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Workshop Descriptions



The workshops are skill-building, interactive sessions, combining case studies, and small group or individual exercises.

Workshops 1-8 will take place on Tuesday, May 27. On Tuesday, there are 6 workshops taking place concurrently in the morning (9 am-Noon) and four in the afternoon (2-5 pm). Please note that two of the afternoon workshops are a continuation of the morning sessions.

Workshop Maximum Attendance Capacities
The Skill-Building Workshops have maximum attendance capacities. These capacities have been established by the workshop leaders to ensure that each attendee has the opportunity to fully participate in the workshop activities. The maximum attendance level is noted at the bottom of the workshop description.

All seats are available on a first-come, first-served basis.

W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8

Tuesday, May 27, 2008

W1:

Parts I and II: Quality Improvement for OVC Programs: Care that Counts


Presentations: Lynne Miller Franco | presentation
Renee DeMarco | presentation

Time: Part I: 9 am–Noon
Part II: 2-5 pm

Workshop Facilitators: 1. Kendra Blackett Dbinga

2. Lori DiPrete Brown, MSPH, Assistant Director, Center for Global Health, University of Wisconsin School of Medicine and Public Health | presentation

3. Samantha Dovey, Project Coordinator, University Research Co., LLC

4. Thada Bornstein, Training Director, Quality Assurance Project, University Research Co., LLC

5. Florence Nyangara, PhD, Senior Evaluation and Research Specialist, Measure EVALUATION/Constella Futures

Learning Objectives: 1. Reposition the quest for quality within OVC programming within the PEPFAR requirements. Explain the rationale for the Quality Improvement Initiative for OVC programs.

2. Explain the fundamental concepts underlying modern quality improvement for OVC programs: reaching consensus on desired outcomes; defining quality (setting standards); measuring quality (gathering information about processes and outcomes); improving quality: closing the gap between what is expected and actual performance.

3. Strengthen participants’ understanding and ability to apply modern QI tools relevant for OVC programs: Process/ Flow chart analysis, problem-solving team approach through collaboratives, supportive evaluation, client involvement (youth and communities).

4. Increase participants’ awareness of concrete ways they can improve quality in service delivery for OVC programs.

Description: Quality of care implies that an appropriate mix of services and support are provided to ensure that children affected by HIV/AIDS grow and develop as valued members of their families and community. Providing such care is complicated by the large number of children needing care and the many service areas required to meet their wide-ranging needs. URC, PACT and FHI through the Quality of Care Improvement Initiative funded by USAID and OGAC, have collaborated closely to improve the quality of services for orphans and vulnerable children (OVC) affected by HIV/AIDS. The aim of this workshop is to inform OVC program staff and managers about the basics of quality improvement as applied to OVC programs and to enable OVC program staff and managers to apply modern quality improvement approaches to raise the quality and effectiveness of OVC services.

The workshop targets those managing OVC programs and includes presentations, plenary discussions, and small group exercises. Participants will be able to apply the knowledge gained at the workshop to a case study.

This workshop is presented in two sessions. These sessions are complementary and part of a comprehensive approach to quality improvement for OVC programs. The first session focuses on improving quality of OVC programs, starting with the definition of desired OVC outcomes and what is needed to achieve those outcomes (standards and operationalization of standards). The second session focuses on methods and tools for improving the quality of OVC services in light of service delivery standards.

The workshop session will include experiences from the field from OVC implementers engaged in the QI Initiative for OVC programs from Tanzania, Namibia, and Ethiopia, through the use of short videotaped conversations and interviews

The Quality Improvement Framework that will be covered in the two sessions includes three processes: Defining quality: How to develop OVC service delivery standards:
  • Reaching consensus on desired outcomes: How do we know if we make a measurable change in a child’s life;
  • Standards-based approach to OVC services: Integrating the dimensions of quality in service standards and identifying essential actions. Measuring Quality: Comparing what a program is actually doing with defined quality standards: A case study.
  • Identifying, through a case study, the strengths and gaps in quality service delivery for OVCs using several example of quality assessment tools for OVC programs.
Improving quality: Practical approaches to improve quality of OVC services:
  • Determining what needs to change to improve quality:
  • Approaches and tools for OVC quality improvement: improvement collaboratives, process analysis, supportive supervision and client-centered approaches.
  • Exchange of experiences from participants involved in OVC programs.
Quality Improvement tools that will be shared in the workshops: Facilitator’s Guide to Establishing Service Standards; Dimensions of Quality Matrix; OVC Standards Template; Process/Flow chart analysis template, Child Status Index, check list based on composite illustrative standards.

The first session will focus on Defining Quality through the development of quality standards for OVC services. The second session will focus on assessing the quality of OVC services and several strategies for improving OVC service quality.

Target Audience: OVC implementers


Maximum number of workshop participants: 50


W2: Leading Teams to Achieve Results
Handouts: Seeds of Success | Challenge Model | Framework Process
Results Model
| Quick Links

Time: 9 am–Noon

Workshop Facilitators: 1. Kristen Stelljes, Program Officer, Leadership, Management and Sustainability Program Management Sciences for Health
2. Sylvia Vriesendorp, Institutional Development Specialist, Management Sciences for Health

Learning Objectives: At the end of the workshop all participants will have:

1. a specific personal goal that can be achieved by applying the challenge model and leading and managing practices

2. the ability to operationalize management and leadership in behavioral terms

3. a framework that links improved management and leadership to improved health services delivery

Description: This is a three-hour workshop in which participants will have a taste of the hands-on experience that MSH provides through its leadership development programs

Target Audience: Anybody who is in a leadership role or would like to take a leadership role, at any level


Maximum number of workshop participants: 50


W3: Parts I and II: Linking Data to Programmatic Action: Using CDC’s Reproductive Health Assessment (RHA) Toolkit for Conflict-Affected Women as a Model

Note: This is a two-part workshop, and it is a requirement to attend Part I in order to attend Part II
Time: Part I: 9 am–Noon
Part II: 2-5 pm

Workshop Facilitators: 1. Stacy De Jesus, MPH, Coordinator, Reproductive Health for Refugees, Division of Reproductive Health, Centers for Disease Control and Prevention
agenda | presentation 1 | presentation 2
presentation 3 | presentation 4 | presentation 5
Columbia: datapack 1 | datapack 2 | datapack 3 | datapack 4
Pakistan: datapack 1 | datapack 2 | datapack 3 | datapack 4

2. CAPT Kitty MacFarlane, CNM, MPH

Learning Objectives: At the end of the 6 hour training workshop, participants will be able to:

1. Propose programmatic/policy responses for local populations based on findings from the RHA Toolkit

2. Explain how data quality influences the interpretation and use of data

3. Recognize key opportunities to ensure generalizability of collected data, including: questionnaire design, pilot-testing, sampling, training survey personnel, and data-entry.

Description: Program staff responsible for reproductive health programs for displaced populations will need to know women’s health needs, identify gaps in services, and/or establish baseline information for later evaluations. This workshop will show how the Reproductive Health Assessment (RHA) Toolkit for Conflict-Affected Women can provide quality information that can lead to programmatic and/or policy actions. The RHA Toolkit is a set of tools that enable users to conduct a survey and use the data to inform reproductive health services among conflict-affected and other vulnerable populations. The RHA Toolkit is composed of a planning guide, sampling instructions, training manual, standardized questionnaire, data entry program, pre-programmed analyses, and suggestions for data to action. Data can be collected on reproductive health topics, including safe motherhood, family planning, HIV/AIDS, gender-based violence, and emotional health. Indicators are calculated for help seeking behaviors and barriers to services.

Due to the comprehensive nature of the RHA Toolkit components, as well as the experiences learned during pilot tests, it serves as an effective model to illustrate the importance of and steps needed to ensure data quality when conducting a survey. The workshop leaders developed the RHA Toolkit and pilot-tested it among conflict-affected women in Africa and Latin America and will present valuable lessons learned from these pilot tests to guide potential users.

This two-part workshop will provide an introduction to the RHA Toolkit and train participants on how to:
  • Plan for implementation of a survey, such as the RHA Toolkit, in the user’s setting
  • Effectively train survey personnel
  • Ensure data quality throughout the implementation process by implementing a variety of activities and procedures
  • Interpret and present survey results to stakeholders, using RHA Toolkit findings as an example
  • Access technical assistance from CDC on the RHA Toolkit

Target Audience: Reproductive health staff who work with conflict-affected populations or other vulnerable populations who want to learn how the RHA Toolkit is linked to programmatic and/or policy actions.


Maximum number of workshop participants: 50


W4: Planning for Sustainable HIV/AIDS Services using HAPSAT Software, a Hands-on Training
Time: 9 am–Noon

Workshop Facilitators: 1. Lisa Fleisher, MPH, Senior Analyst, Health Systems 20/20, International Health Division, Abt Associates Inc.

2. Arin Dutta, PhD, Associate/Economist, Abt Associates, International Health Division | presentation

Learning Objectives: At the end of the workshop, participants will be able to:

1. Participants will learn to download HAPSAT Beta version and how country data can be entered into the model.

2. Participants will practice creating and forecasting the outcomes of various HIV/AIDS policy scenarios using a provided sample data set.

3. Participants will be prepared to use HAPSAT software to independently evaluate policy scenarios in their home countries, after collecting their own country specific data.

Description: Recently, the sustainability of HIV/AIDS services has gained increasing international attention. HIV/AIDS program planners need strategic information and analytical tools to estimate recurrent costs and resources required to support HIV/AIDS programs. Policymakers also need tools to weigh the implications of current policy decisions on the sustainability of HIV/AIDS. Health Systems 20/20 has developed the HIV/AIDS Program Sustainability Analysis Tool (HAPSAT), a computer-based tool for forecasting and analyzing the sustainability of HIV/AIDS programs. HAPSAT uses detailed epidemiological, demographic, and economic data to estimate the financial and human resources required to sustain and/or scale up a portfolio of HIV/AIDS programs. Users can develop scenarios based on how services are delivered to project the impact of changes in policy, prices, and human resources.

Target Audience: HAPSAT training will assist policymakers, program planners, and technical working groups interested in addressing the sustainability of HIV/AIDS programs under various assumptions and scenarios. The emphasis on country-specific data and the flexibility with regard to choosing scenarios are key features of the model, and they both help to make HAPSAT practical for country decision-makers.

Development partners interested in devoting resources to sustaining HIV/AIDS services will find the HAPSAT training useful to inform finance and program managers within National AIDS Councils, Ministries of Health, Ministries of Finance, civil society, academic institutions, NGOs, and other relevant actors seeking sustainable solutions.

The HAPSAT training will be useful for those needing to prioritize programs for continuation in the context of reduced or increased funding support, or expansion of service provision. In addition, findings can be used to facilitate identification of alternate funding sources, improve the operations of existing programs, and assist the development of strategic plans for scaling up HIV/AIDS services.


Maximum number of workshop participants: 24


W5: From Local to Global: Scaling Up Community-based Programs to Strengthen Health Systems
Time: 9 am–Noon

Workshop Facilitators: 1. Mengistu Asnake, MD. MPH, Deputy Country Representative, Pathfinder International Ethiopia

2. Milka Dinev, Eng. MBA, Project Director, Extending Service Delivery Project (ESD), Pathfinder International

3. Joseph Dwyer, MS, Director, Leadership, Management and Sustainability Program, Management Sciences for Health

4. Shawn Malarcher, MPH, World Health Organization | presentation

5. Rushna Ravji Aqil, MD, MPH, MS, Service Delivery Technical Advisor, Office of Population and Reproductive Health, USAID

6. Suzanne Reier, MPH, Senior Technical Advisor, Global Health Fellows Program/WHO

Learning Objectives: These are as follows:

1. To identify and describe components of community based RH/FP programmes that are key to successful scale up.

Components include:
  • Motivation, expectations and remuneration of community health workers
  • Logistics at the community level
  • Supportive supervision

2. To become familiar with different approaches of sharing knowledge, mobilizing stakeholders, partnering, networking and leveraging funds and how these are applied in implementing large-scale community based RH/FP programmes.

Approaches include:
  • Role of community level health workers vis-à-vis their support to the government health system and how they are supported by the communities where they work
  • Examples of linkages with the Ministries of Health and other stakeholders

Description: Community Based health programmes have played a vital role in expanding health service delivery for over 30 years. These programmes are intended to utilize existing social networks to defray the social and financial cost of accessing services. These programmes have been found to be especially important where culture and social barriers, lack of information, and weak health systems limit access and utilization of clinic-based services. Currently, governments and donors in many countries are once again making significant investments in community-based health programmes. This workshop will examine some of the key elements of government-supported community based RH/FP and maternal, neonatal and child health (MNCH) programmes and discuss how to ensure that these programmes are supported and continue to be scaled up and sustained. The workshop will build on discussions and outcomes of two recent workshops/technical meetings held in 2007.
  1. Community Based Reproductive Health Programmes in Africa and
  2. Scaling-Up High Impact Family Planning/Maternal, Neonatal and Child Health (FP/MNCH) Best Practices in the Asia Near East Region.
Combined, these meetings involved participants from 23 countries in sub-Saharan Africa, Asia and the Near East.

Target Audience: Program managers responsible for community health programmes in countries as well as development and technical assistance organizations working in community health. Different levels of experienced professionals are welcome.


Maximum number of workshop participants: 35


W6: Social Marketing to Facilitate Behavior Change and Action
Time: 9 am–Noon

Workshop Facilitators: 1.Lynda Bardfield, Associate Director for Strategic Behavioral Communication, Family Health International

2.Sureyya E. Hornston, PhD, MPH, Senior Health Communications Specialist, US Centers for Disease Control and Prevention

Learning Objectives: By the end of this workshop the participants will be able to:

1. Describe common social marketing principles and methodology, what social marketing really is and what it is not.

2. Identify ways to incorporate various methods and practices of social marketing into one integrative strategy, in order to
  • increase awareness of a health issue, problem, or solution;
  • increase demand for health products and services;
  • remind or reinforce knowledge, attitudes, or behaviors;
  • adopt new health behaviors;
  • affect attitudes in creating support and motivation for individual or collective action,
  • “market” public health interventions, public policy or health promotion initiatives

3. Describe how social marketing can be used as a planning and implementation approach to addressing new topics in HIV prevention and other public health issues.

Description: Social marketing is described as the application of commercial marketing techniques to influence voluntary behavior(s) of target audiences. While social marketing became a “buzz word” in public health, many times it has been misapplied or misused in a very product-oriented fashion. Some consider it as condom promotion; some others think it is the production of flashy educational materials or television commercials (PSAs). Therefore, the purpose of this workshop is to provide the “nuts and bolts” of social marketing methodology and application while incorporating various examples. It will give participants the opportunity to brainstorm about innovative approaches for their particular programs or projects. During the workshop important points outlined below will be emphasized.
  • Social marketing IS NOT product-oriented and can make a significant contribution to the field of health promotion, public health policy and advocacy. However, “buy-in” on the part of selected target audiences is the key.
  • To facilitate ‘buy-in,’ the marketing process is “client-driven,” and recognizes that many variables influence behavior change; hence it always begins with an analysis of client need and behaviors and the context in which these occur.
  • When information and interventions are packaged, positioned, promoted and organized according to these needs, the chance of success for utilization of services or compliance with recommended/desired behaviors increases.
Target Audience: Program managers and other public health professionals, community organizers, researchers, and advocates who are responsible for developing interventions to facilitate change and action. (Novice to intermediate.)


Maximum number of workshop participants: 50


W7: Demystifying Health Systems: How to Assess the Strengths and Weaknesses of a Health Care System
Time: 2-5 pm

Workshop Facilitators: 1.Kathy Alison, Senior Consultant, Training Resources Group, Inc. - Health Systems 20/20 Project
2.Karen Cavanaugh, MHS
3.Mursaleena Islam, PhD, Economist, Abt Associates Inc. - Health Systems 20/20 Project | presentation

Learning Objectives: The overall purpose of the workshop is to introduce a systematic approach to assessing health systems in order to identify systems strengthening activities.
  • Introduce the Health Systems Assessment Tool.
  • Discuss how the tool can be applied to assess strengths and weaknesses in a health system and develop recommendations for health systems strengthening interventions.
  • Practice using the approach in the context of a case study.
Description: The impact of basic interventions and services in reproductive health, maternal and child health, and infectious disease control on health outcomes is well known. Similarly, much information exists on how the broader health systems make those interventions and services operational. Yet, these two areas are usually dealt with separately, rather than being viewed as an interlocking system. Often, individuals with specific program knowledge feel overwhelmed by the array of health systems issues.

The workshop will introduce a systematic process to carry out a rapid health care system assessment drawing on the following functions: governance, health financing, health service delivery, human resources, pharmaceutical management, and health information systems. The assessment approach is based on the recently developed Health Systems Assessment Approach: A How-To Manual (USAID-funded) and on a framework developed by WHO.

The workshop will use a mix of presentations and practice through group exercises to work on a case study. Practice sessions will start by identifying strengths and weaknesses of a health system and conclude with each of the groups synthesizing conclusions across the functions, and developing recommendations for health systems strengthening interventions and action.
Target Audience: People involved in country program development or sector planning and bilateral projects; health systems officials in donor agencies and NGOs; ministry of health officials.


Maximum number of workshop participants: 42


W8: Using the Arts for Health Education and Communication: The Experience of the Peace Tiles Project and HIV/AIDS
Time: 2:30-5 pm

Workshop Facilitators: 1.Nil Navaie, M.Sc., Director/President, Arts for Global Development, Inc. | presentation
2.Abimbola Idowu, DrPH, Health Educator, African American Health Program/Global Peace Tiles | presentation 1 | presentation 2

Learning Objectives: During this workshop participants will learn to use collage as a tool for health communication. This includes expressive, educational, therapeutic, and research-oriented workshops that engage young people in the creation of peer-to-peer health messages that can be combined into large-scale murals for public education and advocacy. Specifically, participants will enhance their skills in:
  • Designing an arts-based learning activity.
  • Use of collage and mixed media as techniques for self-expression and story-telling.
  • Use youth-produced artwork to produce public murals and other health communication strategies.
Description: During this fun and dynamic arts-based workshop, participants will be introduced to the Global Peace Tiles Project – its aims, history, and accomplishments – and have the chance to create their own Peace Tiles and curate a mural. The workshop will close with a discussion around ways the process might apply to local contexts and a tile exchange.

Target Audience: This workshop will appeal to:
  • Community Health Educators seeking new interventions
  • Policy-makers/Advocates looking for new self-advocacy modes/tools
  • Program managers looking for new resources with which to prepare their staff.
  • Researchers looking for new ways to gather insights around attitudes, preferences


Maximum number of workshop participants: 50