Online Program

Scaling-up a program for Liberian pregnant and parenting teens: Using organizational and systems leadership

Monday, November 2, 2015

Wanda Spann Roddy, DNP, MSN, PNP, RN, Department of Community Health Systems, Indiana University School of Nursing, Indianapolis, IN
The life course outcomes of pregnant and parenting adolescent girls living in Monrovia, Liberia, is influenced by their age, where they live, their access to health care, schooling and economic resources. Challenged to improve their life course, the Parenting the Parent (PTP) program of Monrovia’s JFK Medical Center (JFKMC) sought strategies, from an American public health maternal/child health nurse leader, to scale up their program.   

In September 2013, a two week formative inquiry assessment of the PTP program was conducted.  Utilizing face-to-face interviews, observations, and service delivery participation, the assessor examined organizational policies and structure, current and desired program services, service delivery, and defined goals, objectives and outcome measures. 

Utilizing organizational and systems leadership skills, quality improvement strategies requiring organizational and policy changes, and a systematic process of implementation were recommended:

  • Organizational Structure:  Develop a strategic plan to create a shared vision between administration and staff; implement improvements that fit within the resources of JFKMC and meets community needs; use formative inquiry assessment data to launch comprehensive formative and process evaluation for continuous quality improvement.
  • Program Services: Revise participant eligibility policy; develop clinic appointment calendar to follow-up on missed appointments; standardized health education; conduct psycho-social assessments and develop/implement needed community-based program services.
  • Program Delivery: Move services from a public clinic hallway to private room; provide differentiated health education for the girls at different stages of pregnancy/parenting; and actively engage participants during the educational sessions.
  • Outcome Evaluation Methods: Develop program logic model and a method to collect, analyze and disseminate all program data based upon available resources.

To make a transformational change in the PTP program leading to improved life outcomes of adolescent Liberian mothers, information produced from the formative inquiry assessment should be used as a catalyst to conduct an extensive comprehensive formative and process evaluation using a community-based participatory research approach.

Learning Areas:

Administer health education strategies, interventions and programs
Administration, management, leadership
Advocacy for health and health education
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the current service delivery model of the JFKMC Parenting the Parent program List the quality improvement strategies recommended and why they were recommended

Keyword(s): Adolescents, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the founder and executive director of a school/community-based program for pregnant and parenting teens in the United States that has been existing for more than 17 years. My health promotion, program development, implementation and leadership experience has been focused on Adolescent Reproductive Health Care throughout my nursing career as a nurse, nurse practitioner and program director. This project allowed me to transfer my leadership skills into a similar program in a developing country.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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