) stated that they had never heard of the term climate change / REDD / carbon trading. The majority of respondents (50.00%) did not give an answer on the form of institutions that have the potential to implement carbon trading activities, while other respondents (12.50%) expressed the need for training for members of the institution designated to implement the REDD + activities. Understanding of society remains low and the perception of the public is still in doubt with this activity becau se it has not seen examples of activities that have been successful. Factors associated with a real understanding in relation to carbon trading activities are education and perception. Results of other studies conclude that there is a significant correlation between education and perception.

scholarly journals Measuring facility readiness to provide childbirth care: a comparison of indices using data from a health facility survey in Ethiopia

2021 ◽  
Vol 6 (10) ◽  
pp. e006698
Author(s):  
Elizabeth K Stierman ◽  
Saifuddin Ahmed ◽  
Solomon Shiferaw ◽  
Linnea A Zimmerman ◽  
Andreea A Creanga
Keyword(s):  
Quality Improvement ◽  
Health Facility ◽  
Performance Monitoring ◽  
Newborn Care ◽  
Health Facilities ◽  
Cross Sectional ◽  
Who Standards ◽  
Service Readiness ◽  
Facility Readiness ◽  
Childbirth Care

BackgroundActionable information about the readiness of health facilities is needed to inform quality improvement efforts in maternity care, but there is no consensus on the best approach to measure readiness. Many countries use the WHO’s Service Availability and Readiness Assessment (SARA) or the Demographic and Health Survey (DHS) Programme’s Service Provision Assessment to measure facility readiness. This study compares measures of childbirth service readiness based on SARA and DHS guidance to an index based on WHO’s quality of maternal and newborn care standards.MethodsWe used cross-sectional data from Performance Monitoring for Action Ethiopia’s 2019 survey of 406 health facilities providing childbirth services. We calculated childbirth service readiness scores using items based on SARA, DHS and WHO standards. For each, we used three aggregation methods for generating indices: simple addition, domain-weighted addition and principal components analysis. We compared central tendency, spread and item variation between the readiness indices; concordance between health facility scores and rankings; and correlations between readiness scores and delivery volume.ResultsIndices showed moderate agreement with one another, and all had a small but significant positive correlation with monthly delivery volume. Ties were more frequent for indices with fewer items. More than two-thirds of items in the relatively shorter SARA and DHS indices were widely (>90%) available in hospitals, and half of the SARA items were widely (>90%) available in health centres/clinics. Items based on the WHO standards showed greater variation and captured unique aspects of readiness (eg, quality improvement processes, actionable information systems) not included in either the SARA or DHS indices.ConclusionSARA and DHS indices rely on a small set of widely available items to assess facility readiness to provide childbirth care. Expanded selection of items based on the WHO standards can better differentiate between levels of service readiness.

scholarly journals Factors Affecting the Implementation of Continuous Quality Improvement in Health Facilities of Southern Nation and Nationalities People Region (SNNPR)

2019 ◽  
Author(s):  
Addisu Gize Yeshanew ◽  
Nebiyou Wendwessen ◽  
Dereje Teklemariam
Keyword(s):  
Quality Improvement ◽  
Service Delivery ◽  
Health Facility ◽  
Continuous Quality Improvement ◽  
Health Facilities ◽  
Quality Improvement Project ◽  
P Value ◽  
Improvement Project ◽  
Continuous Quality ◽  
New Ideas

Abstract Continuous Quality improvement has become an important aspect of healthcare organizations. The objective of this study was to identify contributing factors for implementing continuous quality improvement projects in health facilities for the better delivery of health care service in the case of south nation and nationalities people, Ethiopia. Cross-sectional study was conducted from April to May 2018 in SNNPR of two district woredas health facilities. Descriptive, bivariate and multivariate analysis used, during the analysis, 0.05 p-value and 95% confidence interval (CI) was used to judge the significance of the associations. So that p-value less than 0.05 were taken as significant association. The finding of this study showed that, a total of 144 health professionals were participated, giving a response rate of 100%. Majority of the respondents (75%) were male and 35% said that their respective health facility implemented continuous quality improvement project. More than halve of (51.4%) the leaders were not receptive for new ideas; moreover, majority of leader were not encouraging learning (62.5%) and not engaged in quality improvement project implementation process (66%). Variables like leaders receptive to new ideas, leaders share information/ data about health facility service delivery status, health facility has a quality improvement project plan, staff know using indicators to tell progress about service delivery, health facility assess client satisfaction level, were the independent predictors of continuous quality improvement(CQI) project implementation.

scholarly journals Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya

2020 ◽  
Vol 32 (10) ◽  
pp. 671-676
Author(s):  
Katie Giessler ◽  
Avery Seefeld ◽  
Dominic Montagu ◽  
Beth Phillips ◽  
James Mwangi ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Health Facilities ◽  
Perceived Benefits ◽  
Structured Interviews ◽  
Quality Improvement Collaborative ◽  
High Quality ◽  
Public Health Facilities ◽  
Person Centered Care ◽  
Centered Care

Absrtact Objective To understand perspectives and experiences related to participation in a quality improvement collaborative (QIC) to improve person-centered care (PCC) for maternal health and family planning (FP) in Kenya. Design and setting Semi-structured qualitative interviews were conducted with members of the QIC in four public health facilities in Kenya. Participants Clinical and nonclinical public health facility staff who had participated in the QIC were purposively sampled to participate in the semi-structured interviews. Intervention A QIC was implemented across four public health facilities in Nairobi and Kiambu Counties in Kenya to improve PCC experiences for women seeking maternity or FP services. Main outcome measure Semi-structured interviews with participants of the QIC to understand perspectives and experiences associated with sensitization to and implementation of PCC behaviors in maternity and FP services. Results Respondents reported that sensitization to PCC principles resulted in multiple perceived benefits for staff and patients alike, including improved interactions with patients and clients, deeper awareness of patient and client preferences, and improved interpersonal skills and greater job satisfaction. Respondents also highlighted system-level challenges that impeded their ability to consistently provide high-quality PCC to women, namely staff shortages and frequent turnover, high patient volumes and lack of space in their respective health facilities. Conclusion Respondents were easily able to articulate perceived benefits derived from participation in this QIC, although they were equally able to identify challenges that hindered their ability to consistently provide high-quality PCC to women seeking maternity or FP services.

Corporate Social Responsibility Implementation - Lessons from Uganda

10.33117/512 ◽  
2017 ◽  
Vol 13 (1) ◽  
pp. 47-69
Keyword(s):  
Sustainable Development ◽  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
Stakeholder Involvement ◽  
Implementation Process ◽  
Structured Interviews ◽  
Implementation Success ◽  
Success Model ◽  
Strategic Csr ◽  
Corporate Social

Purpose: This paper presents aspects of a Corporate Social Responsibility (CSR) Implementation Success Model to guide CSR engagements. Design/methodology/approach: A qualitative case methodology is used to investigate two CSR companies in Uganda. Semi-structured interviews with managers and stakeholders are conducted. Data triangulation includes reviewing CSR reports and documents, and visiting communities and CSR activities/projects mentioned in the case companies’ reports. Grounded theory guides the data analysis and aggregation. Findings: The findings culminate into a “CSR Implementation Success Model. ” Key aspects of CSR implementation success are identified as: (i) involvement of stakeholders and management (i.e., co-production) at the start and during every stage of CSR implementation; (ii) management of challenges and conflicts arising within/outside of the company itself; and (iii) feedback management or performance assessment—i.e., accountability via CSR communications and reporting. Stakeholder involvement and feedback management (accountability) are pivotal, though all three must be considered equally. Research limitations: The studied companies were large and well-established mature companies, so it is unclear whether newer companies and small and medium-sized enterprises would produce similar findings. Practical implications: Successful CSR implementation starts with a common but strategic understanding of what CSR means to the company. However, CSR implementation should (i) yield benefits that are tangible, and (ii) have a sustainable development impact because these two aspects form implementation benchmarks. Additionally, top management should be involved in CSR implementation, but with clear reasons and means. Originality/value: This paper unearths a CSR Implementation Success Model that amplifies views of “creating shared value” for sustainable development. It guides organizations towards strategic CSR, as opposed to the responsive CSR (returning profits to society) that largely dominates in developing countries. Additionally, it explains how to add value to the resource envelope lubricating the entire CSR implementation process

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