Black Lung Clinic Program Evaluation
The Black Lung Clinic Program (BLCP), under the auspices of HRSA's Office of Rural Health Policy, was established to provide support for health clinics to evaluate and treat coal miners with respiratory impairments. Located in 11 states throughout the Mid-Atlantic and the East North Central portion of the Midwest, BLCP-funded clinics provide unique pulmonary and respiratory care as well as outreach and education through 16 community-based organizations.

The goals of the project are to 1) determine the number and location of current and retired miners living in the US, and 2) conduct a general program assessment, including an in-depth cost study. Through these efforts, the Office of Rural Health Policy hopes to gain important information that will help them improve outreach efforts, guide grantee technical assistance activities, and ultimately, improve the overall quality of services to the target population.
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CCHN Primary Care Fund Review
An increase in Colorado's tax on cigarettes and tobacco products became effective January 1, 2005 and created a cash fund that was designated for health-related purposes, including a Primary Care Fund serving the medically indigent. These dollars are allocated to health care providers in proportion to the number of medically indigent patients served. JSI developed a protocol for certifying these numbers and conducted on-site certifications for ten applicant agencies.
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Evaluation and Support to Achieve Healthy People 2010 Objectives for Children and Youth with Special Health Care Needs
This evaluation project is designed to provide the Division of Services for Children with Special Healthcare Needs (DSCSHN) with technical support and expertise to meet its mission of achieving quality community-based systems of services for children and youth with special healthcare needs and their families by the year 2010. JSI is conducting an evaluation and strategic planning to assess the DSCSHN's progress in achieving the Healthy People 2010 Goals and the President's New Freedom Initiative; completing mini-evaluation studies of four initiatives aimed at specific Healthy People 2010 performance measures (Health Insurance, Medical Home, Healthy and Ready to Work and Family/Professional relations); and evaluating and supporting the State Implementation Grantees and National Centers funded under the President's New Freedom Initiative.
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New Hampshire Health Professional Shortage Area (HPSA) Analysis
The NH Office of Rural Health and Primary Care has, for many years, contracted with the Community Health Institute/JSI (CHI/JSI) to conduct health care capacity shortage designations and to provide technical support covering all aspects of HPSA/MUA/P designations. This includes tracking and processing designation renewals, assessing and preparing new designations, working with providers and community members interested in programs accessed through various designations, interfacing with the federal Office of Shortage Designation (OSD) staff, and developing/maintaining a GIS (mapping) enabled database of all pertinent information related to designations and the designation process.

In 2009, the CHI worked with the NH DHHS, the Board of Medicine, and the Governor's office to develop and field the state's first comprehensive physician capacity survey.
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Suffolk County NY Health Center Network Assessment and Strategy Development
The County of Suffolk Department of Health Services engaged JSI to develop a cost effective model to provide primary care services to the medically-indigent and -underserved residents of Suffolk County, New York. The primary goal of the project is to determine the best strategic option for the ongoing operation of the Division's ten Health Centers, referred to as the Health Center Network. Strategy options will be based on the results of practice assessments (operational and financial) for each of the Health Centers, analysis of current users, and a demographic analysis of the Suffolk County population. JSI will further evaluate possible strategy options by developing pro forma financial results and testing for financial viability. JSI will work with the County to determine the best strategic option, develop an implementation plan, and assist the County with implementation in selected areas.
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Tri-Town CHC Needs Assessment and FQHC Development Project
Tri-Town Community Action Agency is a community-based, multi-purpose organization based in Johnston, Rhode Island, that is committed to providing quality, comprehensive health care, social, and advocacy services to individuals and families in need. Tri-Town operates a broad array of programs, including a comprehensive community health center, that are tailored to meet the needs of those at-risk in its service area.

JSI was engaged by Tri-Town to assist them to conduct a brief community health needs and health center operational assessment. However, the primary aim of the project was to assist the agency to develop and submit a Federally Qualified Health Center Application to the Bureau of Primary Health Care so that Tri-Town could become a 330-funded FQHC. JSI staff conducted the needs assessment, a comprehensive operational and program assessment, and then worked with Tri-Town staff to write and submit the application, which was funded in early 2009.
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Vermont 340B Drug Pricing Program
Heinz Family Philanthropies contracted JSI to write a concept paper for the State of VT, Dept of Corrections, that presents options for operationalizing a 340B Drug Pricing Program in VT facilities. Specifically, this paper was written using Federally Qualified Health Centers as the preferred provider of medical services and the most viable qualifying entity for this type of program (340B).
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Central Asia Quality Health Project (ZdravPlus II Project)
The ZdravPlus project supported an integrated and comprehensive approach to health systems strengthening and quality improvements in service delivery. JSI was a sub-contractor and Abt the prime contractor on this project.

Key project components included:

• Stewardship:Strengthen national and local governance, leadership, and capacity to continue improvements in health services through the design and implementation of evidence-based policies, laws, and guidelines and cost-efficient institutional structures, roles, and relationships.
  
• Resource use: Increase equitable access to health services and supplies, through the design and implementation of health financing mechanisms, including pooling of health funds, provider payment systems, health insurance, and basic benefit and outpatient drug benefit packages.
  
• Service delivery: Improve the quality of services according to evidence-based practices at hospital and primary care facilities, through clinical training and mentoring and quality improvement and performance monitoring systems.
  
• Population and community empowerment: Empower individuals and communities to take actions to maintain and improve their health status, and specifically to access, utilize, and benefit from health services of higher quality and at affordable costs.

JSI played a lead role on the project in improving quality of care and enhancing the population's involvement in health care.

Read the following success story about the project: "Stop Diarrhea" in Uzbekistan
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Ethiopia Essential Services for Health (ESHE) Project
In Ethiopia, most of the population have inadequate access to basic services, including health, education, clean water, and sanitation. JSI's Essential Services for Health in Ethiopia (ESHE) project was designed to improve health sector reform, integrated child survival interventions, and health sector reform. Funded by the U.S. Agency for International Development (USAID), the ESHE project worked in collaboration with health offices at all levels to reduce child deaths and strengthen the health system. The Project took a three pillar approach that addressed health provider skills, strengthened the health system, and engaged families and communities to improve family health.

ESHE worked in three regions and assisted health offices in improving the quality and utilization of high-impact child survival interventions in the form of the Extended Program of Immunization (EPI), Essential Nutrition Actions (ENA), and Integrated Management of Childhood Illnesses (IMCI). Key approaches included capacity building, community mobilization, and behavior change communication. Other selected activities included: development of the special pharmacies program, policy reform to allow retention of user fees at health facilities and revision of exemption/waiver practices, and creating a more enabling environment for increased private sector development. Abt Associates, AED, and Initiatives Inc., were sub-contractors to JSI in implementing the project, which ended in September 2008.

Read the following success stories about the project:
Along the Road to Health Extension
Health Extension Workers Ready to Train
Modeling Healthy Behavior for the Community
Promoting Breastfeeding

Read the ESHE Final Report
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Integrated Family Health Program
With a population of 77.9 million, Ethiopia is the second most populous country in Africa. Without significant improvement in the use of family planning (FP), the population will double to 150 million by 2035.

The average woman bears 5.4 children, which places an unsupportable burden on families, communities, and a nation facing chronic food shortages and environmental degradation.

The Integrated Family Health Program (IFHP) is a bilateral component of USAIDs Family Health Program in Ethiopia implemented jointly by John Snow, Inc. and Pathfinder International in partnership with Academy for Educational Development and Consortium of Reproductive Health Association. It is a follow on from the former Essential Services for Health in Ethiopia by JSI and Family Planning/Reproductive Health Project by Pathfinder.

Working across 4 regions in Ethiopia, the Integrated Family Health Program (IFHP) aims to provide an integrated package of services to improve the health of mothers, newborns, and children. Through health sector partnerships, community mobilization, and BCC models, the project works to improve family planning practices; increase the availability and quality of services, products, and information; and strengthen key elements of the national health system to support local health needs. IFHP also works closely with the Ethiopian Ministry of Health to strengthen the national Health Extension Program and provide supportive supervision as well as logistics support to Health Extension Workers.

The IFHP supports USAID-Ethiopias Strategic Objective of Investing in People having a life of program goal of improved family health. Program components constitute family planning, reproductive health, maternal, newborn and child health, malaria prevention and health systems strengthening.
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Kenya: Support to the National Leprosy and TB Program (NLTP)
The Canadian International Development Agency (CIDA) and the Royal Netherlands Tuberculosis Association (KNCV) signed an agreement in March 2002 to facilitate DOTS expansion initiatives in six countries, including Kenya. JSI's office in Nairobi, Kenya was contracted to co-operate in the support of Kenya's National Leprosy and Tuberculosis Program (NLTP) for: organization of customs clearance for all goods arriving in Kenya that had been procured by KNCV for the NLTP, including cars and laboratory equipment; transportation of goods that had been procured by KNCV from port of entrée in Kenya to safe temporary storage; assistance in the registration and insurance of surrendered cars; distribution of cars, laboratory equipment, and supplies to provinces and districts according the distribution list provided by the Central Unit of the NLTP; and providing funds to the NLTP, including administering the expenditure of a portion of the budget.
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LIBERIA Rebuilding Basic Health Services in Liberia (RBHS)
Rebuilding Basic Health Services (RBHS) is a five-year program to support Liberia's goal, outlined in its National Health Policy and Plan, of increasing access to basic health services and strengthening the decentralized management of the health system.

Although Liberia's long civil war left its health care service delivery system fragmented, severely damaged, and heavily dependent on international donors and NGOs, in only a few short years, Liberia has taken bold steps to transition from an emergency relief model of health service delivery to a functioning, decentralized health system. While there is still a long way to go, Liberia's 15 counties have begun operational management of health services with direction and support from the central Ministry of Health and Social Welfare (MOHSW). The cornerstone of this decentralized primary care approach is the basic package of health services (BPHS). RBHS will collaborate entirely with the efforts of the MOHSW to support service delivery outcomes with a focus on the following elements: Family planning, reproductive health, and gender based violence; maternal, neonatal and child health (MNCH); malaria (PMI); HIV prevention; and water and sanitation.

RBHS is supported by USAID and implemented by JSI Research & Training Institute, Inc., with our partners Jhpiego, the Johns Hopkins University Center for Communication Programs, and Management Sciences for Health.
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Sustaining Family Planning and Maternal and Child Health Services in Georgia (Sustain)
The Sustain project is an important evolution with significant next steps. The goal of Sustain is to advance Georgia toward a goal of countrywide access to and utilization of modern, evidence-based and family-friendly maternity care and family planning by simultaneously expanding private sector partnerships (service providers, pharmacies, drug distribution companies); encouraging sustainable, affordable financing mechanisms (insurance coverage, social marketing, low cost contraceptives); institutionalizing evidence-based RH care (public and private clinics, maternities, pharmacies); reforming pre-service training (for doctors, midwives, and pharmacists); and creating educated reproductive health consumers. This vision includes young people just entering reproductive years, young couples growing their families, ethnic minorities, rural and urban couples, and the most disadvantaged in Georgian society.
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