Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #115852

Esty Febriani¹, Damaryanti Suryaningsih², Anne Pfitzer, MHS³, Nancy Caiola, MPH⁴, LUCAS Pinxten, Dr⁵, Astrid Sulistomo, MD, MPH⁴, and Dr. Bimo, MPH⁵. (1) Johns Hopkins University, Sustaining Technical Achievement in Family Planning/Reproductive Health Program Indonesia, TIFA, Kuningan Barat 26, Jakarta, 12710, Indonesia, (2) Johns Hopkins University, Sustaining Technical Achievements in Family Planning/Reproductive Health (STARH) Program/Indonesia, TIFA Bld, Kuningan Barat 26, Jakarta, 12710, Indonesia, (3) ACCESS Program, JHPIEGO, 1615 Thames Street, Baltimore, MD 20912, (4) Johns Hopkins University, Sustaining Technical Achievements in Family Planning/Reproductive Health (STARH) Program / Indonesia, 1615 Thames St., Suite 200, Baltimore, MD 21231, (5) STARH Program, JHPIEGO, Kantor BKKBN Halim 1, Lt 3, Jl Permata 1, Halim Perdana Kusuma, Jakarta, 13610, Indonesia, 62-811-815 483, bimo@jhpiego.net

BACKGROUND: The STARH Program developed an internal performance improvement (PI) process that utilizes self-assessment (SA) tools for family planning (FP) services at primary healthcare and NGO clinics to resolve the limited effort in supervision for healthcare facilities in Indonesia. This approach was implemented at 44 district-of 12 districts in 8 provinces.

DESIGN/METHODS: SA tools have 12 modules using observation (of infrastructure, management systems and client-provider interactions). Each observable indicators in the modules that must be verified by provider at facility operationalize national standards for service delivery and break these standards down into day-to-day tasks for health providers and managers.

They must quantify criteria met and unmet, identify performance gaps and design cost effective interventions, prioritizing problems that can be overcome using their own resources such as; IP training, dissemination of guidelines, supplementing equipment and IEC materials, and creating job aids.

RESULTS/OUTCOME: Based on report from the district facilities in over 6 months and a median of 3 rounds of assessment, most facilities made great strides in improving quality. Overall baseline scores went from 60.8% of quality criteria met to 80.3%. Average infection prevention (IP) scores were lowest at baseline at 37.5%, but rose to 81.3% by the 3rd assessment.

CONCLUSIONS: The STARH performance improvement process using SA tools was effective, yet low-cost. The tools helped facilities easily analyze their performance gaps and empowered them to address these gaps. Several districts have recognized the effectiveness of PI and plan to scale it up to other facilities.

Learning Objectives:

• After attending this presentation, participants will be able to describe the effectiveness of self-assessment tools for improving performance in healthcare and explore reasons for success.

Keywords: Family Planning, Women's Health

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Recorded presentation