Sustainable Management Development Program: celebrating 20 years of strengthening public health systems globally through effective leadership and management

To build a strong health infrastructure and improve public health outcomes, ministries of health require capable leadership, organizational management, and technical expertise to implement targeted and effective health programs. Without these assets in place, many important global health initiatives fall short of their goals. In 1992, the Centers for Disease Control and Prevention (CDC) established the Sustainable Management Development Program (SMDP) to assist leaders in low-and middle-resource countries in strengthening their health management systems. For the past two decades, SMDP has been successful in helping countries assess their management capabilities, create more efficient use of resources, and advance the use of evidence-based, practical management and leadership tools and approaches to improve accountability and organizational performance. SMDP's initiatives have been effective in building workforce management competencies for epidemiology, laboratory management, surveillance, and outbreak response. As SMDP's leadership and staff reflect on the past, and look towards the future, their goal is to continue to work collaboratively with ministries of health and other partners to develop leaders and managers with the expertise to manage wisely, improve organizational performance, and leverage investments to ensure that return on public health investment is significant.SMDP framework -- Highlights of SMDP's global health accomplishments (1992-2012) -- SMDP capabilities -- Highlights of SMDP in action across the globe 1992-2012.3/20/13 date from document properties."CS237087."Available via the World Wide Web as an Acrobat .pdf file (13.8 MB, 16 p.)

Improving postpartum care among low parity mothers in Palestine

In an effort to improve the health status of Palestinian women and their children in the West Bank and Gaza, USAID, in collaboration with the Palestinian Ministry of Health and a number of NGOs, designed and funded a 28-month pilot activity, the Pilot Health Project (PHP), that was expected to have a positive impact on the health of women and children. This report describes the results of the intervention designed to measure the effectiveness of a second home visit on low-parity women in 1) improving their knowledge and practices regarding their own health as well as the health of their newborn child; 2) increasing utilization of healthcare services postpartum, particularly the day 40 clinic visit; 3) increasing husband support; 4) increasing contraceptive use at six months postpartum; and 5) improving awareness and practice of breast and cervical cancer prevention techniques. Based on its findings, the report recommends: at least one home visit to low-parity women during the postpartum period, improving the performance of community health workers during home visits, involving husbands, encouraging mothers to seek postpartum care, catering to the needs of the mother as well as the newborn during the day 40 visit, and investigating use of mass media as a way of disseminating health information to low parity mothers

Advancing the right to health in East and Southern Africa regional workshop report

The main conversation of the workshop in Entebbe (Uganda) explored regional health systems through the OPERA framework, an assessment process which triangulates Outcomes, Policy Efforts and Resources to make an overall Assessment. This report covers discussions and panel discussions between expert participants. To enhance monitoring, compliance and fulfilment of economic and social rights the Centre for Economic and Social Rights (U.S.) developed a holistic approach and step by step framework known as the OPERA framework. It applies a multi-disciplinary approach that offers practical guidance, tools and techniques, as a critical tool in monitoring state compliance on the right to health

UNIFORM APPLICATION FY 2017 BEHAVIORAL HEALTH REPORT COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT

This 2017 application includes state information such as DUNS number, agency grantee and contact person for the grantee. The annual report section includes annual performance indicators to measure goal success and reports of progress toward goal attainment

South Carolina uniform application FY 2023 mental health block grant report : community mental health services block grant

This document contains information required to obtain a community mental health services block grant

UNIFORM APPLICATION FY 2016/2017 - STATE BEHAVIORAL HEALTH ASSESSMENT AND PLAN COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT

This document contains information required to obtain a community mental health services block grant

South Carolina uniform application FY 2021 mental health block grant report : community mental health services block grant

This document contains information required to obtain a community mental health services block grant

Identifying priority healthcare trainings in frozen conflict situations: The case of Nagorno Karabagh

<p>Abstract</p> <p>Introduction</p> <p>Health care in post-war situations, where the system's human and fixed capital are depleted, is challenging. The addition of a frozen conflict situation, where international recognition of boundaries and authorities are lacking, introduces further complexities.</p> <p>Case description</p> <p>Nagorno Karabagh (NK) is an ethnically Armenian territory locked within post-Soviet Azerbaijan and one such frozen conflict situation. This article highlights the use of evidence-based practice and community engagement to determine priority areas for health care training in NK. Drawing on the precepts of APEXPH (Assessment Protocol for Excellence in Public Health) and MAPP (Mobilizing for Action through Planning and Partnerships), this first-of-its-kind assessment in NK relied on in-depth interviews and focus group discussions supplemented with expert assessments and field observations. Training options were evaluated against a series of ethical and pragmatic principles.</p> <p>Discussion and Evaluation</p> <p>A unique factor among the ethical and pragmatic considerations when prioritizing among alternatives was NK's ambiguous political status and consequent sponsor constraints. Training priorities differed across the region and by type of provider, but consensus prioritization emerged for first aid, clinical Integrated Management of Childhood Illnesses, and Adult Disease Management. These priorities were then incorporated into the training programs funded by the sponsor.</p> <p>Conclusions</p> <p>Programming responsive to both the evidence-base and stakeholder priorities is always desirable and provides a foundation for long-term planning and response. In frozen conflict, low resource settings, such an approach is critical to balancing the community's immediate humanitarian needs with sponsor concerns and constraints.</p

Health care utilization among Medicare-Medicaid dual eligibles: a count data analysis

BACKGROUND: Medicare-Medicaid dual eligibles are the beneficiaries of both Medicare and Medicaid. Dual eligibles satisfy the eligibility conditions for Medicare benefit. Dual eligibles also qualify for Medicaid because they are aged, blind, or disabled and meet the income and asset requirements for receiving Supplement Security Income (SSI) assistance. The objective of this study is to explore the relationship between dual eligibility and health care utilization among Medicare beneficiaries. METHODS: The household component of the nationally representative Medical Expenditure Panel Survey (MEPS) 1996–2000 is used for the analysis. Total 8,262 Medicare beneficiaries are selected from the MEPS data. The Medicare beneficiary sample includes individuals who are covered by Medicare and do not have private health insurance during a given year. Zero-inflated negative binomial (ZINB) regression model is used to analyse the count data regarding health care utilization: office-based physician visits, hospital inpatient nights, agency-sponsored home health provider days, and total dental visits. RESULTS: Dual eligibility is positively correlated with the likelihood of using hospital inpatient care and agency-sponsored home health services and the frequency of agency-sponsored home health days. Frequency of dental visits is inversely associated with dual eligibility. With respect to racial differences, dually eligible Afro-Americans use more office-based physician and dental services than white duals. Asian duals use more home health services than white duals at the 5% statistical significance level. The dual eligibility programs seem particularly beneficial to Afro-American duals. CONCLUSION: Dual eligibility has varied impact on health care utilization across service types. More utilization of home healthcare among dual eligibles appears to be the result of delayed realization of their unmet healthcare needs under the traditional Medicare-only program rather than the result of overutilization in response to the expanded benefits of the dual eligibility program. The dual eligibility program is particularly beneficial to Asian and Afro-American duals in association with the provision of home healthcare and dental benefits

Enhancing local medicine production in east and southern Africa

The policy brief identifies the barriers to local medicine production in East and Southern Africa (ESA) as: lack of supportive policies, capital and skills constraints, gaps in regulatory framework, small market size and weak research and development capacities. It provides highlights from case study work in selected countries, and references potential opportunities for strengthening local production. The paper proposes that African countries strengthen domestic capacities, co-operation between domestic private and public sectors within ESA countries, and regional co-operation across ESA countries to address bottlenecks