Jhpiego - Resources - Publications and Other Materials

Standards-Based Management and Recognition—A Field Guide: A Practical Approach for Improving the Performance and Quality of Health Services
The purpose of this field guide is to present a streamlined, step-by-step process, along with practical tools and other resources, for improving the performance and quality of health services using the Standards-Based Management and Recognition (SBM-R) approach. SBM-R involves the systematic use of performance standards as the basis for the organization and functioning of these services, and the rewarding of compliance with standards through recognition mechanisms.

This field guide is designed to answer questions such as: What types of standards are really useful to local providers and managers? How can they be implemented in a practical way? How can the improvement process be supported?

The guide is designed for managers and frontline providers of service delivery organizations in both the public and private sectors. It has also been developed for use by central, provincial/regional or district health managers who wish to improve the services for which they are directly responsible. Other potential users of this material include advocacy groups that represent the health interests of clients and communities, and organizations that provide technical assistance for performance and quality improvement. (2005) Available in English, French and Portuguese.

Standards-Based Management and Recognition (SBM-R) Facilitator’s Handbook
This handbook on CD-ROM was developed to accompany Standards-Based Management and Recognition—A Field Guide. Its purpose is to provide basic information and tools on how to improve the performance and quality of health services using a Standards-Based Management and Recognition (SBM-R) approach. This implementation package differs from a traditional training package in the following ways:

— It is composed of three modules, allowing facilitators flexibility in planning and implementing their programs over a period of months.
— The modules contain minimal theoretical content, and instead focus on exercises and activities that allow participants to practice applying the principles of SBM-R.
— The modules offer programmatic guidance, including practical next steps and activities to be implemented at the facility level between workshops on the modules.
— The modules provide suggestions for implementation that can be tailored to program-specific needs rather than required activities that must be followed exactly.

In addition to the modules, the CD-ROM contains sample performance standards and assessment tools (for infection prevention, maternal and child health, voluntary counseling and testing for HIV, etc.) that have been used successfully in Jhpiego programs throughout the world. (2005) Available in English and French.

Effective Teaching: A Guide for Educating Healthcare Providers
This reference manual, part of a learning package developed through a collaboration between the World Health Organization and Jhpiego, contains 12 modules on topics such as facilitating group learning, managing clinical practice, and preparing and using knowledge and skills assessments. The modules include examples related to maternal, reproductive and child health.

The learning package is designed for classroom and clinical faculty members in schools of medicine, nursing and midwifery as well as other cadres of healthcare providers. It was designed to ensure that faculties have the classroom and clinical skills required to teach effectively. Field-tested in Egypt, the package comprises this reference manual, a Guide for Learners and a Guide for Facilitators. It is a flexible package that combines individual study and exercises with application of learning and feedback from the facilitator. (2005) Available online in English.

To view the publication, please click on the link below.
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Effective Teaching: Guide for Learners
The Guide for Learners includes the course syllabus, instructions on working with the facilitator and 23 exercises that correspond specifically to the different modules of the manual. (2005, field-test version) Available online in English.

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Effective Teaching: Guide for Facilitators
The Guide for Facilitators contains the syllabus, discussion of the facilitator’s role, options for using the package, and suggestions on providing feedback and facilitating skills practice and feedback sessions. (2005, field-test version) Available online in English.

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Supervising Healthcare Services: Improving the Performance of People
This learning package is designed as part of a strategy to improve the performance of health services supervision and the quality of services provided at healthcare delivery sites. Field-tested extensively in Kenya, the package was developed around the Performance Improvement (PI) approach, a step-by-step process for improving performance and quality of services. It focuses on the essential skills required of a supervisor, and is most appropriate for supervisors of medium to large facilities and district-level supervisors. Using these materials, the supervisor will learn how to work with staff and members of the community to set and communicate performance standards, to determine if standards are being met, to identify reasons why standards are not being met, and to design and implement ways to improve performance to meet those standards. The supervisor will also learn how to work with people effectively and monitor and evaluate performance at the facility. The learning package comprises a reference manual, notebook for trainers, and handbook for participants. (2004) Available in English.

Supervising Healthcare Services Course Handbook for Participants
This handbook for participants describes a competency-based training course and includes the course objectives, course schedule, precourse questionnaire and learning exercises, all linked to the reference manual. (2004) Available in English.

Supervising Healthcare Services Course Notebook for Trainers
The notebook for trainers contains the precourse and postcourse questionnaires and answer keys, and the detailed course outline, as well as all participant materials. Handbooks and notebooks are usually provided in a ratio of one trainer’s notebook for every five participant’s handbooks. (2004) Available in English.

Training Works! What You Need to Know about Managing, Designing, Delivering, and Evaluating Group-Based Training
This training handbook summarizes the tasks that should be completed at each stage of family planning/reproductive health training to ensure an effective training course. It will be useful to anyone who has a role in the management, design, delivery or evaluation of group-based training for healthcare professionals currently providing services.

Training Works! was developed in collaboration with IntraHealth International, the Population Leadership Program/Public Health Institute, Family Health International, the Training Resource Group, and the United States Agency for International Development. (2003) Available in English and French.

To view the English handbook online, click the link below.
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Preservice Implementation Guide: A Process for Strengthening Preservice Education
This guide describes the step-by-step process used to create a positive environment on the national level for strengthening medical, nursing, and preservice education, and the steps on the institutional level to improve the existing curriculum and its implementation. Adapted from the World Health Organization's 2001 document Integrated Management of Childhood Illness (IMCI): Planning, Implementing and Evaluating Pre-Service Education. (2002) Available in English, French and Spanish.

Note: Print copies may be ordered for free in limited quantities. The guidelines are also available for download in English, French or Spanish.

Transfer of Learning: A Guide for Strengthening the Performance of Health Care Workers
This guide, developed by PRIME II and Jhpiego, shares strategies and techniques that can be used before, during, and after training interventions to ensure support for the transfer of knowledge and skills to improved performance on the job. The strategies and techniques for transferring learning are presented in an easy-to-use matrix that serves as a table of contents for the rest of the document. A case story illustrates several of the performance factors and demonstrates how to implement some of the ideas shared in the matrix.

Although the guide outlines specific actions for supervisors, trainers, learners, and their co-workers, other stakeholders can also use this information to gain an appreciation of the process and an understanding of the support and resources needed to ensure transfer of learning. (2002) Available in English, French and Spanish.

For more information, contact: The Prime II Project, Intrah, School of Medicine, The University of North Carolina at Chapel Hill, 1700 Airport Road, Suite 300, CB 8100, Chapel Hill, NC 27599-8100. E-mail: intrah@intrah.org. Tel: 919.966.5636. Fax: 919.966.6816.

Note: Printed copies may be ordered for free in limited quantities.

Transfer of Learning Multimedia Tutorial
This 39 minute tutorial discusses the transfer of learning and why it is important; factors that affect transfer and learner performance; key strategies that can be used before, during and after training; and issues related to monitoring and evaluating learning transfer.

The module provides specific guidance to supervisors, trainers, learners, co-workers and others on what each of these groups can do before, during, and after a learning event to increase the likelihood that learning will actually be applied in the service delivery setting. (2003)

The tutorial is available online in English.

Provider Perspective Multimedia Tutorial
This 29 minute tutorial discusses personal characteristics or attributes affecting provider performance; how medical culture affects provider performance; how providers relate to clients and the community; systems and social issues affecting provider performance; and why a provider might avoid providing IUDs. (2003)

The tutorial is available online in English.

Advanced Training Skills for Reproductive Health Professionals
This reference manual is a companion piece to the Clinical Training Skills and Instructional Design Skills reference manuals, and is designed for: 1) all trainers, preservice faculty and clinical preceptors who wish to improve their training skills; and 2) proficient clinical trainers who will be trained as advanced trainers. It focuses on the group process, problem-solving and decision-making skills that all trainers need, and also describes the process of becoming an advanced trainer and coaching new trainers. (2000) Available in English, French and Spanish.

Advanced Training Skills Course Handbook: Guide for Participants
The handbook for participants describes a competency-based training course and includes the course objectives, model course schedule, learning guides and practice checklists, all linked to the reference manual. (2001) Available in English, French and Spanish.

Advanced Training Skills Course Notebook for Trainers
The notebook for trainers contains the precourse and midcourse questionnaires and answer keys and competency-based qualification checklists, in addition to all participant material. (2001) English, French and Spanish.

Clinical Training Skills for Reproductive Health Professionals
This reference manual is designed for the expert service provider who wishes to become a clinical trainer. It focuses on the essential areas of clinical skills training including planning for a training course, creating a positive learning climate, using audiovisual aids, delivering interactive presentations, using competency-based assessment instruments, developing clinical skills, managing clinical practice and conducting the clinical training course (Second edition, 1998). Available in English, French and Spanish. First edition, 1995, available in Portuguese.

Clinical Training Skills Course Handbook: Guide for Participants
The handbook for participants describes a competency-based training course and includes the course objectives, model course schedule, learning guides and practice checklists, all linked to the reference manual. (1999) Available in English, French and Spanish.

Clinical Training Skills Course Notebook for Trainers
The notebook for trainers contains the precourse and midcourse questionnaires and answer keys and competency-based qualification checklists, in addition to all participant material. (1999) Available in English, French and Spanish.

ModCal® for Clinical Training Skills
This CD-ROM uses an interactive multimedia format to help service providers become more effective preservice faculty or inservice trainers. Candidate clinical trainers first complete the ModCal instruction and then practice newly acquired skills under the guidance of an advanced or master trainer. The ModCal CD-ROM is intended for use with other learning materials such as the Clinical Training Skills reference manual, trainer’s notebook and participant’s handbook. (1999) Available in English.

Instructional Design Skills for Reproductive Health Professionals
This reference manual is written for those trainers and preservice faculty members who will function as instructional designers to design, deliver and evaluate reproductive health courses, workshops, seminars and other learning events. It is designed to be used for both inservice and preservice training. (1997) Available in English, French and Spanish.

Instructional Design Skills Course Handbook: Guide for Participants
The handbook for participants describes a competency-based training course and includes the course objectives, model course schedule, learning guides and practice checklists, all linked to the reference manual. (1997) Available in English, French and Spanish.

Instructional Design Skills Course Notebook for Trainers
The notebook for trainers contains the precourse and midcourse questionnaires and answer keys and competency-based qualification checklists, in addition to all participant material. (1997) Available in English, French and Spanish.

Improving Quality, Increasing Access to Reproductive Health Care In African Urban Slums New
Merkel S et al. 2008
To view the publication, please click on the link below.

In the urban slums of Nairobi, women do not have access to quality Reproductive Health Care and Family Planning services. With support from the Wallace Global Fund, Jhpiego/Kenya is currently implementing a program that improves the situation for women and their families. This document provides some of the highlights and lessons learned from the first year of the program.

Now Available Online

Meeting the Health Needs of the Urban Poor in African Informal Settlements New
Merkel S et al. 2007
To view the publication, please click on the link below.

Jane Otai, Program Manager for Jhpiego/Kenya’s Urban Slums Programs, traveled to Ghana in 2007 at the request of the Urban Institute and USAID. She helped evaluate and advise the USAID-funded Community-based Health Planning and Services program on how to adapt a rural-based primary health care program to an urban slum setting. To assist the team in their preparation for that technical assistance, Jhpiego prepared a background document on the health challenges of urbanization in Africa. Jhpiego found that urban slums communities all over Africa – and worldwide – face exceptional and unique difficulties in obtaining quality health care. Lessons learned and successful community-based strategies are discussed in this report.

Now Available Online

Human Resources for Health