HRH Global Resource Center - Service Delivery

How Do Malawian Women Rate the Quality of Maternal and Newborn Care? Experiences and Perceptions of Women in the Central and Southern Regions

Thu, 20 Aug 2015 16:35:53 +0000

Our objective was to measure women’s perceived quality of maternal and newborn care using a composite scale and to identify individual and service delivery factors associated with such perceptions in Malawi. [from abstract]

Indigenous Peoples’ Access to Health Services

Thu, 13 Aug 2015 12:48:24 +0000

This publication sets out to examine the major challenges for indigenous peoples to obtain adequate access to and utilization of quality health care services. It provides an important background to many of the health issues that indigenous peoples are currently facing. Improving indigenous peoples’ health remains a critical challenge for indigenous peoples, States and the United Nations. [from forward]

Utilization of Community Based Health Information Systems; Management and Community Service Delivery in Kenya

Wed, 12 Aug 2015 12:19:48 +0000

Large scale community health programs have utilized various strategies based on the Alma Ata primary health care declaration in 1978 where community participation, multi-sectoral engagement and involvement of community workers play and important role. A qualitative study was undertaken in two counties in Kenya that were implementing the government’s
Community Health Strategy since 2006. The study used a questionnaire guide for data collection from respondents consisting of Community Health Workers, Community Committee members, Community Health Extension Workers and service users.

Impact of Health Systems Strengthening on Health

Tue, 04 Aug 2015 17:27:03 +0000

This report, based on a review of systematic reviews of the effects on health of Health System Strengthening (HSS), presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in low- and middle-income countries. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals. The findings of this report document the value of investing in HSS. [adapted from resource]

Research Utilization among Nurses at a Teaching Hospital in Kenya

Tue, 14 Jul 2015 18:05:18 +0000

In the era of evidence based practice ( EBP), health care delivery should be grounded on new or validated knowledge and evidence from research. The aim of the study was to assess research utilization by nurses and the influencing factors at Kenyatta National Hospital (KNH), the largest teaching hospital in Kenya. [From abstract]

Lean Management in the South African Public Health Sector: A Case Study

Fri, 10 Jul 2015 15:12:46 +0000

This chapter gives an account of one relatively modest but effective intervention in an orthopaedic outpatient clinic at the New Somerset Hospital (NSH) in Cape Town in 2013. This project aimed to reduce patient waiting times in the clinic, and improve patient satisfaction.

Ensuring Human Rights in the Provision of Contraceptive Information and Services

Mon, 22 Jun 2015 18:43:20 +0000

These WHO guidelines provide recommendations for programmes as to how they can ensure that human rights are respected, protected and fulfilled, while services are scaled up to reduce unmet need for contraception. Both health data and international human rights laws and treaties were incorporated into the guidance. [from abstract]

What Drives the Community Health Services in Kenya: Results of a recent mapping exercise of Community Health Units in three regions of Turkana North, Greater Machakos, and Kibera

Fri, 15 May 2015 15:14:09 +0000

This position paper highlights the outcome of a recent mapping exercise in Turkana, Machakos and Kibera. Insights
from this study indicate that communities have embraced the Community Health Strategy and its contribution to improved
health status. [from introduction]

Global Evidence on Inequities in Rural Health Protection: New Data on Rural Deficits in Health Coverage for 174 Countries

Mon, 04 May 2015 17:34:36 +0000

This paper presents global estimates on rural/urban disparities in access to health-care services. The report uses proxy indicators to assess key dimensions of coverage and access involving the core principles of universality and equity. Based on the results of the estimates, policy options are discussed to close the gaps in a multi-sectoral approach addressing issues and their root causes both within and beyond the health sector. [from abstract]

Tracking Implementation and (Un)intended Consequences: A Process Evaluation of an Innovative Peripheral Health Facility Financing Mechanism in Kenya

Thu, 30 Apr 2015 16:50:34 +0000

In many African countries, user fees have failed to achieve intended access and quality of care improvements. Subsequent user fee reduction or elimination policies have often been poorly planned, without alternative sources of income for facilities. We describe early implementation of an innovative national health financing intervention in Kenya; the health sector services fund (HSSF). [from abstract]