Solutions Panorama

Maximizing
Healthcare Provider
Performance
Featuring:
WomanCare Global
Where:
Kenya and South Africa
Time Frame:
2012 - Present
DESCRIPTION
Although abortion is legal in Kenya and South Africa under certain cicumstances,
high rates of unsafe abortion continue to contribute to life-threatening
complications in both countries. WomanCare Global began the Maximizing
Healthcare Provider Performance (MAX) program to address this problem. The
program is designed to improve the knowledge base of providers with the goal of
increasing the number of contraceptive options offered to women.
MAX field representatives support practitioners to provide high-quality abortion
services and long-acting reversible contraception after abortion. At each visit,
the field representatives collaborate with the providers to identify barriers to
high-quality service provision, and work to develop customized solutions.
MAX field representatives also collect quantitative data on service delivery,
and qualitative data on barriers and interventions. This is uploaded to a central
database and analyzed on an ongoing basis to determine whether improvements
are being made in program outcomes, such as increased abortion caseload and
improved uptake of long-acting reversible contraceptives, and to determine
associations between these improvements and specific interventions.
Social interaction and
help with harassment
are directly linked
to better program
outcomes.
LEARN MORE
Maximizing Healthcare Provider Performance;
womancareglobal.org
Evaluation of WomanCare Global’s MAX
Program;
gph.ucsd.edu
Submitted by FHI 360
IMPACT
MAX program data is analyzed by academic researchers at the University
of California, San Diego. The program has shown promising results thus far,
including: a decrease in the proportion of women receiving no contraception
post-abortion; an increase in the proportion of women receiving long-acting
reversible contraception after medical abortion; and an increase in the average
abortion caseload for providers participating in the program.
Interventions linked to better program outcomes included assistance with stockouts
of supplies, help with harassment and stigma, refreshers on infection control, and
social interactions (e.g. interaction outside of a typical professional environment).
WOMEN DELIVER 2016 CONFERENCE: SOLUTIONS PANORAMA 48