Introducing Systematic Screening to Reduce Unmet Health Needs: A Manager\u27s Manual

This manual is designed to help program decision-makers, managers, supervisors, and providers introduce systematic screening in their health services. Systematic screening can improve women’s health by addressing multiple unmet needs for reproductive and other health services. This manual provides: activities necessary to implement systematic screening; how to select facilities, services to screen for, and who will screen; systematic screening checklist development, adaptation, and pretesting; advice for training screeners/providers and supervisors and an outline of a generic training agenda. The manual’s contents may be adapted to reflect local, national, or programmatic health priorities and resources as well as to promote the use of underutilized preventive services. Essential activities needed to implement the systematic screening strategy include: putting someone in charge of the screening effort; deciding what you will screen for; choosing suitable facilities; establishing study patient flow before setting up the screening system; designing a new form or adapting an existing screening instrument to identify needed services; pretesting the form; creating a user’s manual; providing adequate training; and supervising and monitoring screening

Men in maternity study: Men matter

The Population Council and the Employees’ State Insurance Company are collaborating in a Men in Maternity (MiM) study in India to test a model of antenatal and postnatal services designed to help thousands of couples, especially men, redefine their roles in reproductive health and improve birth outcomes and maternal health. This is part of a global study that will assess the impact of male partnership in improving pregnancy outcomes and reproductive health, primarily by reducing the prevalence of STIs and increasing postpartum family planning use. Studies suggest that the lack of men’s participation in reproductive health actually undermines women’s health. The MiM study is the first of its kind in India. It includes more than a focus on contraception or safe motherhood and covers topics ranging from child survival and postpartum services to STI diagnosis and treatment and prevention of HIV/AIDS. This research update provides an overview of the MiM experimental intervention and some lessons learned in establishing the new services and maintaining operations during the first 14 months of the study’s intervention period

Men in maternity study: Results from the pre-intervention survey of pregnant women and their husbands at the three interventions, and of only women at three control Employees\u27 State Insurance Corporation dispensaries in Delhi, India: Preliminary findings

The Frontiers in Reproductive Health program, a USAID-funded project of the Population Council, is conducting an operations research (OR) study that investigates the effects of male participation in a new model of maternity care that is gender sensitive and provided at the primary-care level. The immediate objectives are to increase the use of family planning methods in the postpartum period and to promote STI primary preventive practices in men and women. The three-year study called Men in Maternity (MiM) is being conducted in South Africa and India. In India, the project is collaborating with the Employees State Insurance Corporation (ESIC). The MiM intervention is facilitating the inclusion of men in their wives\u27 antenatal and postpartum care with couple and individual counseling during pregnancy and at six weeks postpartum. The data presented in this report is derived from the baseline survey conducted from November 2000 to November 2001 of pregnant women between 10 and 26 weeks of gestation who were attending antenatal clinics at the six ESIC dispensaries

Men in maternity study: A summary of the findings from pre-intervention interviews with women and their husbands attending antenatal clinics at ESIC facilities in Delhi

The Frontiers in Reproductive Health program, a USAID-funded project of the Population Council is conducting an operations research (OR) study that investigates the effects of male participation in a new model of maternity care that is gender sensitive and provided at the primary-care level. The immediate objectives are to increase the use of family planning methods in the postpartum period and to promote STI primary preventive practices in men and women. The three-year study called Men in Maternity (MiM) is being conducted in South Africa and India. In India, the project is collaborating with the Employees State Insurance Corporation (ESIC). The MiM intervention is facilitating the inclusion of men in their wives\u27 antenatal and postpartum care with couple and individual counseling during pregnancy and at six weeks postpartum. The data presented in this update derives from a detailed Preliminary Findings Report. Interviews, conducted from November 2000 to November 2001, took place in all cases only after consent was first given by the women

Involving men in maternity care in India

The Men in Maternity study investigated the feasibility, acceptability, and cost of a new, more comprehensive model of maternity care that encouraged husbands’ participation in their wives’ antenatal and postpartum care. The study was conducted in India, in collaboration with the Employees’ State Insurance Corporation (ESIC), Delhi Directorate at their primary health facilities called dispensaries. The study found that men accompanied their wives to the clinics and participated actively in the intervention. There were significant changes in family planning knowledge and behaviors of both men and women; although there was little acknowledgement of STI risk, knowledge and use of dual protection did increase. Clients who participated in the intervention reported more discussions with providers and more satisfaction with family planning methods. With some changes in design to improve the impact of breastfeeding practices and STI knowledge and attitudes about risky behavior, the authors recommend that the total intervention package can be implemented and will have an impact on men and women’s reproductive health, future unwanted fertility, and consequently on pregnancy outcomes

Cómo identificar y satisfacer la necesidad de servicios adicionales: Manual para gerentes

Este manual está diseñado para ayudar a los encargados de tomar decisiones, los administradores, los supervisores y los proveedores de programas a introducir la detección sistemática en sus servicios de salud. La detección sistemática puede mejorar la salud de la mujer al abordar múltiples necesidades no satisfechas de servicios de salud reproductiva y otros. Este manual proporciona: actividades necesarias para implementar una detección sistemática; cómo seleccionar las instalaciones, los servicios que se examinarán y quién lo hará; desarrollo, adaptación y pruebas preliminares de listas de verificación de detección sistemática; asesoramiento para capacitar a los evaluadores/proveedores y supervisores; y un esquema de una agenda de capacitación genérica. El contenido del manual puede adaptarse para reflejar las prioridades y recursos de salud locales, nacionales o programáticos, así como para promover el uso de servicios preventivos infrautilizados. Las actividades esenciales necesarias para implementar la estrategia de detección sistemática incluyen: poner a alguien a cargo del esfuerzo de detección; decidir qué evaluará; elegir las instalaciones adecuadas; establecer el flujo de pacientes del estudio antes de configurar el sistema de detección; diseñar un nuevo formulario o adaptar un instrumento de detección existente para identificar los servicios necesarios; probar previamente el formulario; crear un manual de usuario; proporcionar una formación adecuada; y supervisar y monitorear la detección. --- This manual is designed to help program decision-makers, managers, supervisors, and providers introduce systematic screening in their health services. Systematic screening can improve women’s health by addressing multiple unmet needs for reproductive and other health services. This manual provides: activities necessary to implement systematic screening; how to select facilities, services to screen for, and who will screen; systematic screening checklist development, adaptation, and pretesting; advice for training screeners/providers and supervisors and an outline of a generic training agenda. The manual’s contents may be adapted to reflect local, national, or programmatic health priorities and resources as well as to promote the use of underutilized preventive services. Essential activities needed to implement the systematic screening strategy include: putting someone in charge of the screening effort; deciding what you will screen for; choosing suitable facilities; establishing study patient flow before setting up the screening system; designing a new form or adapting an existing screening instrument to identify needed services; pretesting the form; creating a user’s manual; providing adequate training; and supervising and monitoring screening

L’introduction de l’identification systématique pour réduire les besoins non satisfaits en santé : Manuel du manager

Ce manuel est conçu pour aider les décideurs, les gestionnaires, les superviseurs et les prestataires de programmes à introduire le dépistage systématique dans leurs services de santé. Le dépistage systématique peut améliorer la santé des femmes en répondant à de multiples besoins non satisfaits en matière de services de santé reproductive et autres. Ce manuel fournit : les activités nécessaires à la mise en œuvre du dépistage systématique ; comment sélectionner les installations, les services à dépister et qui sera dépisté ; l\u27élaboration, l\u27adaptation et le prétest systématiques d\u27une liste de contrôle de dépistage ; des conseils pour les agents de sélection/fournisseurs de formation et les superviseurs et un aperçu d\u27un programme de formation générique. Le contenu du manuel peut être adapté pour refléter les priorités et les ressources de santé locales, nationales ou programmatiques ainsi que pour promouvoir l\u27utilisation de services de prévention sous-utilisés. Les activités essentielles nécessaires à la mise en œuvre de la stratégie de dépistage systématique comprennent : la mise en place d\u27une personne responsable de l\u27effort de dépistage ; décider ce que vous allez dépister ; choisir des installations appropriées; établir le flux des patients de l\u27étude avant de mettre en place le système de dépistage ; concevoir un nouveau formulaire ou adapter un instrument de dépistage existant pour identifier les services nécessaires ; prétester le formulaire; créer un manuel d\u27utilisation ; fournir une formation adéquate; et la supervision et le suivi du dépistage. --- This manual is designed to help program decision-makers, managers, supervisors, and providers introduce systematic screening in their health services. Systematic screening can improve women’s health by addressing multiple unmet needs for reproductive and other health services. This manual provides: activities necessary to implement systematic screening; how to select facilities, services to screen for, and who will screen; systematic screening checklist development, adaptation, and pretesting; advice for training screeners/providers and supervisors and an outline of a generic training agenda. The manual’s contents may be adapted to reflect local, national, or programmatic health priorities and resources as well as to promote the use of underutilized preventive services. Essential activities needed to implement the systematic screening strategy include: putting someone in charge of the screening effort; deciding what you will screen for; choosing suitable facilities; establishing study patient flow before setting up the screening system; designing a new form or adapting an existing screening instrument to identify needed services; pretesting the form; creating a user’s manual; providing adequate training; and supervising and monitoring screening

Getting results used: Evidence from reproductive health programmatic research in Guatemala

This article reviews 44 operations research projects aiming to improve reproductive health services in Guatemala, conducted by the Population Council from 1988 to 2001. It documents the experience of the research programme, traces the extent to which research results are identifiable in existing programmes, and analyses factors influencing utilization. Utilization of research results occurs as a gradual process of information sharing, where researchers influence decision-makers through a continual stream of information rather than a single set of findings. Utilization depends on leadership, collaborative planning and implementation, close monitoring, and feasible research designs, among other factors. To influence policy formulation, organizations should form enduring links among institutions and develop critical research skills among personnel who collaborate with or manage service programmes. To understand how operations research affects policy and programme change, one must consider not just individual projects, but rather the synergistic impact of multiple projects on a broad range of themes over time. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicin