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Best Practices
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About
Best Practices | DISH Best Practices | DISH
Success Stories
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Long Term
and Permanent Family Planning Methods
(LTPM) Marketing Strategy
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The DISH project embarked on a strategy to increase
utilisation and awareness of long term and permanent
family planning methods such as Tubal Ligation, Norplant
and Vasectomy through outreaches, mass media communication
are community involvement. The program was so successful
it exceeded it's projected goals in three months.
Background & Strategy
Implementation Tools
Counseling Tools
Communication Tools
The DISH Project and the MOH would like to thank
and acknowledge the following organizations and individuals
for their generous contribution to this program and
the resource package: Dr. Henry Kakande, Tembi Matatu,
Jennifer Sengendo, Cheryl Lettenmaier, all members
of the LTPM Medical Teams, Community Health Workers,
LTPM focal persons, district health officials and
the Family Life Education Project (FLEP).
In conjunction with the Ministry of Health (MOH),
the DISH Project implemented a strategy to increase
utilisation of reproductive health services; to improve
attitudes of health providers towards adolescent needs;
and increase community knowledge about ARH. The successful
strategy revolved around the training of service providers
and peer educators, community involvement, communication
and promotional materials, and a launch of available
teen services via a "Teen Bash".
Overview
The MOH and DISH II Project would like to thank
and acknowledge the following organisations and individuals
for their generous contribution to this program and
resource packages: the PRIME II Project, Straight
Talk Foundation, Group Africa, ACET, Family Care International,
Media for Development Trust, Marie Stopes International,
Basil Tushabe, Tembi Matatu, Donna Sherard and Margaret
Brawley.
The DISH project promoted a culture among district
and facility level personnel of making informed decisions
based on information they collected at their level.
This sense of "ownership" promoted by project staff
significantly improved not only decision- making,
but also the quality of information. The project promoted
this data/ information culture through a variety of
tools: "data utilisation" workshops, use of sentinel
site system and quarterly indicator performance reports.
Overview
Training & Implementation Tools
- HMIS 105: Health Unit
Monthly Report:Constitutes the basis for routine
reporting of Health events and service activities.
- Data Validation
Tool: Documents the quality of information
transfer from unit registers to monthly reports
and identifies some weak points in the data collection
process.
- District
Quarterly Assessment Report: Allows the District
to calculate quarterly indicators of performance
related to the monitoring of the Health Sector
Strategic Plan and define actions to take to improve
those indicators, thus linking decision to information.
- Data Utilisation Training
Manual: Provides training materials and guidelines
for a workshop that will help district or HSD
teams to better define their information needs
on the basis of the management functions they
fulfil and to present the results of their analysis.
- Example of the DISH II Project Monitoring Report
from the Sentinel Site System 1st Quarter 2002:
Shows how the information obtained on a quarterly
basis from 80 sentinel sites within the Project
area is analysed and presented for monitoring
of trends in health problems and service delivery.
Monitoring data constitute the basis for further
investigation of possible causes of events and
for adoption of new or revised intervention strategies.
- Sample District
Data News Bulletin form Ssembabule:Illustrates
how district teams use information obtained from
the HMIS to share health services results and
analysis with stakeholders in the health delivery
system.
- CDROM HMIS Demonstration:
Gives an overview of the computerized HMIS software,
with its data entry, reporting and analysis functions.
This short demo CD indicates the inputs needed
for the system to function and shows examples
of the outputs that can be produced (Note: the
demo CD is not the actual software and cannot
be installed as such, nor does it constitute a
user's manual for the actual HMIS software).
The
Ministry of Health (MOH) and the Delivery of Improved
Services for Health (DISH) II Project would like
to thank and acknowledge the following individuals
and organizations for their contribution to this
program and the resource package: Pathfinder International
and the DISH I Project, for starting the support
process to improved data utilization; Peter Scott
and his team at Infomatics for designing and upgrading
the HMIS software; the Ministry of Health Resource
Centre and World Health Organisation, for providing
feedback and guidance on the HMIS review and the
upgrading of the software; the DISH Project's
Planning/Management Coordinators, the districts'
MIS Officers and all those who worked on the piloting
and testing of the computerized system and those
who trained managers and providers on data utilisation.
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Improving
the Quality of Health Care Services Through
monitoring of Standards and Recognition of
Performance: The Yellow Star Program
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In collaboration with the Ministry of Health, district
health officials and other development partners, the
DISH Project helped to develop a program to improve
and maintain the quality of public health care services
through a system of supervision, certification and
recognition. The strategy encourages health facilities
to maintain basic standards and involves the community
as an active participant in the process. The Ministry
of Health is implementing plans to take the program
nation-wide.
Overview
The Ministry of Health (MOH) and the Delivery of
Improved Services for Health (DISH) II Project would
like to thank and acknowledge the following individuals
and organizations for their generous contribution
to this program and the resource package: Professor
Emmanual Kaijuka, Quality Assurance Department-MOH,
Dr. Henry Mwebesa, Quality Assurance Department-MOH,
all the members of the Yellow Star Working Group,
the personnel of the District Health Services Offices
in the 12 DISH-Supported Districts, the staff from
CARE International and the staff at DISH including
Dr. Vincent David, Dr. Elizabeth Ekochu, Margaret
Brawley, Cheryl Lettenmaier, and Jennifer Sengendo
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Nze
N’owange: A Community & Radio Game Show for
Family Planning |
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This innovative "Know Your Mate"
game show attracted large crowds in local
communities and even larger audiences
through radio broadcasts. A week before
the show, DISH staff identified couples
in the community who were happy to answer
questions on stage about a variety of
personal topics, including family planning.
The subsequent radio broadcasst was also
successful, reaching 39% of men and women
interviewed during the 2001 Radio
Listenership Survey.
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Overview
The DISH II Project would like to thank and acknowledge
the following individuals and organizations for their
generous contribution to this best practice: Cheryl
Lettenmaier, Margaret Brawley, Jennifer Sengendo,
the DISH IEC Coordinators, the District Health Educators,
Commercial Market Strategies, Central Broadcasting
Service (CBS), Group Africa and all the commercial
sponsors who contributed prizes.
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Norplant
Training for Health Workers
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The Ministry of Health (MOH) requested DISH staff
to train lower cadre health workers (midwives, nurses
and clinical officers) in rural areas to provide Norplant
insertion and removal services; previously this had
only been done by doctors. The training was so successful
that the evaluation clearly showed not only that lower
cadre health workers could provide these services
as well as doctors, but also that clients were more
comfortable with them. MOH now routinely trains midwives,
nurses and clinical officers to provide these services,
thus increasing access.
Overview
Counselling & Communication Materials
The Ministry of Health (MOH) and the Delivery of
Improved Services for Health (DISH) II Project would
like to thank and acknowledge JHPIEGO and the Regional
Centre for Quality of Health Care for their generous
contribution to this program including the development
of the training curriculum and handbook, as well as
permission to reproduce the Norplant Implants Guidelines
for Family Planning Service Programs: A Problem-Solving
Reference Manual.
DISH project staff developed a systematic way of involving
their carefully selected target audiences in the development
of materials designed for them. Strict adherence to
a scientific approach and the high value placed on
audience feedback insured media and materials that
were well understood and accepted
Overview
Pre-testing
Methodology for Behaviour Change Communication Materials
Sample Pre-Testing Methodologies & Recording Tools
Copies of methodologies and tools from various
DISH Project behaviour change communication interventions.
Each is adapted to fit a particular material.
The Delivery of Improved Services for Health (DISH)
II Project would like to acknowledge the following
organizations and individuals for their contribution
to this methodology and best practice: MCL McCANN
Uganda, Cheryl Lettenmaier, Jennifer Sengendo, Nankunda
Allen, Anne Gamurorwa, Margaret Brawley, Basil Tushabe,
Wamara Moses and all the IEC Coordinators, Francis
Kintu, research assistants and volunteers who helped
to implement the pre-testing exercises.
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