Amsterdam, New York, Needs Assessment
JSI was contracted to work with a health care provider in the City of Amsterdam, located in rural Montgomery County, New York, to provide a health needs assessment and assist in Federally Qualified Health Center (FQHC) development. The project included initial planning, including board development, staffing, service planning, and data for the needs component of the grant application and writing assistance.
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Analysis, Information Management, and Communications Activity (AIM)
The Analysis, Information Management, and Communications Activity (AIM) provides the U.S. Agency for International Development (USAID) with evidence-based information and services to guide the design and management of the Agency's Bureau for Global Health (GH). AIM is committed to helping USAID achieve its strategic objectives in such critical global health concerns as HIV & AIDS and other infectious diseases, nutrition, family planning, and reproductive, maternal, and child health. Analyses of public health issues and research topics by AIM staff guide the technical direction, leadership, and services that GH provides to USAID Missions worldwide. AIM's knowledge management staff delivers technology solutions for tracking and reporting on USAID health programs worldwide. AIM's communications team expands awareness of GH's programs and achievements to key stakeholders through design, editing, and production of print and web-based publications; development and maintenance of GH's external and internal websites; planning and support for live meetings and events; and product evaluation.
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Assessing the Montgomery Cares Program
In May of 2009, JSI was hired by the Montgomery County, MD DHHS and the Montgomery Cares Program to assess the management and governance structures of the Montgomery Cares Program. The program has had outstanding achievements since its inception and on the whole functions well. However, the County and its Community Advisory Board appreciate that there is room for improvement and that they must strive to ensure that all of the county's low income, uninsured, and otherwise vulnerable populations receive the care and services they need. In light of this, JSI conducted a comprehensive series of interviews with the Montgomery Care Program's partners and other key stakeholders in the community as well as a formal review of best practices among other similar, nationally recognized programs. Ultimately, JSI developed a series of recommendations regarding how the current governance and management structures could be improved.
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Assisting Family and Medical Counseling Services, Washington DC
JSI is assisting Family and Medical Counseling Services (FMCS), a Washington, DC-based HIV/AIDS service provider, to become a Federally Qualified Health Center. FMCS received ARRA stimulus funding to support planning for expansion of their primary medical and dental services to be able to serve residents of South East DC. JSI is helping FMCS conduct a needs assessment, redesign their operational systems and procedures, and train the organization's staff and Board to facilitate a smooth transition to becoming a comprehensive primary health care center.
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Beverly Hospital Needs Assessment Community Dissemination
As a follow-up to a comprehensive community health needs assessment that JSI conducted in 2008 and 2009, JSI was contracted to disseminate findings from its needs assessment to city and town administrators and to other community stakeholders. The overall goal of this project was to develop and foster productive partnerships between Beverly Hospital, municipalities in the Hospital's catchment area, and other community organizations in order to address the most pressing community health needs identified in the study. JSI staff facilitated a series of community meetings/forums and developed reports summarizing the assessment's findings, specifically for a number of the area's largest cities and towns.
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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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Business Case Analyses of Telemedicine in Three Community Clinics
In 2007, three community health center organizations were awarded telemedicine grants by the California HealthCare Foundation (CHCF) to utilize telemedicine as a mechanism for increasing access to specialty care. CHCF contracted with JSI to analyze the business case of the telemedicine programs at each organization.

This project investigates questions of financial sustainability and patient volume break-even points. A separate business case will be developed for each of the three clinic organizations, based on a publicly-available financial model reflecting the specifics of each organization. The results of this project will be a greater understanding of the financial considerations health centers must make in implementing telemedicine programs.
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Capacity Building for Smoking Cessation
The JSI Research & Training Institute was hired by the Massachusetts Department of Public Health to provide technical assistance and build the capacity of eight community-based tobacco control programs across Massachusetts to manage and implement free nicotine replacement therapy (NRT) patch giveaway programs. JSI developed a template to guide community agencies and organizations in planning, promoting, and conducting the programs and provided on-going support throughout the process. A Toolkit developed by JSI included a ToDo List and activity timeline, tools for enlisting partners, promoting events, planning and holding a press conference/launch event, conducting giveaways in-person in the community, assisting people in calling for help from the Massachusetts Tobacco Quitline, and sample materials for each stage of the process.
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Caritas Christi Health Care Community Benefit Needs Assessment
Caritas Christi Health Care is New England's largest community-based hospital network. Massachusetts law requires that all non-profit hospitals and health plans submit an annual Community Benefits Report that details the extent to which these institutions provide charity care and support community health activities in their service areas. As part of this requirement, hospitals are expected to conduct periodic community health needs assessments that clarify the leading health concerns, service gaps, and barriers to access for their patients.

In 2009, JSI was engaged by Caritas Christi Health Care, Inc. to assist them with their community health needs assessment for each of their Massachusetts-based hospitals. More specifically, the JSI Project Team compiled and analyzed secondary data drawn from existing federal, state, and local sources as well as analyzed primary data that Caritas Christi collected on their own through a survey administered to patients in clinic waiting rooms.

The goal of JSI's activities was to assist Caritas Christi to determine, in both quantitative and qualitative terms, the leading health concerns for patients in the primary service areas for each of Caritas Christi's hospitals.
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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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CDC HIV Prevention Capacity Building Assistance Program
With funding from the Centers for Disease Control & Prevention, JSI/Denver was responsible for a five-year program to implement a Capacity Building Assistance (CBA) Program for the CDC (directly funded) community-based organizations (CBOs), health departments (HDs) and (health department-funded) CBOs that addressed the HIV prevention needs of Latinos in the CDC-defined Mid-West Region of the United States (CO, IA, KS, MO, MT, NE, ND, SD, UT, WY). The goal of this program was to improve the capacity of CBOs and HDs to implement, improve, and evaluate HIV prevention interventions for high-risk Latino individuals of unknown serostatus, including pregnant women, and people living with HIV/AIDS and their partners.
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Children's Health Fund Consultation
Children's Health Fund (CHF) contracted with JSI to evaluate its "medical home-plus" model and special asthma and mental health initiatives with an aim to developing curricula allowing replication of its programs by other organizations. The resulting manuals will incorporate an evaluation plan identifying appropriate process and outcome measures, and include approaches to surveying parents and teachers in order to assess links between asthma care/mental health care and academic performance.
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Choctaw Tribal Healing to Wellness Court Evaluation
The Choctaw Nation Tribal Court subcontracted with JSI to provide technical assistance and evaluation services in the development of their Tribal Healing to Wellness Court. This specialized court provides intensive case management services for substance-abusing offenders. Evaluation activities included the development of a client tracking database and quantitative and qualitative data collection.
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Community Health Needs Assessment and Community Engagement Project
Northeast Health System (NHS) is a coordinated network of hospitals, long-term care organizations, behavioral health services, and clinicians serving Massachusetts' North Shore communities.

JSI was engaged by Beverly Hospital and NHS to conduct a needs assessment and community engagement initiative to guide Beverly Hospital's efforts to improve the area's health status, ensure that its services and community health programs are responsive to the communities they serve, and build working partnerships with the communities and other stakeholders in the area.

Beverly Hospital Community Health Needs Assessment Executive Summary
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Continuity of Operations Planning for Community Health Centers
The JSI/Community Health Institute in New Hampshire worked with the Bi-State Primary Care Association under contract with the New Hampshire Department of Health and Human Services, Division of Public Health Services (DPHS) to strengthen the ability of agencies receiving Community Health Center (CHC) funding from DPHS to continue to provide health care to low-income and uninsured families throughout New Hampshire under emergency conditions. JSI researched and developed a template Emergency Operations Plan for CHC use, a training for CHC staff, and a Homeland Security Exercise Evaluation Program-compliant tabletop exercise enabling CHCs to test the adequacy of their Emergency Operations Plans.
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Delaware Oral Health Infrastructure
Dental disease is one of the nation's leading health issues and has become what many experts call "the silent epidemic." Millions of people throughout the country suffer from the impacts of dental disease, which disproportionately affects low-income families, minorities and the elderly. In March of 2009, JSI was hired by Delaware Health Care Commission to assist the State in assessing the feasibility of three high-impact strategies to address oral health workforce shortages and expand access to services for the state's most vulnerable populations. As part of this project, JSI is conducting a comprehensive series of interviews and a review of best practices nationally in order to identify the most appropriate models. More importantly, JSI is pursuing a rigorous operational and financial analysis to determine the financial sustainability and estimate the impact of the models identified.
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DPH HIV Policy Research
JSI Research & Training Institute, Inc. conducts a range of policy research and evaluation to assist the Massachusetts Department of Public Health (MDPH) HIV/AIDS Bureau (HAB) with prevention, treatment, and systems development activities. JSI provides technical expertise with respect to the local epidemic while placing it in the context of national epidemiologic trends, government policies, and research findings.
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Dutchess County Comprehensive Cancer Control Plan
In Dutchess County, New York (population approximately 295,000), cancer is the second leading cause of death, surpassed only by heart disease. The Dutchess County Department of Health (DCDOH) has shown extraordinary commitment to cancer control in the county through their development of a Dutchess County Cancer Advisory Council (CAC) and commitment to the development of a county-level cancer control plan. As part of this effort, DCDOH hired JSI Research & Training Institute to conduct a comprehensive assessment of cancer prevention, screening, treatment, and support services in the county.

As part of this assessment, JSI conducted several activities, including: an epidemiologic profile of the cancer burden; key informant interviews with key stakeholders; a resource inventory that systematically describes cancer control resources; and focus groups to learn from community health workers, consumers, and potential consumers of cancer services about their perceptions of the availability and quality of those services.

Overall, the findings of the comprehensive assessment could be categorized into three main themes: Information and education; access to care and concern for disparities; and quality of care. These themes and recommendations following from them were developed in greater detail in the full report given by JSI to the Department of Health. Together, these themes and recommendations form a basis and provide direction for the next stage of Comprehensive Cancer Control in Dutchess County.

JSI presented these findings at the FDR Presidential Library in Dutchess County in October 2007. Attendees had an opportunity to provide feedback on the needs assessment at the event and afterwards, prior to the completion of the final document.

Download report
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Enhancing Health Care Delivery to the Medically Underserved and Indigent in Nashville and Davidson County
The Metropolitan Government of Nashville and Davidson County (Metro) contracted with JSI to assess the delivery of health care to the medically-underserved and indigent population in the County, and to identify opportunities to enhance services while reducing the total annual cost to Metro. JSI gained a thorough understanding of the local environment and researched successful attributes of safety net models nationally. Based on this research, JSI recommended a more cost effective model for Nashville/Davidson County's safety net system.
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Evaluating Telemedicine to Improve Access and Efficiency at California CHCs
JSI Research & Training Institute, Inc. has been hired by the California HealthCare Foundation to evaluate three telemedicine demonstration projects being implemented at community health centers in California. Two are urban focused programs in the San Francisco and Los Angeles areas, while the third is a rural health program in the far northern counties of California. Each of the clinics and networks chose a telemedicine model, using telecommunications and information technologies to provide health care remotely, to meet the needs of their patient populations.

JSI will be evaluating perceptions of improvements from the patient, provider, and staff perspectives, as well as the impact of telemedicine on access to specialty services by low-income and uninsured patients.

JSI will produce three case studies that will highlight the challenges to implementation and sustainability, the potential for replication of programs, and key factors for success of these models.
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Evaluation Design and Implementation for the Childhood Healthy Weight Initiative
Being overweight as a child is associated with negative health outcomes, including Type 2 diabetes (previously a disease afflicting primarily adults), high blood pressure, high cholesterol, asthma, joint problems, and gallbladder disease, as well as depression and anxiety. The childhood obesity epidemic in upstate New York and Monroe County mirrors that in the United States at large. The Greater Rochester Health Foundation (GRHF)'s Childhood Healthy Weight Initiative is a multifaceted, 10 year commitment with a single goal: to increase the prevalence of healthy-weight children from 70% to 85% by 2017.

JSI has been contracted to conduct an evaluation of the Initiative's successes in the past three years and to propose refinements to the GRHF's approach to improve these outcomes. JSI will provide analyses, and potentially primary data collection, to help GRHF improve evidence-based decisionmaking with respect to the Initiative.
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Governor's Commission on Healthy Aging
JSI worked with the State of Vermont to help design and implement the Governor's new Commission on Healthy Aging, sponsored by the National Governor's Association. Goals of the initiative included establishing a new Commission on Healthy Aging, identifying and treating older adults with depression, and collaborating with the state to create a health education strategy that will target rural older adults and their unique needs. The Healthy Aging Plan developed under the project was included by legislature in the May 2006 Vermont Health Reform Bill.
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H1N1 Influenza Vaccine Project
JSI Research & Training Institute, Inc. was engaged by the Massachusetts Department of Public Health to hire, train, and deploy a field staff to assist in the roll-out of novel human virus H1N1 (swine flu) influenza vaccine within the Commonwealth, as it becomes available. The Research Associates (RAs), under the guidance of JSI consultants, will answer health provider questions regarding registration as a providing site, allocation of vaccine and reporting of vaccine use. They are assisting providers and the DPH to resolve any difficulties arising in the process. Additionally, the staff will track deployment and depletion of vaccine stocks, and analyze data looking for gaps in availability. RAs will help to ensure the timely reporting of data to the Commonwealth's Vaccine Unit, and coordinate reporting with CDC.
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Hunger-Free and Healthy
JSI is the evaluator for the Hunger-Free and Healthy (HFH) Program supported by the Health Foundation of Central Massachusetts (HFCM). HFCM has funded the Worcester County Food Bank as the lead agency in a coalition of groups promoting food security and healthy eating in the City of Worcester. Activities include advocating for healthier foods in schools, promoting policies that support access to fresh and local foods (including farmer's markets), community gardens and increased access to fruits and vegetables at corner stores.
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Indian Health Service Urban Indian Health Program Uniform Data System
JSI has been contracted for five years by the Indian Health Services, Urban Indian Health, to develop and implement an automated process for collecting, validating, and disseminating Uniform Data System (UDS) information from all Urban Indian Health Programs (UIHPs) across the country. The IHS is required by law to conduct an annual program review using various program standards of IHS and to provide technical assistance. The snapshot provided by the UDS shows the full activity of each program, including services provided, staffing, productivity, characteristics of individuals served, payor mix, and finances. The OUIHP and its programs collect this information to support program improvement at the national and program levels.
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Infertility Prevention Project - Region 8
JSI received supplemental funds from the CDC to coordinate infrastructure activities in Region 8 for a national infertility prevention program. The program was based on the premise that timely treatment for Chlamydia trachomatis can reduce the debilitating complications caused by this sexually transmitted disease, including pelvic inflammatory disease (PID), ectopic pregnancy, and infertility. The program's goal is to provide routine screening and treatment services for Chlamydia trachomatis infection in family planning and sexually transmitted diseases clinics. JSI advised the program on data collection and maintenance, service protocols and the development of quality assurance systems. JSI also evaluated regional data, and coordinated trainings as well as regular advisory committee meetings.

The project continues under a new contract
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Lahey Clinic Community Needs Assessment and Engagement Project
Since it inception in 1923 the Lahey Clinic Medical Center (LCMC) has been an active community partner and has been committed to working with the communities it serves to identify and address unmet health and social needs. LCMC in Burlington, Massachusetts hired JSI to conduct a Community Health Needs Assessment and Community Engagement Project that 1) assessed the health and social service needs and priorities of the major cities and towns in LCMC's service area, 2) reviewed the effectiveness and impact of LCMC's current community health programs, and 3) assisted LCMC to develop a community health strategy to guide their community health investments over the next 3-5 years.
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Landscape Analysis on eVisits Across the Safety Net
JSI Research & Training Institute, Inc. has been asked by the California HealthCare Foundation (CHCF) to evaluate activity in the e-Visit arena with the goal of providing internal guidance to CHCF on potential strategies to support or enhance safety net efforts around electronic visits in California. This will include identifying and defining the spectrum of electronic patient visits. The landscape analysis will cover the use of health information technology tools and supporting practices that are relevant to providing such services as:

• Triage,
  
• Patient education,
  
• Medication management,
  
• Consultations and referrals,
  
• Chronic disease management, and
  
• Follow ups.

The focus will be on safety net organizations, but will also explore innovative practices by those who are paying for these services, such as Medicare, Medicaid, indigent care programs, as well as any private payor agencies identified during this research.
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Lyme Disease Assessment
Massachusetts consistently ranks in the top ten states in the US in reported Lyme disease cases, and its numbers are decidedly on the rise. JSI was contracted by the Massachusetts Department of Public Health, Bureau of Communicable Disease Control, to conduct a statewide needs assessment to explore the public's perceptions, knowledge, attitudes, and preventive behaviors with respect to Lyme disease, and to gain a better understanding of primary care providers' experiences, practice patterns, and knowledge of Lyme disease.

The goal of the project was to provide information to the Massachusetts DPH that would guide them in their efforts to reduce the overall incidence of Lyme disease and promote community awareness, while also encouraging prompt recognition, appropriate diagnosis and effective treatment of the disease by the medical community.

MA Lyme Disease Needs Assessment Final Report
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Management Reengineering Across Safety Net Clinics - California HealthCare Foundation
In an effort to evaluate process reengineering efforts taking place across the healthcare safety net, JSI Research & Training Institute, Inc. has been asked by the California HealthCare Foundation (CHCF) to develop a publicly available Issue Brief in the domain of management reengineering across safety net organizations. JSI will identify practices applied to safety net clinics in reorganizing their practices to achieve additional efficiencies. While not tied to the adoption of health information technology (health IT), health IT will be one aspect that is evaluated in this domain. In addition, the landscape analysis will evaluate, but not be limited to, the following components:

• Lean
  
• Six sigma
  
• Patient visit redesign
  
• Medical home models
  
• Continuous quality improvement
  
• Business process modeling

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Metro Community Provider Network, Patient-Centered Medical Home and Chronic Care Model
Metro Community Provider Network (MCPN) is a Section 330-funded Federally Qualified Health Center (FQHC) and has provided medical and health education services to the underserved since 1989. In 2004, with support from the Colorado Health Foundation and the Medical Center of Aurora (TMCA), MCPN developed Potomac Street Health Center (PSHC), a clinic for the purposes of serving an older adult population (primarily 55 and older) facing barriers to health care as well as individuals with disabilities and with chronic and complex health conditions.

John Snow, Inc. (JSI) was contracted in early 2009 to assist PSHC in the development of a Medical Home and Chronic Care Management Model. JSI Analyzed PSHC's services, operations, electronic health record and current users in terms of number, demographics, and health status; as well as conducted an external review of community resources, referral partners and potential collaborators to determine what steps PSHC needed to take to move from their current state to the agreed upon model. In addition, JSI created an evaluation plan and assisted in conducting the evaluation that allowed PSHC to determine how effectively it was implementing the new care model and if the model is producing the desired results.

The medical home model was then spread through the other nine MCPN sites.

In early 2010, JSI was once again contracted by MCPN to assist them in applying for patient-centered medical home (PCMH) recognition with the National Committee on Quality Assurance (NCQA).

Download PSHC Patient-Centered Medical Home and Chronic Care Model Report
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Minnesota MSM HIV Prevention
The HIV/AIDS epidemic continues to increase among gay, bisexual and other men who have sex with men. The Minnesota Department of Health (MDH) contracted with JSI to learn more about the current status of HIV prevention in the MSM community in Minnesota. JSI conducted key informant interviews, focus groups, and an online survey to assess the current view of HIV & AIDS among members of the gay and bisexual men's community, to learn about their perception of existing HIV prevention services and to get a sense of what an ideal HIV prevention service system might look like going forward.
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Needs Assessment of Grandparent Caregivers in Dona Ana County, New Mexico
More than 2.4 million grandparents in the US are raising 4.5 million children - numbers that have risen steadily since the 1970s. Geographically, the southern states of the US have the highest rates of grandparent co-residents and grandparents who are responsible for raising their grandchildren. In 2004, the New Mexico State Legislature awarded funds to the Housing Authority of the City of Las Cruces to provide housing options for grandparents and other caregivers raising children (GRCs). To help develop appropriate and effective services to meet the needs of grandparents raising grandchildren, the City of Las Cruces contracted with JSI in 2007 to conduct a comprehensive housing and social services needs assessment in Doña Ana County, NM.

Working with the Housing Authority of the City of Las Cruces, the City of Las Cruces Senior Programs, and the Grandparents Raising Grandchildren Housing Study Committee, JSI surveyed over 100 grandparents raising grandchildren in the county. The results of the survey and the needs assessment were presented to local government officials and community service providers in February 2008.

Download report
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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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New Hampshire Survey of Dentists and Dental Hygienists
JSI has been contracted to conduct surveys of the Dentists and Dental Hygienists licensed in New Hampshire, and to develop reports and presentations based on the findings. The surveys are intended to describe the current provider pool in the state, and examine factors that influence current capacity and the future supply of dental providers. The project will also involve crosswalk analysis of the current state provider licensing lists in comparison to the lists from several years earlier, to identify trends in dental providers entering and leaving the state. The project is a collaboration between the Bi-State Primary Care Association, the NH Dental Society, and the NH Department of Health and Human Services.
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NH Healthy Eating Active Living Initiative
JSI was contracted by a partnership of foundations and state agencies in New Hampshire to develop a statewide plan for promoting healthy eating and active living to improve health and quality of life for all NH residents. JSI facilitated a process led by a statewide Steering Committee composed of representatives from schools, health care industry, businesses, communities, and government.

Five workgroups were established to prioritize policy, educational and programmatic interventions to promote individual wellness, including: schools, health care industry, worksites, food and recreational industry, and community. A statewide conference was convened to present the recommended interventions by sector.

Download HEAL Action Plan
Download HEAL Executive Summary
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Open Door Evaluation
JSI evaluated a unique model to build cultural competency for working with lesbian, gay, bisexual and transgender seniors throughout the elder services network in Massachusetts. The evaluation employed qualitative and quantitative methods to measure the effectiveness of the Open Door Program through both process and outcome measures. Various perspectives were incorporated into the evaluation including AAA/ASAP executive directors, Task Force members, the Open Door Program Director and Open Door advisory board members.
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Peak Vista Access and Retention
Peak Vista Community Health Centers contracted JSI to identify potential causes of patient attrition (particularly within the Medicaid, State Children's Health Insurance Program and Medicaid payer groups), and to identify specific steps that could be taken to reduce attrition and facilitate a more desirable payer mix. Peak Vista is headquartered in Colorado Springs, Colorado and provides comprehensive primary care to over 54,000 individuals in El Paso and Teller Counties of Colorado.

Attrition data was analyzed to identify departments/panels experiencing the most attrition, and the points of contact at which attrition most commonly occurred. On-site visits, patient record reviews, and patient surveys were conducted to better understand potential contributors to attrition and help identify potential action steps for attrition reduction. These visits focused on enrollment processes and included customer satisfaction surveys related to the enrollment process. Additionally, attrited patients were interviewed by phone to explore reasons for attrition.

Based on the findings of the data analysis and on-site visits, potential factors that may contribute to attrition or inhibit retention among Peak Vista members were identified. Subsequent interviews with Peak Vista leadership explored the feasibility of changing practices to address barriers to member retention, while upholding Peak Vista's mission and commitment to foster hospitality throughout the organization.

Peak Vista's Action Team will use the findings of the report to further its goal of increasing patient retention.
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Planning Phase of the Comprehensive Evaluation of the Delaware Health Information Network (DHIN)
Delaware Health Information Network (DHIN), an operational health information exchange, engaged JSI to develop an evaluation plan to understand the value of health information exchange for its stakeholders. JSI worked with Delaware stakeholders to identify potential measurements of DHIN benefits, understand challenges and limitations of specific measurement approaches, identify existing and new data sources that are required for the evaluation, and clarify resources of both DHIN and its stakeholders for participation in the evaluation.

JSI developed an evaluation project plan for the DHIN to be executed over a two year time period. This plan included evaluation metrics developed by JSI and selected by the DHIN Evaluation Steering Committee. For each metric, the plan outlines the definition and the hypotheses being tested, a brief description of the evaluation methodology, and potential methodological considerations.
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Regional Quality Indicators Project (RQIP) - Region VIII
Since 2001, JSI Denver has coordinated the RQIP with the Region VIII Family Planning Program Grant Directors to implement a set of quality indicator tools and collect data using the tools at a number of pilot sites throughout Region VIII. The Region VIII Regional Quality Indicators Project (RQIP) was developed to assist Region VIII Title X family planning clinics with the collection of quality assurance data for the purpose of improving the services offered by the clinics. RQIP utilizes a defined set of common indicators to evaluate the quality of care provided in Region VIII Title X family planning clinics. For the needs of the RQIP process, the focus is on quality indicators related to reproductive health. The goal of the project is to enable the family planning clinics to monitor and ultimately improve the quality of care they provide, by implementing performance measurement and quality assurance systems. The purpose of the project is to enable the Title X programs to communicate the quality of the services provided by their clinics.
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Revision of the Federal Rules for HPSA/MUA/P Designation
JSI has been awarded a contract with HRSA's Bureau of Health Professions to revise and consolidate the rules by which federal shortage area designations are evaluated (including HPSAs, MUAs, & MUPs). In the decades since they were created, these designations have become the foundation upon which nearly every component of the federal health care safety net system now rests to some degree. As such, changes to these rules are of intense interest to all stakeholders in the federal safety net system. This project follows two prior attempts to revise the rules over the past 10 years, both of which resulted in intense resistance from such stakeholders.

JSI staff will work with the Bureau of Health Professions and a panel of national experts in health care access, to craft revisions to the current rules. JSI will be responsible for conducting extensive analysis in support of the factors being considered for inclusion, and ultimately for evaluating the likely impact of the changes adopted on the existing safety net infrastructure nationwide.
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Rhode Island HIV Quality Management Project
JSI has contracted with the Rhode Island Department of Health to implement an HIV Quality Management initiative with Ryan White Title II-funded providers. The overall goal of this project is to increase the capacity of Rhode Island HIV/AIDS services providers to implement quality management activities that will improve the quality of care provided for persons living with HIV/AIDS in Rhode Island.
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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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UDS Data System
Since 1999, the BPHC has contracted with John Snow, Inc. (JSI) to manage the data collection, validation and dissemination of the Uniform Data System (UDS) data and to assure timely and accurate data is available to users of the information. The UDS is a sophisticated, highly technical and constantly evolving reporting system. The activities performed under this contract assure that the UDS data is accurate and accessible in formats that are useful.
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Uncompahgre Medical Center Strategic Plan
JSI assisted the Uncompahgre Medical Center (UMC) in developing a market analysis that was used as a basis for developing a strategic plan. The plan set the future direction for the clinic and allowed it to respond to the community's needs.
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Uniform Data System for Urban Indian Health Program
The Indian Health Services' Urban Indian Health Program (UIHP) contracted with JSI to manage the data collection, validation and dissemination of the Uniform Data System (UDS) data and to assure that timely and accurate data is available to users of the information. The UDS is a sophisticated, highly technical and constantly-evolving reporting system. The activities performed under this contract assure that the UDS data is accessible in formats that are useful.
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Urban Hispanic/Latino MSM HIV Prevention Project
The Colorado Department of Public Health and Environment (CDPHE) contracted with JSI to conduct a formative evaluation to guide HIV prevention services for urban Hispanic/Latino MSM in 2010. JSI held focus groups and interviews with Hispanic/Latino men who have sex with men and who live in the Denver Metro area. The qualitative data was then analyzed for common themes and a report was made to the CDPHE and the agencies funded to provide HIV prevention services within the Denver Metro Area.

HIV Prevention Needs Among Hispanic/Latino Men Who Have Sex with Men in the Denver Metro Area Report
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Vermont Health Care Provider Education Initiative
The Vermont Department of Health Tobacco Control Program contracted with JSI to provide training and technical assistance around the state assisting medical practices to develop systems to determine the smoking status of every patient at every visit as a standard of care. This included an intervention and fax-referral for smokers for evidence-based assistance. JSI also coordinated the implementation of a pilot project to supply participating providers with nicotine replacement products to be dispensed to patients who were willing to make a quit attempt, but were unwilling to avail themselves of services.
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Vermont Rural Health and Primary Care Plan
Under contract with the Vermont Department of Health JSI facilitated a strategic planning process to develop a State Plan on Rural Health and Primary Care. The plan is a requirement of the Federal Office of Rural Health Policy as part of the funding requirements for all State Offices of Rural Health. In addition the plan provided guidance for primary care activities and the Rural Hospital Flexibility (FLEX) Program.

Download the Report
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Westerly, RI Environmental Health Profile
Southeastern Rhode Island communities face unique environmental health concerns. While claiming an abundance of assets in the form of natural resources, several of these communities nevertheless face a combination of concerns that reflect a crossing of rural, suburban, and even urban issues. JSI was hired by citizen advocates to use proceeds from a settlement with a polluting textile mill in Bradford, RI to advance local environmental health in mill communities of Southern Rhode Island. Working to bring residents together with a broad range of community and regional organizations, JSI provided residents with the information and resources to help identify and address the most important environmental health concerns facing their families.
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Youth Substance Abuse Services Needs Assessment and Business Planning Project
JSI was contracted by CAB Health and Recovery Services (CAB) to conduct a needs assessment and strategic planning project aimed at assessing the demand for, and supply of, youth substance abuse services in CAB's service area. Based on anecdotal reports as well as its own experience, staff at CAB believe that there are major gaps in these preventive and treatment services in the North Shore area of Massachusetts. The goal of this assessment is to provide CAB with the information it needs to better understand the extent and nature of existing service gaps in order to develop sound business plans.
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Botswana Injection Safety Project
JSI Research & Training Institute, Inc. (JSI) has been awarded a five-year cooperative agreement from the Centers for Disease Control and Prevention (CDC) to implement the Botswana Injection Safety Project. Over the past five years, JSI has implemented the Making Medical Injections Safer (MMIS) project, a PEPFAR-funded initiative, to prevent the medical transmission of HIV and other bloodborne infections through injection safety and health care waste management interventions. These interventions assure that every injection given is safe, necessary and does not pose a risk to the patient, provider, or community. JSI has implemented the MMIS project in close partnership with the Government of Botswana (GOB) and local stakeholders. The MMIS project made significant progress in expanding injection safety interventions in 10 of the 24 districts in Botswana. The follow-on Injection Safety project will build upon the success of the MMIS project and further expand injection safety and healthcare waste management interventions to additional districts. To achieve these goals, JSI will provide technical assistance to the GOB and leverage resources from existing partnerships with local stakeholders.
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Cancer Anti-Stigma Initiative in South Africa (LIVESTRONG-JSI )
In 2010, cancer became the leading cause of death worldwide. Nearly 50% of new cancer incidence and 2/3 of cancer deaths now occur in low and middle-income countries. In many of these countries, the stigma associated with cancer is a barrier to treatment and contributes to the high rates of mortality.

JSI recently was selected as the implementing partner for a cancer anti-stigma project in South Africa. Funded by LIVESTRONG, the goal of the project is to reduce stigma associated with cancer through culturally-relevant and targeted messaging while raising awareness of the global cancer burden.

In 2009 LIVESTRONG launched its Global Cancer Campaign, seeking to address the pervasive problem of stigma around cancer in communities worldwide, working in one country at a time. LIVESTRONG identified South Africa as the initial site for its international work in stigma due to the high level of stigma in country, significant cancer prevalence, and the presence of potential partners and collaborators.
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Djibouti: Expanded Coverage of Essential Health Services (Projet PECSE)
In 2004, the Expanded Coverage of Essential Health Services in Djibouti Project (Projet PECSE) was awarded by USAID to provide the population, in particular those in rural districts, with a package of quality health services to improve access, reduce morbidity and mortality rates among women and children, and promote full community participation in health services delivery.

The Republic of Djibouti was confronted with enormous health problems, evidenced by extremely high infant and maternal morbidity and mortality, as well as poor accessibility to basic health services, especially for rural populations. Much of the health infrastructure, damaged in a recent civil war, consists of auxiliary health posts with limited capacity to offer quality services or to engage community participation.

The Project, which closed in 2008, collaborated with other local technical and financial partners to support the Government of Djibouti's Ministry of Health in it's efforts to improve the availability of basic care, to improve infrastructure in rural districts, to improve the training of health professionals in the country, and to improve basic support systems especially HMIS.

Read the following success story about the project: New Breed of Community Organizer: Saida of Daley Af Obock District, Republic of Djibouti

Read the 2006 annual report
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Egypt Takamol Project
The Integrated Reproductive Health Services Project, Takamol, builds on a thirty year partnership between USAID and Egypt, assisting the government to improve health outcomes for newborns, mothers and families.

The Takamol approach strengthens community mobilization and involvement in local Ministry of Health and Population (MOHP) health units and hospitals as driving forces for change, in addition to strengthening the capacity of health facility managers and ministry officials to sustain improvements in the quality of care.

Improving the quality of care in 200 primary health care units and 25 district and general hospitals in 12 different Upper and Lower Egypt governorates begins with the renovation and equipping of the units, and is complemented by the training of health care service providers and community outreach workers. The inclusion of community residents on reactivated clinic and hospital management boards puts decisionmaking in the hands of the community.

With the active participation of community development associations, religious leaders, youth, women, schools and universities, agricultural and irrigation extension workers, literacy facilitators, the local media, and the local private sector, the Takamol Project establishes a foundation for sustainable change.

The Takamol Project is implemented by Pathfinder International through the funding support of USAID. Collaborating partners include: JSI; Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health; Meridian Group International, Inc; and American Manufacturers Export Group.
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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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ETHIOPIA Saving Newborn Lives Project / Community Based Interventions for Newborns in Ethiopia (COMBINE) Project
Nearly 120,000 newborns die of preventable causes annually in Ethiopia. The high neonatal mortality rate is attributable to various factors: A majority of the population is at least 10 kilometers away from a health center and coverage of maternal and child health services in the country is extremely low. Nearly half (44%) of neonatal deaths in the country are due to infections, most of which are easily treatable. Unfortunately, treatment is not readily accessible to communities and few caretakers seek care at health centers when their child is ill.

Under the Saving the Newborn Lives Project, Save the Children USA and John Snow, Inc. in collaboration with the Federal Ministry of Health (FMoH), Ethiopian Paediatrics Society, WHO and UNICEF will conduct a randomized control trial for community-based treatment of neonatal infections and pneumonia using these health extension workers with support of Community Health Promoters for the promotion of essential newborn care practices, recognition of danger signs, and prompt care seeking in households. This study aims to assess the effectiveness, feasibility, acceptability and cost of integrating community-based management of neonatal infections and pneumonia by HEWs into the current Ministry of Health's training and implementation of IMNCI as well as building the capacity of HEWs and CHPs to improve newborn care practices, home management of illness, and care seeking practices for sick neonates.
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Ethiopia Urban Health Extension Program (UHEP)
The Ethiopia Urban Health Extension Program (UHEP) is a three year program funded by USAID which aims to support at scale, implementation and monitoring of the Government of Ethiopia's UHEP and improve access to and demand for health services. More specifically, the program aims to strengthen the capacity of UHEWs to identify Most At Risk Populations (MARPs) in their catchment areas and provide public health services to improve their overall health outcomes including HIV prevention, care and support services. To meet these expected results, the UHEP Program will implement a strategic approach that will reach MARPs. All strategies and activities put forward under the UHEP Program will focus on establishing and strengthening the bridge between MARPs and the UHEP mainly through the UHEW but also through engaging Civil Society Organizations and Community Based Organizations working with these populations.
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GEORGIA Survive Project
In the Republic of Georgia, breast and cervical cancer are a major cause of mortality and morbidity among adult Georgian women. Georgia has the highest rate of deaths from breast cancer among all former Soviet Union countries, and data on cervical cancer are equally alarming.

The Survive Project increases public awareness of breast and cervical cancer among reproductive aged women by promoting early detection methods and screening for both types of cancer. The Project also reinforces provider skills through trainings in best screening practices, and strengthens existing health systems by building a robust referral and treatment network.

The Survive Project was initially a USAID-funded 1 year grant awarded in March 2009. In March 2010 it was extended 6 additional months and is now due to close in August, 2010. Survive also draws on the strengths and support of a consortium of local partners as well as UNFPA, the Susan G. Komen Foundation, and the World Bank.
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Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood (SC4CCM)
The Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood (SC4CCM) project aims to demonstrate that supply chain constraints at the community level can be overcome, and that doing so may yield significant improvements in the effectiveness, scale, and impact of CCM.

SC4CCM will identify, demonstrate, and institutionalize supply chain management (SCM) practices that improve the availability and use of selected essential health products for treating children under five in community-based programs.

The Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood project is a five-year initiative funded by the Bill & Melinda Gates Foundation.
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INDONESIA Health Services Program (HSP)
The Health Services Program (HSP) is improving the health of women and children in priority districts in Indonesia and strengthening the link between elected officials, health providers, and the communities they serve. The Program is designed to reduce mortality among mothers, newborns, and children and to improve health facilities which deliver basic human services.

Part of the Basic Human Services Package, HSP is a bilaterally funded program supported by the United States Agency for International Development (USAID) and the Government of Indonesia. Through September 2009 JSI Research & Training Institute, Inc. worked with University of Indonesia - Center for Family Welfare (PUSKA-UI), Abt Associates, Inc., The Manoff Group, Inc., and Mercy Corps to provide technical assistance to implement the program. From October 2009 through September 2010 JSI is working with University of Indonesia - Center for Family Welfare (PUSKA-UI) on a 1 year project extension specifically with Malang and Pasuruan districts, intensifying its integrated services and documenting the effects and lessons of its various evidence-based interventions.

The Health Services Program has implemented maternal, newborn, and child health interventions at the district level, and worked with health facilities, NGOs, and community organizations as well as the private commercial sector. The Program has establishing strong coordination mechanisms with other donors and other USAID-funded programs to maintain consistency in program approaches.

HSP also assists districts to improve planning, budgeting and management of their own programs using evidence-based data. These initiatives are tailored to the needs of individuals and communities. The project has also addressing new and emerging health issues, such as tsumani relief and avian influenza.

To learn more, read our annual reports:
2007 annual report
2006 annual report

Read a recent report on mental health in post-conflict situations, human rights and international mental health produced under the project, Community Mental Health Treatment, Protection and Promotion for Women and Children in Aceh: Findings from an Evaluation of Programs Supported by the Health Services Program.

Read the following success stories about the project:
A Father Delivers!
JSI Serves Indonesian Earthquake Survivors
Building the Capacity of Communities to Address Mental Health
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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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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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Making Medical Injections Safer (MMIS)
Poor injection and sharp waste disposal practices for preventive and curative services pose an avoidable risk of transmission of deadly diseases such as HIV, hepatitis B, and hepatitis C to consumers, health care providers, and communities. In 2004, as part of the President's Emergency Plan for AIDS Relief (PEPFAR) focusing on countries with high HIV prevalence, JSI Research & Training Institute, Inc., and its subcontractors, Program for Appropriate Technology in Health (PATH), Academy for Educational Development (AED), and the Manoff Group, were awarded funds through the Centers for Disease Control and Prevention (CDC) and the US Agency for International Development (USAID) to implement "Rapid Interventions to Decrease Unsafe Injections" in 11 countries. The project is commonly known as Making Medical Injections Safer (MMIS). By the end of the project and with national counterparts, MMIS will establish an environment where patients, health care workers, and the community are better protected from the medical transmission of HIV and other bloodborne pathogens.

Read the following success story about the project: Integrating Injection Safety into the National Nursing School Curriculum
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NEPAL Family Health Program (NFHP) II
The public sector health care system in Nepal has the potential to provide quality primary health care throughout the nation. There are a number of obstacles, however: difficult terrain in the middle hills and mountain regions, inadequately trained and supervised staff, and a lack of consistent supplies of essential drugs, resources and equipment.

JSI has worked in Nepal since 1981 to assist the government in developing a functional health care system that integrates health services to meet people's needs. Under the USAID-funded Nepal Family Health Program II (NFHP II), JSI will follow up its successful predecessor, the Nepal Family Health Program, to improve the delivery and use of basic public sector family planning, maternal, newborn, child health, and literacy/life skills services, in a manner that builds local capacity and encourages stakeholder collaboration. Working with government and NGO partners at national and district levels, NFHP II will work to improve policy and strengthen leadership and management capacity; improve service delivery; spearhead innovative approaches in community-based maternal and neonatal care, including nutrition; and increase community participation in health decisions and activities.

To learn more, read our 2007 semi-annual report .

Read the following success story about the project: Empowering Individuals While Treating Communities
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NIGERIA Targeted States High Impact Project (TSHIP)
Nigeria represents less than 1% of the world's population, but accounts for 10% of global infant, child and maternal mortality. The worst situations are consistently found in the northeastern and northwestern regions of the country. Under-5 mortality in Bauchi (NE) is 260/1000, and in Sokoto (NW) it is 269/1000. Maternal mortality in Bauchi is 1549/100,000 live births and in Sokoto 1500/100,000.

The Targeted States High Impact Project (TSHIP) is a five-year, USAID-supported project which aims to strengthen healthcare delivery in Bauchi and Sokoto states. TSHIP is working to establish strong and durable bonds between community institutions and the healthcare delivery system to improve household health practices and increase people's use of health services. Through TSHIP, all wards in Bauchi and Sokoto will benefit from improved health systems and management, as well as higher quality service delivery for family planning, antenatal care, complicated pregnancy, emergency obstetric and neonatal care, routine immunization, vitamin A distribution, and child health.

To manage TSHIP, JSI Research & Training Institute, Inc. has partnered with Jhpiego, Futures Group International, LLC, The Center for Development and Population Activities (CEDPA), as well as one Nigerian organization, Management Strategies for Africa (MSA).
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PAKISTAN Initiative for Mothers and Newborns (PAIMAN)
Pakistan's maternal and newborn mortality rates are some of the highest in the subcontinent. Every 20 minutes, a Pakistani woman dies due to complications of pregnancy. More than 60% of newborn deaths occur within the first week of life. The majority of these maternal and newborn deaths occur at home.

The Pakistan Initiative for Mothers and Newborns (PAIMAN) is a six-year, USAID-funded project aimed at building the capacity of the existing health system and fostering a community-based approach to ensure a continuum of care for mothers and newborns. The project uses the Pathway to Care and Survival, developed by JSI's MotherCare project, to create an environment of increased awareness and informed decision making across all levels of the health systems. PAIMAN is working in 24 districts across all four provinces and AJK (Azad, Jammu and Kashmir), including the conflict zones of Swat, Buner, and Dir. In addition, PAIMAN is working with two agencies in two frontier regions in FATA.

The PAIMAN consortium is led by JSI Research & Training Institute and includes the Aga Khan University, Contech International Health Consultants, Greenstar Social Marketing, Johns Hopkins University-Center for Communications Programs, Pakistan Voluntary Health & Nutrition Association (PAVHNA), The Population Council, and Save the Children.

Read the following success stories about the project:
Good Information Leads to Good Will
Transforming Medical Practices for Individuals and Communities
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Sudan HEAR Project
JSI has been awarded a subcontract to integrate health services and messages into basic education in the three transitional counties of Sudan (Blue Nile, South Kordofan, and West Kordofan). The Health, Education and Reconciliation Program (HEAR) is a three-year project funded by USAID that will run from 2006-2009. The goal of HEAR is to improve the quality of primary education and link education to community mobilization and essential health services. JSI's role is build the capacity of teachers, parents and the community in an effort to:

• improve immunization coverage and nutritional standards;
  
• create and strengthen linkages between health clinics and the primary school system; and
  
• raise awareness regarding best practices for improved hygiene and basic sanitation for primary school children.

Specific activities will include the recruitment and training of health workers, integrating health education training into pre-service and in-service teacher training and conduct an assessment to determine whether to recommend a supplemental food program for the schools.

Read the following success story about the project: Strengthening Learning through Vitamin A Supplementation
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Timor-Leste Integrated Health Assistance (TAIS II)
Timor-Leste Integrated Health Assistance (TAIS II) project has been USAID/Timor-Lestes largest bilateral investment in health. The approaches and strategies used by JSI under TAIS have adapted over time in response to the changing needs articulated by the MOH and the socio-political climate. The project has contributed significantly to shaping national child health policy and worked with the MOH to support program rollout, particularly child health interventions.

The overall purpose of this activity is to improve the effectiveness, quality, and accessibility of child health services through the development and implementation of high impact interventions, in coordination with the MOH's Basic Service Package, that prevent and reduce illness, mortality and malnutrition among children under the age of five in Timor-Leste. JSI is providing technical support to the MOH on child health including immunizations, IMCI, C-IMCI malaria, newborn care, nutrition and child spacing through leadership in appropriate technical working groups and through direct support to the MOH staff.
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Uganda HIV/AIDS Services Project (UHSP)
The Uganda HIV/AIDS Services Project (UHSP) was a USAID-funded project which built on the successes of the Uganda Program for Human and Holistic Development (UPHOLD) in the areas of HIV counseling, testing, and palliative care. UHSP provided financial and technical support to civil society organizations (CSOs) as implementing partners who deliver services to Ugandans in 30 districts. In the first year UHSP worked with 12 CSOs and in the second year the number was reduced to five CSOs. Though an independent project, UHSP was initially nested within the auspices of UPHOLD and leveraged the already existing infrastructure and relationships through its other projects in Uganda and experience in working in the HIV and AIDS sector in the country.
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UGANDA Program for Human and Holistic Development (UPHOLD)
UPHOLD was an integrated social services program designed by the Government of Uganda and the United States Agency for International Development (USAID) that ran from 2002-2008. UPHOLD supported the Government of Uganda's social sector policies and priorities as well as USAID's Strategic Objective 8 results framework for improved human capacity. The program was strategically designed to increase the utilization, quality, and sustainability of education, health, and HIV and AIDS services in 28 districts covering approximately 42% of the country's population. Working in partnership with local governments and over 110 civil society organizations (CSOs), the program brought together innovations in each of these sectors in Uganda's decentralized context to achieve broad improvements in human capacity. It built on good practices, scaling up interventions, and strategies in order to achieve sufficient outreach and substantive impact.

To learn more, read the 2007 Annual Report. You can find all UPHOLD's annual reports as well as other materials and technical reports at the UPHOLD website.

Read the following success stories about the project:
Mobilizing Communities to Use Services through Art in IDP Camps
Providing Combined Services at the Kajjansi Youth Center
Talking about Sex in Primary Schools
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WEST BANK & GAZA Hanan Maternal and Child Health and Nutrition (MCHN)
Although access to health care has improved overall in recent years, limited health-seeking behavior, lack of social security, and continually deteriorating living conditions remain as barriers to better health for women and children living in the Palestinian territories. Results from Hanan's household baseline survey, conducted in late 2005, indicated low coverage of timely antenatal and postnatal care and high levels of iron deficiency anemia. Women's knowledge of danger signs in pregnancy, and of dietary practices to help prevent iron deficiency anemia is limited.

Hanan was a three year USAID-funded project implemented by JSI Research & Training Institute, Inc., in partnership with American Near East Refugee Aid (ANERA) and Emerging Markets Group, Ltd. (EMG). The project benefited 190,000 women of reproductive age and 168,000 children under 5 living in the West Bank and Gaza, by improving their access to quality maternal and child health and nutrition (MCHN) services and by promoting positive household and community MCHN-related behaviors. Hanan provided technical support and strengthened service delivery for 122 partner clinics and hospitals. Complementary community mobilization and communications and marketing interventions have created demand for essential MCHN services and indirectly reached even more beneficiaries.

Read the project final report, Building Capacity, Building Communities

Read the following success stories about the project:
Cries of Life
Moving from Treatment to Prevention
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