Extending Operations Research to the Problems of Scale Up: Costs, Compliance, and Effectiveness of Systematic Screening
Council researchers with the FRONTIERS program worked to combine support for scaling up systematic screening with research on specific aspects of the scaling-up process.
Systematic screening is a proactive approach in which providers use a checklist to identify a client's needs and desires for reproductive health services, and address these needs at the same visit or through a further appointment or referral. Research in Bolivia, India, and Senegal has shown that systematic screening can increase the number of health care needs addressed during a single client visit by 9–25 percent, and the governments of these countries wish to scale up the use of the technique.
This project combined support for scale up with research on specific aspects of the scaling-up process. FRONTIERS furnished technical assistance in the scale-up of systematic screening in Bolivia, India, and Senegal. To increase understanding of the scaling-up process, FRONTIERS researchers also conducted operations research (OR) to (1) project the costs of larger-scale implementation; (2) monitor the effectiveness of the approach in a broader program setting; and (3) improve providers' compliance with service-delivery innovations.
An additional OR study in Mali, a country with very low contraceptive prevalence, tested whether systematic screening can be modified to better target family planning in this setting.
Introducing systematic screening to reduce unmet health needs: A manager's manual (PDF) (HTML)
Vernon,Ricardo; Foreit,James R.; Ottolenghi,Emma
FRONTIERS Manual
Publication date: 2008
L'introduction de l'identification systématique pour réduire les besoins non satisfaits en santé : Manuel du manager (PDF) (HTML)
Vernon,Ricardo; Foreit,James R.; Ottolenghi,Emma
FRONTIERS Manual
Publication date: 2008
Using systematic screening to integrate health services in India and Senegal: Pilot study versus scale-up results (PDF)
Foreit,James R.
FRONTIERS Final Report
Publication date: 2008
Cómo identificar y satisfacer la necesidad de servicios adicionales: Manual para gerentes (PDF) (HTML)
Vernon,Ricardo; Foreit,James R.; Ottolenghi,Emma
Manual de FRONTERAS
Publication date: 2006
Systematic screening: A strategy for determining and meeting clients' reproductive health needs (PDF)
Foreit,James R.
FRONTIERS Program Brief (no. 6)
Publication date: 2006
India: Introduction of systematic screening instrument in clinics to address unmet need and to maximize service utilization (PDF)
FRONTIERS Asia and Near East Region OR Summary (no. 4)
Publication date: 2005
Systematic screening as a strategy to increase services integration and revenues in Honduras (PDF)
Vernon,Ricardo; Foreit,James R.; Mancini,Fiorella; Pavón,Suyapa; Torres,Jheisy
FRONTIERS Final Report
Publication date: 2005
Systematic screening to integrate reproductive health services in India (PDF)
Das,N.P.; Shah,Urvi; Chitania,Varsha; Patel,Pratibha; Khan,M.E.; Mishra,Anurag; Foreit,James R.
FRONTIERS Final Report
Publication date: 2005
Use of systematic screening to increase the provision of reproductive health services in Bolivia (PDF)
Foreit,James R.; Vernon,Ricardo; Riveros Hamel,Patricia
FRONTIERS Final Report
Publication date: 2005
Using systematic screening to increase integration of reproductive health services delivery in Senegal (PDF)
Sanogo,Diouratie; Vernon,Ricardo; Foreit,James R.; Seck,Awa; Adoye,Colonel Adama; Ndoye,Laty G.; Diop,Cheikh Bamba; Mboup,Balla Mbacke; Sarr,Omar
FRONTIERS Final Report
Publication date: 2005
Project Stats
Location: Bolivia, India, Mali, Senegal
Program(s):
Reproductive Health
Topic(s):
Quality of care
Scaling up interventions
Duration: 9/2005 - 12/2007
Non-Council collaborators:
Bolivian Ministry of Health
Gujarat Family Welfare Program
Mali Ministry of Health
Proyecto de Salud Integral (PROSIN)
Senegal Ministry of Health
Vadodara Municipal Corporation
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