Today almost all states employ multidimensional assessment instruments in determining eligibility and providing care planning for their community-based programs. Nurses, social workers, and other providers either admi...
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A non-experimental design was employed to conduct both a process and impact evaluation of a video conference for injury control specialists and other community members. The video conference was designed to teach parti...
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A non-experimental design was employed to conduct both a process and impact evaluation of a video conference for injury control specialists and other community members. The video conference was designed to teach participants how to conceptualize, develop, and implement community-based injury and violence prevention programs. The six-hour event was broadcast to 120 sites all across the United States and had a total of 1270 participants. The video conference format included a panel of injury control specialists and a moderator, video and audio clips that were shown throughout the program, on and off screen activities for participants, and an opportunity for participants to ask questions of the panel. Three groups were included in the evaluation sample: participants;site facilitators;and stakeholders;which included the planning committee members, conference speakers, moderator,and audiovisual personnel. Evaluation data were collected by telephone and in-person interviews, focus groups, and surveys completed at all the viewing sites. Results showed that there was high satisfaction among the participants and that the program should be continued as a series of video conferences with a changing content. There was lower satisfaction with the online activities, applicability of material to their work, and the opportunity to network with others and to participate in discussion. Recommendations made for improving future programs include shortening the video conference program, focusing on specific issues within injury and violence prevention, training the program presenters on the workings of the satellite video conference technology, use of video streaming, and using web-based forms for registration and evaluation.
This paper describes the use of a rapid assessment technique in micro-level planning for primary health care services which has been developed in India. This methodology involves collecting household-level data throug...
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This paper describes the use of a rapid assessment technique in micro-level planning for primary health care services which has been developed in India. This methodology involves collecting household-level data through a quick sample survey to estimate client needs, coverage of services and unmet need, and using this data to formulate micro-level plans aimed at improving service coverage and quality for a primary health centre area. Analysis of the data helps to identify village level variations in unmet need and develop village profiles from which general interventions for overall improvement of service coverage and targeted interventions for selected villages are identified. A PHC area plan is developed based on such interventions. This system was tried out in 113 villages of three PHC centres of a district in Gujarat state of India. It demonstrated the feasibility and utility of this approach. However, it also revealed the barriers in the institutionalization of the system on a wider scale. The proposed micro-level planning methodology using rapid assessment would improve client-responsiveness of the health care system and provide a basis for increased decentralization. By focusing attention on under-served areas, it would promote equity in the use of health services. It would also help improve efficiency by making it possible to focus efforts on a small group of villages which account for most of the unmet need for services in an area. Thus the proposed methodology seems to be a feasible and an attractive alternative to the current top-down, target-based health planning in India.
The HIV/AIDS pandemic continues to gather momentum in many developing countries, increasing the already heavy burden on health care facilities. As a result, donors, implementing partners and communities are beginning ...
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The HIV/AIDS pandemic continues to gather momentum in many developing countries, increasing the already heavy burden on health care facilities. As a result, donors, implementing partners and communities are beginning to create home-based care programmes to provide care for persons with HIV/AIDS. This paper recommends reorienting this home care provision as a service founded in, and coming from, the community rather than the health system. A methodology, in the form of an assessment matrix, is provided to facilitate the assessment of a community's capacity to provide care for people with AIDS. The focus is on rapid assessment methods using, where possible, readily available information to clearly and systematically define current circumstances. The matrix created for a specific community is then used in the development of an action plan with interventions prioritized and tailored to local needs. A case study from a hypothetical developing country, where HIV/AIDS is a significant problem, is used to illustrate the process.
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