CCP Overview

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Standards-based Recognition An accreditation
model for low-resource settings
globally November 2, 2003 M. Heerey, M. Amoa,
and A. Merrit
PPT CCP 6/7/00 P 1
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Standards-based recognition A model that
addresses both supply and demand
Performance improvement
Community engagement
Quality
Public recognition
Demand generation
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Elements of the supply strategy

• Enhancing provider performance
• Establish and communicate performance standards
• Improve performance feedback supervision,
  self-assessment, client satisfaction, etc.
• Improve physical environment
• Establish incentive for improved performance
• Develop staff skills

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Elements of the demand strategy

• Clients/community informed and engaged
• Raise community expectations
• Inform public of where to go for quality service
• Model proactive health seeking behaviors/use of
  services
• Enable active participation in quality
  improvement processes

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• Operationalizing the Standards-based Recognition
  Model

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• Results From Four Experiences
• Brazil, Egypt, Uganda and West Africa

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Brazil - PROQUALI A regional public sector
program

• AIM Improve quality and use of reproductive
  health services
• poor public image of services
• limited method choice
• low staff motivation
• services not client-centered
• accreditation criteria began with RH-gt expanded
  to family health

Mulher e pra se cuidar
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Egypt - Gold Star A national public sector
program

• AIM Change poor image of public sector services
  and address plateau in use of family planning
• Poor image of services
• High knowledge of FP but plateau in use
• Ad hoc IEC
• Poor support of providers

Behind every door are friends and family who care
about you and your family
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Uganda Yellow STAR 12 districts -gt to 32
districts -gt national scale

• AIM Promote improved quality, availability and
  utilization of health services
• Poor quality of health services
• Low utilization of health services
• Low provider skill confidence
• Low community participation

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West Africa Gold Star Four country regional
project, private/public sector

• AIM Increase use of modern contraception in four
  West African countries - Burkina Faso, Cameroon,
  Cote dIvoire Togo
• Low knowledge and use of FP and RH services
• Low provider skill
• Low motivation
• Supply stockouts

Nous sommes a votre ecoute
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Clinics improved performance ( of clinics
accredited within 1st year)
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Initial increase in service utilization across
accredited sites
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Increased client satisfaction

• Brazil (FGDs) -
• Since my last visit I have been well attended to
  and satisfied, at least with these services
• Egypt -
• Client satisfaction improved for waiting time,
  staff courtesy and FP information provided
• West Africa - (Exit Interviews in Burkina Faso,
  Cameroon Togo)
• 98 indicated satisfaction with reception at the
  clinic
• 90 noted acceptable waiting time, and 92
  reported privacy

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Trend in current use of family planning, Egypt
1980-2000
Gold Star launch
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Brazil - PROQUALI
New Family Planning Clients
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Increase in modern method use by exposure to
demand campaign (Togo, B.Faso)
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References

• Johns Hopkins University Center for Communication
  Programs, Population Communication Services.
  (1998, November). Egypts Gold Star quality
  program wins clients and communities.
  Communication Impact! No. 4. Baltimore Johns
  Hopkins University, Population Communication
  Services.
• Johns Hopkins University Center for Communication
  Programs, Population Communication Services.
  (2000, August). PROQUALI improves health services
  in Brazil. Communication Impact! No. 10.
  Baltimore Johns Hopkins University, Population
  Communication Services.
• Johns Hopkins University Center for Communication
  Programs, Population Communication Services.
  (2002, March). Community participation is key to
  supporting quality in Gold Circle clinics.
  Communication Impact! No.11. Baltimore Johns
  Hopkins University, Population Communication
  Services.

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References (contd)

• Johns Hopkins University Center for Communication
  Programs, Population Communication Services.
  (1999, October). Uganda Communication Campaigns
  Spur Integrated Health Programs. Communication
  Impact! No. 6. Baltimore Johns Hopkins
  University, Population Communication Services.
• SFPS JHU/CCP, Cameroon Panel Study, 1999.
• Enquete devaluation de la campagne GO Burkina
  Faso, juillet-aout, 2001.