Ideas Addressing SERVICE PROVIDER COMPETENCIES
The primary actor's perception of the competency of those providing the service. Note: This is only applicable if the primary actor uses a service. If the service provider (e.g. a health worker, a government employee,a business) is the primary actor, their actual competencies should be considered under "Skills".
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A Community Health Worker Intervention to Increase Childhood Disease Treatment Coverage in Rural Liberia: A Controlled Before-and-After EvaluationView Original Source
The Big Idea: Health managers who aim to reduce childhood illness and mortality in rural areas, especially in environments that have poor accessibility and utilization of health care services, often rely on integrated case management of childhood illness (iCCM) by general community health workers (CHW). Supporting CHWs with monthly payments, enhanced skills, and systematic supervision demonstrated reductions in child illness and mortality.
A Qualitative Evaluation to Explore the Suitability, Feasibility and Acceptability of Using a ‘Celebration Card’ Intervention in Primary Care to Improve the Uptake of Childhood Vaccinations View Original Source
The Big Idea: To improve vaccination, it may be useful to actively invite parents through a Celebration Card designed to remind and call to action caregivers around the immunization schedule.
A Service Concept and Tools to Improve Maternal and Newborn Health in Nigeria and UgandaView Original Source
The Big Idea: Expectations, needs and values of pregnant women and their families are often not considered in the design of maternity services. A co-design process engaged women, their families and providers, in negotiating expectations and standards of care, resulting in simple, easy-to-use tools.
Behavioral Economics Approach to Reduce Injectable Contraceptive Discontinuation Rate in EthiopiaView Original Source
Contraceptive discontinuation can be high, which threatens women’s fertility intentions and has a high cost to the public health system. System factors like supply issues can influence injectable discontinuation. This study found that two tools, an appointment card and a client care checklist, can help to decrease injectable discontinuation even in the context of supply-side constraints.
BRAC's Experience in Scaling-up MNP in BangladeshView Original Source
The Big Idea: In Bangladesh, home fortification with micronutrient powders (MNP) was promoted to address children’s dietary gaps. BRAC's frontline community health workers distributed and sold the product house to house through a public-private partnership. This alone did not ensure high and correct use; this article identifies the factors that contributed to higher use in certain program areas.
Bringing Nigerian Health Clinics Back to Life in 72 HoursView Original Source
The Big Idea: Managers who are tasked with increasing family planning services in low resource areas are often faced with the reality that local health clinics may be run down, dirty, and may not have clean or modern equipment or have provisions for ensuring women’s exams are in a private setting. In addition to the poor facility experience, many women also report that the providers are not hospitable. A novel and economical intervention, which includes a 72-hour renovation of the clinic by engaging local community members, can dramatically increase uptake of services and improve quality of care.
Challenging the Stigma Around Stillborn: Sharing Stories as AwarenessView Original Source
The Big Idea: Many people believe that stillbirths are preventable, and that women who have stillbirths should not grieve long and “just get over it.” So many women suffer in silence from long-term emotional grief. By sharing their stories with a friend or family member, women can learn that they are not alone and can become advocates for norm change.
CHN on the Go: Technology to Help Ghana's Frontline Nurses go the Extra MileView Original Source
The Big Idea: Community Health Nurses (CHNs) often work in remote and under-served locations that leave them isolated from their peers and supervisors and without easy access to clinical knowledge. By creating a mobile application to address these challenges and involving nurses and managers as core partners in the design process, a useful tool was created to meet the users’ needs.
Collaborative Action Research to Reduce Persistently Long Patient Wait Times in Two Public Clinics in Western Cape, South AfricaView Original Source
The Big Idea: Long waiting times at rural clinics deter patients from seeking care when they need it. Pairing business and logistics processes with locally-derived solutions can dramatically reduce clinic wait times and increase use of clinic services.
Creating Birds of a Similar Feather: Leveraging Similarity to Improve Teacher Student Relationships and Academic AchievementView Original Source
The Big Idea: Numerous basic social psychological texts underscore some version of the basic message that “likeness begets liking” or when people perceive themselves as similar to others, closer relationships typically result. Facilitating a simple way for providers to learn similarities that they share with their clients can help to improve provider performance of tasks, such as counseling, that require empathy and respect towards clients.
Engaging Communities With a Simple Tool to Help Increase Immunization CoverageView Original Source
The Big Idea: Most interventions aimed at raising vaccination coverage focus on improving services or on informing and motivating families. The use of a visual tool that engages communities to ensure that all children get vaccinations on schedule can increase demand for immunization within health services and among communities, identification of children requiring immunization, and thereby increase coverage.
Essential Newborn Care Corps: Evaluation of Program to Rebrand Traditional Birth Attendants as Health Promoters in Sierra LeoneView Original Source
The Big Idea: As efforts continue to increase the proportion of facility-based deliveries to increase maternal and newborn survival, traditional birth attendants are discouraged from performing home deliveries. Yet women continue to seek their advice and services. Rebranding traditional birth attendants can fulfill important community health needs in the continuum of care.
Exploring Provider Perspectives on Respectful Maternity Care in Kenya: “Work with what you have”View Original Source
The Big Idea: Behavior change interventions focusing on providers are central to promoting respectful maternity care, which is a factor of client and family satisfaction, and therefore the likelihood of repeated care-seeking. A mixed methods study before and after the Heshima Project in Kenya found that improving provider competencies to deliver respectful maternity care is feasible by addressing health workers’ own attitudes, working relationships and environments but also require a supportive health system.
From Out of Reach to At Your Fingertips: How 1.4 Million Kenyans Are Gaining Access to HealthcareView Original Source
The Big Idea: In places where lack of money prevents people from seeking health care treatment, digital technology can promote service use.
Human-Centered Design: Simple Bracelets as Vaccine RemindersView Original Source
The Big Idea: Children of caregivers with lower education or income levels are often at higher risk for missing immunizations dates, which can lead to increased deaths from vaccine-preventable diseases in this population. By utilizing bracelets with only numbers and symbols, immunization messages can be conveyed to mothers without using written words that typically appear in child health cards.
Impact of Social Franchising on Contraceptive Use When Complemented by Vouchers: A Quasi-Experimental Study in Rural PakistanView Original Source
The Big Idea: In many rural areas, limited access to affordable contraceptive services results in low uptake of Long-Acting Reversible Contraception (LARC) methods. By establishing a network of high-quality private providers and offering vouchers for LARC methods, the program was able to address access and affordability issues that often prevent women from using them.
Improving Teacher Quality: Lessons Learned from Grantees of the Partnership to Strengthen Innovation and Practice in Secondary EducationView Original Source
The Big Idea: The quality of the teaching force is the single most influential school-based factor in promoting learning. Strengthening educational systems to deliver quality teaching requires answers questions such as how to motivate teachers in resource-constrained environments. This review of eight programs identifies a variety of intrinsic and extrinsic factors that lead to greater motivation and teaching quality.
Increasing Vaccination: Putting Psychological Science Into ActionView Original Source
The Big Idea: Managers who seek to increase vaccination uptake, especially in low resource settings, can improve vaccine uptake by leveraging existing thoughts and feelings to facilitate action through a combination of facilitating action, reducing logistical barriers and regulating.
Informed Push Distribution of Contraceptives in Senegal Reduces Stockouts and Improves Quality of Family Planning ServicesView Original Source
The Big Idea: Contraceptive stockouts in public health facilities in urban areas severely limit women and couple’s abilities to space births, and nation’s abilities to achieve their health and development goals. Senegal developed, tested and scaled up an “integrated push model” to reduce stockouts.
Involving Male Partners in Maternity Care in Burkina Faso: A Randomized Controlled TrialView Original Source
The Big Idea: Male partners exert a considerable influence on women’s use of reproductive health services and participate in decisions that affect health outcomes. Initiatives to actively include fathers to participate in maternity services, even limited, can improve healthy practices after childbirth.
Mitigating Disrespect and Abuse During Childbirth in TanzaniaView Original Source
The Big Idea: First time and continued use of labor and delivery services is often affected by how they feel they are treated by providers. Most interventions to improve client satisfaction with labor and delivery services often focus on training providers. More successful interventions might also target facility managers and clients.
Peer-Driven Quality Improvement among Health Workers and Traditional Birth Attendants in Sierra Leone: Linkages between Provider’s Organizational Skills and RelationshipsView Original Source
The Big Idea: Managers who are tasked with improving health in low-resource settings are often faced with shortages of trained health care providers as well as challenges with health delivery systems. Health providers and community workers, such as Traditional Birth Attendants, often lack mutual understanding and communication channels, resulting in missed opportunities and poor quality of care. Peer-based groups of providers that strengthen organizational and relationship building skills have the potential to improve the quality of care.
Rethinking Innovation in Maternal and Child Health in Africa: Five Case StudiesView Original Source
WHO recently upped the number of recommended antenatal care visits from four to eight, yet still only two-thirds of women globally get the recommended four visits. New models are needed to increase use of antenatal care. Participatory ANC offers a way to expand options for pregnant women and their families.
The Effectiveness of Multilevel Promotion of Exclusive Breastfeeding in Rural IndonesiaView Original Source
The Big Idea: Exclusive breastfeeding is influenced by multiple factors at the institutional, social and individual levels. Addressing all of these levels simultaneously using locally tailored strategies can improve the duration and prevalence of exclusive breastfeeding.
The Power of the Nudge to Decrease Decision Fatigue and Increase Influenza Vaccination RatesView Original Source
The Big Idea: Health officials in the US recommend that people get an annual influenza vaccination to protect against the flu, but less than half of people get this service each year. Obstacles include vaccine hesitancy, lack of access or interaction with the health care system, and other system barriers, including health providers forgetting to order vaccines. This study reviewed the introduction of a behavioral nudge to order vaccines.
The Trick to Surviving a High-Stakes Pressure Job: Use a ChecklistView Original Source
The Big Idea: Health care facility managers around the globe are keenly aware of the risk to clients due to infections with deadly bacteria through catheters and other procedures. Drawing on humanities “oldest tool to combat blind spots and arrogance,” checklists have the power to dramatically reduce infections and injury or death for clients, when introduced through a human-centered approach.
This Manicure Just Might Save Her LifeView Original Source
The Big Idea: In Zambia, like many countries around the world, early pregnancy and childbirth put girls’ health and futures at risk. This initiative aimed to increase girls’ access to safe, comprehensive reproductive health services to ensure that girls have the opportunity to finish school, start careers, and become mothers on their own terms.
Using Community Health Workers to Refer Pregnant Women and Young Children to Health Care Facilities in Rural West Bengal, India: A Prospective Cohort StudyView Original Source
The Big Idea: Health managers who oversee maternal and child health programs in medically underserved areas are likely familiar with the important role of community health workers (CHWs) who reach marginalized and underserved populations. When CHWs screen for risk, pregnant women and caregivers of young children may be more likely to seek timely and appropriate services.
Where Do Female Sex Workers Seek HIV and Reproductive Health Care and What Motivates These Choices? A Survey in 4 Cities in India, Kenya, Mozambique and South Africa View Original Source
The Big Idea: Programs that work to increase timely use of reproductive health care services benefit from understanding what motivates people to seek services and choose from available services.
Women Suffer More from Disrespectful and Abusive Care than from the Labour Pain Itself: A Qualitative Study from Women's Perspective View Original Source
The Big Idea: Disrespectful and abusive care during childbirth limits women’s use of health services. This study from women’s perspectives shows that an increase in institutional delivery requires ensuring quality, compassionate and caring services in all health facilities.