The PARTICIPATORY INFORMATION SYSTEMS APPRAISAL (PISA) Action Guide systematically introduces and explains the concepts and strategies needed to make well informed, data-based decisions while empowering key stakeholders in the process. The action guide outlines team preparation activities, data collection methods, data analysis and action planning, and team learning & follow up activities. Local facilitators and key project stakeholders are actively involved in data instrument design, collection, reporting and analysis.
Building contexts that support effective community responses to HIV/AIDS: a South African Case Study discusses a health-enabling social environment, and some of the strategies currently being used to build social contexts to support effective HIV/AIDS management in southern Africa.
The community-directed interventions (CDI) strategy achieved a desired coverage of the ultimate treatment goal of at least 90% with ivermectin distribution for onchocerciasis control, and filled the gap between the health care services and the communities. One of the research questions included how the primary actors (community-directed heath workers and community-directed health supervisors) would perform if they were given more responsibilities for other health and development activities within the community.
This study was carried out in 5 health areas co-endemic for Onchocerca volvulus and Loa loa which had no prior experience of the Community Directed Treatment with Ivermectin (CDTI). The community-directed delivery process was introduced using a cascade mechanism from the central health system that passed through the regional health delegation, health district and the health areas. Community health implementers were trained to deliver doxycycline to people in the community and, under the supervision of the health system, to monitor and document drug intake and side effects.
This study analyzes a community-based programme to determine the degree to which community-directed interventions delivered through volunteer community based distributions can improve access to malaria prevention strategies for pregnant women, including use of ITNs, IPTp drugs and counseling. Results suggest that beyond access to malaria prevention, access to formal health care in general, and antenatal care in particular increased.
This study assesses an HIV treatment program in a rural community in Haiti. Utilizing a community based approach with community health workers, the study found that increasing accessibility to HAART drugs in conjunction with community support, the health of a community can improve. The study concludes that utilizing a more-developed world approach can and should be done in order to reach and treat all citizens of the world infected by HIV/AIDS.
Antiretroviral agents are not yet considered essential medications by international public health experts and are not widely used in the poor countries with high HIV prevalence. With the collaboration of Haitian CHWs experienced in the delivery of home-based and directly observed treatment for TB, an AIDS-prevention project was expanded to deliver HAART to a subset of HIV patients deemed most likely to benefit. The study concludes that directly observed therapy (DOT) with HAART can be delivered effectively in poor settings if there is an uninterrupted supply of high-quality drugs.
The report discusses Partners in Health (PIH) HIV work in one of Haiti's poorest areas. PIH launched a small pilot project integrating AIDS care with prevention efforts. PIH found that such projects are replicable and may enhance primary health care. CHWs played a crucial role in developing a stronger approach to HIV/AIDS as well as scaling up primary health care.
Volunteers are essential to many organizations. This guide is designed to help country programs address programmatic issues surrounding volunteer engagement such as: roles and responsibilities, incentives, recruitment, training and supervision. It includes checklists, tools and frameworks that can be adapted to local contexts to help organizations standardize how they work with volunteers.
Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventative care. The results indicate that an equal amount of financial resources without the incentives would not have achieved the same gain in outcomes.