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Gaston Sorgho Harvard School of Public Health

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Presentation on theme: "Gaston Sorgho Harvard School of Public Health"— Presentation transcript:

1 Gaston Sorgho Harvard School of Public Health
Designing a Service Delivery Matrix Gaston Sorgho Harvard School of Public Health

2 Session Objectives To understand the role of standards of service in terms of planning, budgeting, and monitoring health services, and To be able to develop a matrix describing the services offered at each level in their own countries.

3 ICPD Focus on client Redefinition of services to be delivered at health facilities Focus on rights, health, sexuality

4 Findings of ICPD +5 Policy shifts made Implementation slow
how to operationalize concern about costs prioritization not clear

5 How to operationalize RH
Design and Delivery of RH service delivery matrix resource allocation:priority setting resource utilization: costing resource utilization: people political analysis

6 Service Delivery Matrix
1. Describe Service Delivery System 2. Elements of service prioritized 3. Services defined by level 4. Standards of service treatment protocols staff equipment, supplies

7 1. Describe Service Delivery System
Describe Levels of System Community Health Center District Hospital Referral Community Health Post Referral Hospital Center

8 Describe the Service Delivery System
Community Health Center District Hospital Referral What is referral process?  communications  transportation  follow up

9 2. Elements of service prioritized
Family Planning Safe Motherhood Youth Child Health HIV/AIDS Gender Based Violence Cancer Prevention and Treatment Other…..

10 2. Elements of service prioritized
Community Health Center District Hospital Referral Family Planning How are priorities set? Safe Motherhood By Whom? Youth Child Health

11 3. Services defined by level
Community Health Center District Hospital Referral Family Planning Safe Motherhood Youth Child Health

12 3. Services defined by level
Example: Safe Motherhood What will be done in community? How will referrals be achieved? At what level will C-sections, blood, antibiotics be available?

13 3. Services defined by level
Community Health Center District Hospital Referral Family Planning  communications  transportation  follow up Safe Motherhood Youth Child Health

14 3. Services defined by level

15 4. Standards of service Standard Treatments hemorrhage fever
Community Health Center District Hospital Referral Standard Treatments hemorrhage fever antenatal care Safe Motherhood

16 4. Standards of service Planning
Community Health Center District Hospital Referral Safe Motherhood staffing supplies equipment building transportation Standard Treatments hemorrhage fever antenatal care

17 4. Standards of service costing
Community Health Center District Hospital Referral Safe Motherhood staffing supplies equipment building transportation Standard Treatments hemorrhage fever antenatal care costing

18 4. Standards of service monitoring
Community Health Center District Hospital Referral Safe Motherhood staffing supplies equipment building transportation Standard Treatments hemorrhage fever antenatal care monitoring quality access

19 Matrix of Service Delivery

20 Matrix of Family Planning Burkina Faso

21 Service Delivery Matrix
specific system wide approach prioritization explicit basis for quality costing, budgeting monitoring

22 Service Delivery Matrix
Family Planning Safe Motherhood Youth Child Health 2 Community Health Center District Hospital Referral 1 3

23 Matrix of Service Delivery

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