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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Anbrasi Edward-Raj, PhD, MPH, International Health, Johns Hopkins University, 615 N Wolfe, Baltimore, MD 21205, 410-955-3928, aedward@jhsph.edu, Rosemary Kumwenda-Phiri, MD, MPH, UNDP, alick nkataoad, lusaka, Zambia, Arthur Mazimba, MA, Zambia Intergrated Health Program, Los Angeles Blvd, POB 37230, Lusaka, Zambia, Barton Burkhalter, PhD, Operations Research, Quality Assurance Project, 7200 Wisconsin Avenue, Suite 600, Bethesda, MD 20814, and Richard H. Morrow, MD MPH FACP, Department of International Health/Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe, Baltimore, MD 21205.
A myriad of causes impede the performance of health care providers in developing countries. Job aids have been extensively used in health care and have shown to be a cost-effective strategy in supporting performance. The perspective and participation of the providers is essential in designing these support systems. Methods: Findings from the baseline research were examined and the Out Patient Department (OPD) book was redesigned as an IMCI job aid. The new job aid was introduced into the health centers with trained IMCI providers and its effectiveness was assessed at the end of three months using case management observations and interviews. Results: Significantly higher compliance was found in those that used an IMCI job aid in comparison to those that did not use a job aid for assessment of danger signs, cough, diarrhea, fever and nutritional status. Providers who used job aids performed significantly better in providing counseling to the caretakers on giving oral drugs at home and returning for follow up. However there were no significant differences between the existing IMCI job aids and the redesigned OPD book. More than 25% of the providers felt the OPD job aid was useful since it made the job easier, and saved time, 15% felt it helped improve accuracy in assessment and 15% felt it reduced errors during case management. It was evident that although there was scope for improving the design and content of the OPD job aid both IMCI trained and untrained providers found it a useful tool for supporting performance.
Learning Objectives:
Keywords: Performance Measurement, Health Care Quality
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.