Health Policy & Systems Virtual Poster Fair
Abt Associates researchers share their work at professional conferences around the globe. Take a virtual tour of various posters that illustrate our recent research, evaluation, and technical assistance findings.
Understanding the Drivers of Viral Suppression
December 11, 2018
The Health Resources and Services Administration’s HIV/AIDS Bureau conducted a study to understand the drivers of viral suppression. This study assessed rates of viral suppression in Ryan White HIV/AIDS Program (RWHAP) outpatient ambulatory health clinics, determined the characteristics of RWHAP clients who do not achieve and/or maintain viral suppression, and explored the barriers to achieving and/or maintaining viral suppression.
Sustaining Vertical Health Programs Through Financing
October 10, 2018
Nigeria has one of the highest burdens of HIV/AIDS in the world and external financing sources are dwindling. The Health Finance and Governance (HFG) Project conducted an actuarial analysis and service availability mapping to inform our approach to integrating the ongoing vertical programs with the nation’s health insurance schemes. Results showed that integration along financial, technical, and operational dimensions is possible, and that working collaboratively to improve financing and operational feasibility challenges is critical to successfully integrating donor-driven vertical programs into local health schemes.
Hospitalizations, ED Visits & Nursing Home Quality
November 16, 2019
One of CMS’s ongoing initiatives is to reduce the costs and improve the quality of care for nursing home residents by reducing the number of transfers from facilities for acute care. We identified rates of unplanned hospitalizations and emergency department visits not resulting in hospital admission among short-stay and long-stay nursing home residents, and examines their association with nursing home quality and characteristics. Rates vary widely across nursing homes, and better rates are strongly associated with staffing levels, quality of care, health inspection ratings, and other nursing homes characteristics.
Vouchers for Maternal and Child Health Services in the Private Sector of Uganda
November 13, 2019
USAID’s Abt-led Uganda Voucher Plus Activity is a five-year project (ending in Sept 2020) with an overall goal to provide measurable improvements in safe motherhood services by supporting health financing and innovative service delivery through the private sector. The project is implemented in about 160 private health facilities in 35 districts in Northern and Eastern Uganda by different partners, including Communication for Development Foundation Uganda, Pricewater House Cooper, and BDO East Africa.
Destination: Reaching Family Planning Goals through UHC
October 11, 2018
The global movement to reach universal health coverage (UHC) presents opportunities to advance family planning (FP) goals. Notably, the full range of contraceptive services could be accessible—particularly to underserved populations including youth or the poor—within broader initiatives that promote UHC. Making progress toward UHC and satisfying unmet need for FP is a long-term process, but one that can be accelerated. Advocates can champion better coverage of FP by building the evidence base, promoting inclusion of private providers, and effectively conveying the concepts and language of health financing.
Indonesia: Implementation Research (IR) for Universal Health Coverage (UHC)
June 2, 2019
In 2014, Indonesia launched an ambitious national health insurance program, Jaminan Kesehatan Nasional (JKN), to achieve universal health coverage by 2019. USAID collaborated with the Government of Indonesia, and contracted Abt Associates to build in-country IR capacity by working with a local university partner. National and district stakeholders were convened to develop the IR questions. Extensive data collection with a broad range of key informants followed. Substantively, JKN accomplished many of its intended goals, and the IR engagement process successfully brought national and local government officials together for focused discussions.
Using Human Centered Design and Design Thinking to Reduce Infant Mortality
November 3, 2019
Human-centered design (HCD) and design thinking are innovative approaches to problem solving involving building deep empathy with your consumers, extensive brainstorming, and creating prototypes. Through the Health Resources & Services Administration’s Infant Mortality Collaborative Improvement and Innovation Networks (CoIINs), the Border States CoIIN is pioneering the use of HCD to reduce infant mortality by designing interventions to increase early prenatal care utilization among primarily Latina women residing in four US border states.
Understanding Stigma Associated with TB in India
October 31, 2019
Tuberculosis (TB) stigma arises from misunderstandings of how TB spreads, and from the belief that TB causes financial ruin and eventually leads to death. In India, that fear is perpetuated by prevalent socio-behavioral norms. It drives persons with TB to hide the disease, programmatically impacting treatment success and TB notification. Ultimately, stigma is a barrier to effective TB management. Abt employed a multi-faceted methodology to understand TB stigma in India. Our findings—synthesized using the socio-ecological model of influence—showed how stigma influences people connected to persons with TB.
Evaluating the MA SPOT Training Program
November 16, 2019
The Office of the Inspector General reported that one in three nursing home (NH) residents experienced an adverse event within 35 days of admission causing lasting or temporary harm. State departments of public health (DPH) were encouraged to invest in improving NH quality and safety. The Massachusettes DPH initiated a three-year Supportive Planning and Operations Team (SPOT) initiative to provide 60 NHs with technical support (TS) and training to develop effective quality assurance and performance improvement (QAPI) programs. Abt evaluated the effectiveness of the SPOT initiative on the participating MA nursing homes.
6BBs Opioid Management
June 3, 2019
The Six Building Blocks for Improving Opioid Management (6BBs) provide an evidence-based quality improvement (QI) roadmap to help primary care teams implement effective, guideline-driven care for chronic pain and long-term opioid therapy patients. As part of an Agency for Healthcare Research and Quality-funded implementation study, the project team has developed a “how-to-guide” for the 6BBs and recruited primary care practices to implement them. The objective of this presentation is to synthesize insights on how practices initiate an opioid management QI effort and then assess their own opioid management practices.
Le Cadre de Restitution Communautaire pour améliorer la Gouvernance Sanitaire au Senegal (A Community Restitution Framework to improve Health Governance in Senegal)
March 8, 2018
Le Cadre de Restitution Communautaire (CRC), mécanisme par excellence de bonne gouvernance sanitaire locale est un organe de gestion approprié pour susciter la participation des populations. Il permet aux communautés d’identifier elles-mêmes leurs besoins sanitaires et de réfléchir en toute liberté avec les Collectivités Locales (CL) sur des solutions endogènes.
The Community Restitution Framework (CRF) was created as a entity for good local health governance in Senegal . As such, it is an appropriate coordination mechanism to encourage populations’ participation. It allows communities to identify their health needs themselves and to discuss freely with Local Authorities on endogenous solutions.