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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
Session: Innovations in Improving Service Delivery
3198.0: Monday, December 12, 2005: 12:30 PM-2:00 PM
Innovations in Improving Service Delivery
The diverse presentations in this session discuss a variety of different approaches to improving health service delivery, including utilization of patient interviews as a monitoring tool, implementation of a multi-tiered health systems strengthening intervention, establishment of health care provider networks as a complement to provider training efforts, strengthening procurement and supply chain management, and use of the “Trials of Improved Practices” (TIPS) as a tool to influence behavior change among providers. Specifically, the presentations will discuss (1) the role of patient interviews as a tool for quality assessment and monitoring of tuberculosis control services in the FIDELIS (Fund for Innovative DOTS Expansion through Local Initiatives to Stop Tuberculosis) projects that were implemented in 13 low-income countries; (2) barriers that influence provision and utilization of primary health care services, and the effectiveness of a pilot intervention on health service availability, quality, and utilization in Albania; (3) the effectiveness of combining provider training efforts with the opportunity to join provider networks and the subsequent impact on long-term quality and service provision relative to provider training only, using India as a case study; (4) the strengthening of demand-based procurement and supply chain management as a means to improve the availability of commodity supply, thereby improving injection safety, illustrated by success in the Zambia Injection Safety Project and (5) the effectiveness of the TIPS methodology in improving provider hand-hygiene practices via the introduction of alcohol-based hand rub in a resource-limited setting in Zambia.
Learning Objectives: The participant will (1) examine different approaches to improving health service delivery in resource constrained health care settings and (2) discuss demand-side and supply-side interventions to improve quality and utilization in health care.
Moderator(s):Martin Gittelman, PhD
12:30 PMIntroductory Remarks
12:35 PMPatient interviews as a tool to improve tuberculosis program service delivery: Experiences from the FIDELIS initiative
I.D. Rusen, MD MSc, Chen-Yuan Chiang, MD MPH, Donald A. Enarson, MD, Sven Gudmund Hinderaker, MD PhD
12:50 PMImproving primary health care services in Albania: The impact of a quality improvement intervention in two districts
David Hotchkiss, PhD, Linda Piccinino, MPH, Altin Malaj, MD, MPH, Andres Berruti, MA, Sujata Bose, MS
1:05 PMStrengtheneing demand based procurement and supply chain management to improve injection safety in two pilot sites in Zambia
Matildah Matipa Zyambo, mcips, Richard S. Hughes, MA, Answell Chipukuma
1:20 PMUse of alcohol-based handrub in a resource limited setting in Zambia
Martha Ndhlovu, RM, MSc, Christopher Mazimba, Mmed(ob/gyn), Richard S. Hughes, MA, Kuhu Maitra, MD, DCH, MBBS, Answell Chipukuma, Higher Diploma, Matildah Matipa Zyambo, mcips, Michael N. Favin, MA, MPH
1:35 PMConcluding Remarks
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:International Health
Endorsed by:Alternative and Complementary Health Practices; Maternal and Child Health; Population, Family Planning, and Reproductive Health; Public Health Nursing
CE Credits:CME, Health Education (CHES), Nursing

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA