1. Getting Real about Results (Part 1)

    01:39:34

    from Evaluation Centre / Added

    62 Plays / / 0 Comments

    The Evaluation Centre for Complex Health Interventions at the Li Ka Shing Knowledge Institute, St. Michael's Hospital held another workshop in a series focused on building evaluation capacity within Ontario on March 6, 2013. Led by Dr. Abhijit Das from the Centre for Health and Social Justice in India, this workshop focus was on evaluation’s role in improving lives, and argued that we need to move from selling best practice solutions to solving real world problems on the ground. Drawing from his experiences on the ground, Dr. Das explored how the local context can be incorporated into views of performance and how evaluation systems can make a difference to equity. Key Questions of the Workshop: • How do we ensure results-based thinking can transform peoples’ lived realities? • What are the roles of community and individual rights in defining views of development? • How do we move beyond globalized views of development and reframe development from a local and community lens? • How do evaluation systems incorporate local context in their definitions of performance? • What should go into a progressive view of performance and evaluation?

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    • Saving Mothers: A New Initiative to Address Maternal Mortality

      05:16

      from Julia Nagel / Added

      18 Plays / / 0 Comments

      In December 2012, the Center for Strategic and International Studies traveled to Zambia because it has a disproportionately high rate of maternal mortality – an estimated 440 women dying for every 100,000 live births, which is 20 times higher than the U.S. But Zambia, as well as Uganda, is also the site of a new program, called Saving Mothers, Giving Life (SMGL), designed to reduce maternal mortality by up to 50 percent in selected districts in a year.

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      • Techniques for measuring quality of care (2 of 2 videos)

        29:49

        from Maternal Health Task Force / Added

        26 Plays / / 0 Comments

        Global Maternal Health Conference 2013 This session started with Kumar's work in India using Standards Based Management and Recognition to address the growing need within health facilities due to an increased usage in maternal health services. The program had many successes including the ability for hospitals to self-motivate based on the self-assessment approach and how it provided a framework for supportive supervision and infrastructural/HR improvements. Akter's presentation focused on Bangladesh where they used a pay-for-performance approach to achieve pre-determined performance targets with a quality assurance system to measure performance. The pay-for-performance method produced fantastic results, including increased quality of care scores especially for MNCH. Tripathi explained the work revolving around P-QoC, Process Quality of Care in regards to labor and delivery quality of care. Her work included finding the key dimensions of labor and delivery care, the indicators of those dimensions, and finally a scale to measure QoC given these determinants. Once finalized this tool will be used within the clinic setting by managers and key stakeholders, as well as via rapid surveys and health services research. Chaturvedi presented on how to make sure the effectiveness of the referral system in providing successful EmOC in one district of Madhya Pradesh province in India. Results found that the referral systems were not working as expected in the area, despite the increase of actual EmOC patients. Murdock described the traditional birth attendants in 8 countries in Latin America and the Caribbean. Murdock's rapid assessment provided only select information on certain indicators, but suggested a number of ways forward including periodic testing of provider competency, update clinical guidelines, and provide better supervision for students. Moderator: Somesh Kumar, Jhpiego Strengthening the quality of maternal and newborn care by using standards based management and recognition approach Somesh Kumar, Jhpiego Presentation: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/e_Somesh%20QoC%20GMHC%20Jan%202013.pdf A quality assurance system to measure the institutional obstetric care performance in Bangladesh Farhana Akter, Population Council Presentation; https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/b_Presentation%20for%20GMHC_Farhana_popcouncil.pdf Process quality of facility-based labor and delivery care in sub-Saharan Africa: A proposed conceptual framework and measurement tool Vandana Tripathi, MCHIP, Johns Hopkins School of Public Health Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Tripathi%20496.pdf Too close to die: A study of the effectiveness of a referral system for emergency obstetric care using spatial analysis in Madhya Pradesh, India Sarika Chaturvedi, R D Gardi Medical College and Karolinska Institute Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Chaturvedi%20718.pdf Presentation: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/c_Ref%20system-GMHC-Sarika.pdf Rapid assessment of selected skilled birth attendants in eight Latin American and Caribbean countries Martha Murdock, Family Care International Presentation: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/a_Martha%20Murdock.pdf Filmed in Arusha, Tanzania. Wednesday, 16 January 2013

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        • Seminar: A New Way of Doing Health: SM2015 public-private partnership

          02:13:49

          from Salud Mesoamérica 2015 / Added

          56 Plays / / 0 Comments

          Seminar: A New Way of Doing Health: SM2015 public-private partnership

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          • Techniques for measuring quality of care (1 of 2 videos)

            01:05:55

            from Maternal Health Task Force / Added

            85 Plays / / 0 Comments

            Global Maternal Health Conference 2013 This session started with Kumar's work in India using Standards Based Management and Recognition to address the growing need within health facilities due to an increased usage in maternal health services. The program had many successes including the ability for hospitals to self-motivate based on the self-assessment approach and how it provided a framework for supportive supervision and infrastructural/HR improvements. Akter's presentation focused on Bangladesh where they used a pay-for-performance approach to achieve pre-determined performance targets with a quality assurance system to measure performance. The pay-for-performance method produced fantastic results, including increased quality of care scores especially for MNCH. Tripathi explained the work revolving around P-QoC, Process Quality of Care in regards to labor and delivery quality of care. Her work included finding the key dimensions of labor and delivery care, the indicators of those dimensions, and finally a scale to measure QoC given these determinants. Once finalized this tool will be used within the clinic setting by managers and key stakeholders, as well as via rapid surveys and health services research. Chaturvedi presented on how to make sure the effectiveness of the referral system in providing successful EmOC in one district of Madhya Pradesh province in India. Results found that the referral systems were not working as expected in the area, despite the increase of actual EmOC patients. Murdock described the traditional birth attendants in 8 countries in Latin America and the Caribbean. Murdock's rapid assessment provided only select information on certain indicators, but suggested a number of ways forward including periodic testing of provider competency, update clinical guidelines, and provide better supervision for students. Moderator: Somesh Kumar, Jhpiego Strengthening the quality of maternal and newborn care by using standards based management and recognition approach Somesh Kumar, Jhpiego Presentation: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/e_Somesh%20QoC%20GMHC%20Jan%202013.pdf A quality assurance system to measure the institutional obstetric care performance in Bangladesh Farhana Akter, Population Council Presentation; https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/b_Presentation%20for%20GMHC_Farhana_popcouncil.pdf Process quality of facility-based labor and delivery care in sub-Saharan Africa: A proposed conceptual framework and measurement tool Vandana Tripathi, MCHIP, Johns Hopkins School of Public Health Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Tripathi%20496.pdf Too close to die: A study of the effectiveness of a referral system for emergency obstetric care using spatial analysis in Madhya Pradesh, India Sarika Chaturvedi, R D Gardi Medical College and Karolinska Institute Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Chaturvedi%20718.pdf Presentation: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/c_Ref%20system-GMHC-Sarika.pdf Rapid assessment of selected skilled birth attendants in eight Latin American and Caribbean countries Martha Murdock, Family Care International Presentation: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/a_Martha%20Murdock.pdf Filmed in Arusha, Tanzania. Wednesday, 16 January 2013

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            • Approaches to understanding the intersection of pregnancy, maternal health, and disability (1 of 2 videos)

              33:48

              from Maternal Health Task Force / Added

              54 Plays / / 0 Comments

              Global Maternal Health Conference 2013 Poor audio quality. Moderator: Brenda D’Mello, CCBRT The impacts of maternal death on living children in Rufiji, Tanzania Alicia Yamin, Harvard School of Public Health Postpartum maternal morbidity in Morocco: Self-reported against diagnosed morbidity Vincent De Brouwere, Institute of Tropical Medicine, Antwerp Suicide during pregnancy and postpartum: A missing opportunity in improving maternal care? Suneth Agampodi, Rajarata University of Sri Lanka Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Agampodi%201026.pdf Equitable access to quality maternal health care for people with disabilities Fredrick Msigallah, Comprehensive Community Based Rehabilitation in Tanzania Filmed in Arusha, Tanzania. Tuesday, 15 January 2013

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              • Facility readiness and efficiency: The cost and quality of care (2 of 2 videos)

                24:54

                from Maternal Health Task Force / Added

                34 Plays / / 1 Comment

                Global Maternal Health Conference 2013 This session focused on the infrastructure needed for quality maternal health care. Bizimana began the session by describing work in one hospital in Uganda around facility readiness. Findings included that staff and personnel were not prepared for the work they needed to do, and infrastructure of the hospital itself (including waste disposal and electricity) were not taken care of. With a 4 month intervention, key issues were resolved leading to better maternal health outcomes. Villegas described her work focused on Mexico state within the country of Mexico. Looking at this large hospital system, they used a systematic approach using key steps made a difference to address problems at the hospitals. Results of the intervention included increased quality of care indicators and reduced maternal mortality. Keyes described research on EmONC facility needs. The team focused on 6 countries, and took note of facility's infrastructure, infection prevention, services offered, guidelines, human resources, HMIS, laboratory, drugs, and equipment and supplies. The score of the facility is related to each country's MMR rates, to show the relationship of how facility capabilities ties directly to MMR rates. Saronga described the cost effectiveness of rural health posts in Tanzania. Their study found that different costs were found for different clinics, causing variability in not only cost, but services provided/available, leading them to realize the need to better streamline quality and cost of care. (Carvalho presentation missing.) Moderator: Emily Keyes, FHI 360/AMDD Measuring facility readiness to deliver EmONC Emily Keyes, FHI 360/AMDD Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Keyes%20947.pdf The quality of delivery and newborn care in public hospitals in Uganda: A case study of Mityana hospital Abel Bizimana, Mildmay Uganda Maternal health cost and efficiency of services in selected health facilities in Lindi and Mtwara rural districts in Tanzania Happiness Saronga, Muhimbili University Tanzania and Heidelberg University Germany Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Saronga%201006.pdf Measuring and mapping the quality of maternal care in Indian public health facilities Natalie Carvalho, University of Melbourne School of Population Health State strategy: United hospitals working toward decreasing maternal mortality Martha Villegas, ISEM Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Villegas%201287.pdf Filmed in Arusha, Tanzania. Tuesday, 15 January 2013

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                • Approaches to understanding the intersection of pregnancy, maternal health, and disability (2 of 2 videos)

                  34:51

                  from Maternal Health Task Force / Added

                  23 Plays / / 0 Comments

                  Global Maternal Health Conference 2013 Poor audio quality. Moderator: Brenda D’Mello, CCBRT The impacts of maternal death on living children in Rufiji, Tanzania Alicia Yamin, Harvard School of Public Health Postpartum maternal morbidity in Morocco: Self-reported against diagnosed morbidity Vincent De Brouwere, Institute of Tropical Medicine, Antwerp Suicide during pregnancy and postpartum: A missing opportunity in improving maternal care? Suneth Agampodi, Rajarata University of Sri Lanka Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Agampodi%201026.pdf Equitable access to quality maternal health care for people with disabilities Fredrick Msigallah, Comprehensive Community Based Rehabilitation in Tanzania Filmed in Arusha, Tanzania. Tuesday, 15 January 2013

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                  • Facility readiness and efficiency: The cost and quality of care (1 of 2 videos)

                    29:20

                    from Maternal Health Task Force / Added

                    25 Plays / / 1 Comment

                    Global Maternal Health Conference 2013 This session focused on the infrastructure needed for quality maternal health care. Bizimana began the session by describing work in one hospital in Uganda around facility readiness. Findings included that staff and personnel were not prepared for the work they needed to do, and infrastructure of the hospital itself (including waste disposal and electricity) were not taken care of. With a 4 month intervention, key issues were resolved leading to better maternal health outcomes. Villegas described her work focused on Mexico state within the country of Mexico. Looking at this large hospital system, they used a systematic approach using key steps made a difference to address problems at the hospitals. Results of the intervention included increased quality of care indicators and reduced maternal mortality. Keyes described research on EmONC facility needs. The team focused on 6 countries, and took note of facility's infrastructure, infection prevention, services offered, guidelines, human resources, HMIS, laboratory, drugs, and equipment and supplies. The score of the facility is related to each country's MMR rates, to show the relationship of how facility capabilities ties directly to MMR rates. Saronga described the cost effectiveness of rural health posts in Tanzania. Their study found that different costs were found for different clinics, causing variability in not only cost, but services provided/available, leading them to realize the need to better streamline quality and cost of care. (Carvalho presentation missing.) Moderator: Emily Keyes, FHI 360/AMDD Measuring facility readiness to deliver EmONC Emily Keyes, FHI 360/AMDD Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Keyes%20947.pdf The quality of delivery and newborn care in public hospitals in Uganda: A case study of Mityana hospital Abel Bizimana, Mildmay Uganda Maternal health cost and efficiency of services in selected health facilities in Lindi and Mtwara rural districts in Tanzania Happiness Saronga, Muhimbili University Tanzania and Heidelberg University Germany Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Saronga%201006.pdf Measuring and mapping the quality of maternal care in Indian public health facilities Natalie Carvalho, University of Melbourne School of Population Health State strategy: United hospitals working toward decreasing maternal mortality Martha Villegas, ISEM Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Villegas%201287.pdf Filmed in Arusha, Tanzania. Tuesday, 15 January 2013

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                    • Addressing pre-eclampsia and eclampsia

                      33:01

                      from Maternal Health Task Force / Added

                      49 Plays / / 0 Comments

                      Global Maternal Health Conference 2013 This session focused on pre-eclampsia and eclampsia and the barriers surrounding this issue. Payne began the session by describing the a study using miniPIERS risk prediction model to identify women in low and middle income countries who are more likely to have high risk pregnancies. This study will be used in the future to help communities better address warning signs, as well as it will be integrated into mHealth programs. Oladapo described how OBs have viewed the new WHO recommendations on the treatment and prevention of pre-eclampsia and eclampsia. He found through targeted questionnaires that barriers were felt by the OBs in terms of the cost of intervention, the ability of patients, and resource strains on the system. He suggested by targeting the barriers, the OBs would better be able to follow and assuage their worries of the WHO recommendations. Aryal gave a presentation on the work that Nepal is doing in regards to pre-eclampsia and eclampsia in regards to prevention, detection/screening, and management. The work they have done since 2006 has shown marked improvements given their assessments in 2011. She noted that work continues in Nepal, including a calcium distribution program with Jhpiego. Moderator: France Donnay, Bill & Melinda Gates Foundation A risk prediction model for the assessment of women with hypertensive disorders of pregnancy in low-resource settings: The miniPIERS (Pre-eclampsia Integrated Estimate of Risk) Study Beth Payne, University of British Columbia Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Payne%20613.pdf WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia: Perspectives of obstetricians practicing in Nigeria Olufemi Oladapo, Maternal and Fetal Health Research Unit, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University MOHP addresses eclampsia, now the leading cause of maternal deaths in Nepal Silu Aryal, DoHS, Family Health Division Abstract: https://meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Aryal%201046.pdf Filmed in Arusha, Tanzania. Tuesday, 15 January 2013

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