Health Care Services

Assessment of the Needs of Grandparents Raising Grandchildren in Doña Ana County, New Mexico Report

The Housing Authority of the City of Las Cruces, New Mexico and the City of Las Cruces Senior Programs have begun to explore the development of housing programs for the estimated 3,000 grandparents raising grandchildren in Doña Ana County. As a first step in that process, JSI conducted a comprehensive assessment of the social service and housing needs of grandparents raising grandchildren in the county. The report describes the methodology of the assessment (a survey), the challenges reported by the more than 100 grandparents raising grandchildren who participated in the assessment, their housing and social service needs, and a set of recommendations for future activities. The report and the results of the assessment will be used by the city's Housing Authority and Senior Programs, as well as other local service providers to develop or expand programs and services to address the unique needs of this population. Jeremy Holman, JSI Research & Training Institute, Inc., January 2008

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Dutchess County Cancer Control Needs Assessment Report

As part of the Dutchess County Department of Health efforts to develop a county-level cancer control plan, JSI Research & Training Institute completed a comprehensive assessment of cancer prevention, screening, treatment, and support services in the county. The report includes three substantive parts: an epidemiologic profile of the burden of cancer in Dutchess County; detailed findings from the three components of the needs assessment (key informant interviews, the resource inventory survey, and focus groups); and a set of themes and recommendations to Dutchess County based on these findings. Together, these themes and recommendations form a basis and provide direction for the next stage of comprehensive cancer control in Dutchess County. Stewart Landers, JSI Research & Training Institute, Inc., 2008.

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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 (HSP)

This report presents results from the successful Indonesia Health Services Program (HSP) Mental Health and Psychosocial initiative that took place following the devastating earthquake and tsunami in December 2004. In response to this disaster HSP began work in Aceh to address the psychosocial and protection needs of women and children.

Key findings include the development of a household-to hospital continuum of mental health care and a mental health system that has assisted with the restoration of health, human rights and human dignity. Survey findings concerning the new mental health program concluded that 90% of patients and caretakers reported improvements in mental health or social functioning. Developed by JSI Research & Training Institute, Inc. in conjunction with Columbia University Mailman School of Public Health and support from the USAID funded HSP Project. Neil Boothby and Maggie Veatch, Mailman School of Public Health, Columbia University, 2007.

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Prevention and Control of Healthcare-Associated Infections in Massachusetts

Healthcare-associated infections (HAIs) are a major public health concern throughout the nation, contributing to increased morbidity, mortality, and cost. The Massachusetts Department of Public Health (DPH) Division of Health Care Quality is working to develop a statewide infection prevention and control program. JSI Research & Training Institute, Inc., convened local and national experts to review evidence and develop recommendations for prevention and reporting. In June, 2007, the HAI Expert Panel endorsed several recommendations encompassing both reporting and prevention "best practices." This report, Prevention and Control of Healthcare-Associated Infections in Massachusetts contains details of the technical specifications of these recommendations, the process by which they were developed, and what has been accomplished to date. Laurie Kunches, Lisa Hirschhorn, Julia Przedworski, Danielle Cuenod. Boston, MA. 2007.

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New England Rural Data for Action Study: A Comparative Analysis of Health Data for the New England Region

This study compares the differences in health status, access, outcomes, risk factors, and related socio-economic and demographic statistics across several tiers of rurality across the six New England states. Funded by the State Offices of Rural Health and several healthcare foundations, the project developed a tiered regional definition of rural that is both uniform, yet fits each state's concept of its rural nature. This definition was then used to develop descriptive and comparative statistics across a wide range of available data. JSI also incorporated results from a variety of related studies conducted in the region based on the literature. JSI prepared the document for the New England Rural Health Roundtable. Eric Turer, JSI/Community Health Institute. March 2007.

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Uganda: Using a Simple Survey Method to Scale Up Evidence-Based Decision Making at the District Level—The UPHOLD Project

This case study, developed as part of JSI's Best Practices in Scaling Up series, examines how JSI's Uganda Program for Human and Holistic Development (UPHOLD) expanded use of the Lot Quality Assurance Sampling (LQAS) methodology for data collection and analysis. Because of the program, districts now have accurate data available for their planning, budgets more accurately reflect districts' specific needs, and district performance can be measured and health services thus improved. The case study also looks at the steps used to scale-up LQAS in Uganda and explores what worked and what was learned as the methodology was implemented broadly. Also included in the series is an Introduction to scale up as well as case studies from Guatemala, Nepal, Romania, Turkey, Zambia, and the DELIVER project. Xavier Nsabagasani, Joseph Mabirizi, Samson Kironde, Nosa Orobaton, John Snow, Inc., 2007.

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Guatemala, Pro Redes Salud: Rapid Scale Up of Primary Health Care through NGOs

This case study, developed as part of JSI's Best Practices in Scaling Up series, examines the process used to scale up primary health care programs in the Guatemalan highlands under JSI's Pro Redes Salud (NGO Networks) project. The case study highlights how high quality services can be extended to thousands of rural residents through NGO networks. The case study also includes steps used to scale-up as well as a review of what worked and what JSI staff learned along the way as scale-up processes were implemented. Also included in the series is an Introduction to scale up as well as case studies from Nepal, Romania, Turkey, Uganda, Zambia, and the DELIVER project. Elizabeth Burleigh, John Snow, Inc., 2006.

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Health Services Program 2006 Annual Report

The USAID-funded Health Services Project in Indonesia is implementing maternal, newborn and child health interventions at the district level, including the hard-hit Aceh district, and is working with health facilities, NGOs and community organizations as well as the private commercial sector. This report reviews the accomplishments of the project's first year. JSI Research & Training Institute, Inc, 2006.

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Cultural Diversity Focus Group Report

This final report presents findings from a qualitative study of elders from diverse communities conducted on behalf of the Boston Partnership on Elder Adults and the Eldercare Alliance. The consultant utilized community-based participatory research methods to rapidly organize focus groups with elders who are African-American; Cape Verdean; Chinese; Haitian; Latino; Lesbian, Gay, Bisexual and Transgender; Russian; and Vietnamese. The key questions focused on whether elders from each community would use various community- and home-based services and the factors influencing their choices. The findings were presented at a summit entitled What Does It Take to Keep an Elder at Home? on May 6, 2005 in Roxbury, Massachusetts.

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The CAPA Handbook: A "How-To" Guide for Implementing Catchment Area Planning and Action, a Community-Based Child Survival Approach

Arlington, Va.: BASICS II for the United States Agency for International Development.

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NGO Networks Project, Pro Redes Salud Project

Final report of the Guatemala NGO Networks Project (Pro Redes Salud) which expanded basic care to people in the Mayan highland regions, unified the civil society and improved the MOH NGO granting program. From 2000 to 2004, the project extended high-quality services to 317,000 rural residents, and surveys showed significant improvements in health care coverage. NGOs were unified into networks, a national NGO federation had been formed, and innovations had been adopted by the MOH for improvements in the national MOH NGO program. JSI/Pro Redes Salud, 2004.

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Improving health care delivery systems in Eritrea—technical assistance & support (TASC)

Final report of the JSI/TASC Eritrea project technical assistance & support (TASC), which was focused on maternal health, child health, and nutrition. The report also contains summary sheets of key cross-cutting topics including human resources development, logistics systems and behavior change communications, among others. JSI/Eritrea TASC, 2004.

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Rapid assessment of referral care systems : a guide for program managers

Kim Cervantes, Rene Salgado, 2003.

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Training of Traditional Healers Facilitator's Guide, Zambia Integrated Health Programme (ZIHP)

The Traditional Healers' Facilitator's Guide was developed in conjunction with the Zambian Central Board of Health for use in training traditional healers in disease management and referral systems. It was designed to improve traditional healers' programs and existing methods of practice and motivation in communities.
2003.

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Asking the Hard Questions: A Reproductive Health Providers Guide to Client-Centered HIV Risk Assessment

This guide is an interactive, self-instructional workbook created for reproductive health care providers who perform client-centered HIV, sexual behavior, and substance abuse risk assessments. JSI Research & Training Institute, Inc. 2002.

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Supporting Quality HIV Risk Assessment: A Guide for Reproductive Health Clinic Managers and Supervisors

A companion guide to Asking the Hard Questions, the goal of this material is to help clinic managers or supervisors assure that their staff are equipped with the knowledge and skills to provide quality care while performing HIV risk assessments. JSI Research & Training Institute, Inc. 2002.

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Access to Health Care for Transgendered Persons in Greater Boston

Access to health care services for the transgendered persons has not been studied in detail. This study reports on four focus groups, at which over forty transgendered individuals discussed their experiences and interactions with the health care system.

This study identifies the health needs and barriers to obtaining services, support and/or resources for transgender and transsexual (TG/TS) individuals. It also assessed the extent to which health care providers and systems are able to offer sensitive, high quality services that meet TG/TS consumers' needs; and identified ways that health care services can be enhanced to better meet the needs of the target population.

Advocates for the transgender community have used this report, along with other transgender health needs assessments, to support efforts to increase coverage of services to transgender persons that are reimbursed by both government and private health insurers. The findings were presented in 2000 at the first session on transgender health care ever to be held at an annual meeting of the American Public Health Association.

Gary Fallas, Stewart Landers, Susan Lawrence, and Jodi Sperber. LGBT Health Access Project/JSI Research & Training Institute, 2000

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