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Family planning managers need a simple information system to help them monitor, improve, and expand services. Creating a practical decision making system for the local level of a family planning program requires the participation of managers at all levels of the program.

Results of a survey of readers of The Family Planning Manager suggest that management strategies and techniques can be successfully communicated and replicated across regions.

In the private as well as the public sector, volunteer boards of directors are being increasingly recognized as contributors to the success of family planning organizations. Organizations that work with a formal board of directors, or a less formal advisory or managing board can benefit from the broadened vision, experience, and skills that a board provides.

The challenge of coordination is to motivate groups to align their activities in order to maximize financial and human resources. Without effective coordination, scarce resources are wasted because of competition, confusion, and duplication of efforts. Coordinating complex health programs brings into play all the skills related to leading and managing, from planning to monitoring and evaluation.

This issue of The Manager outlines the connections between work climate, employee motivation, and performance. It describes how managers can assess the climate in their work group and shows how they can use the results to make changes in leadership and management practices that will motivate their group to do the best work possible and improve results.

The main purpose of decentralizing a health system is to improve access to health services and, ultimately, the health of the population. Under a decentralized system, local health managers can better address deficiencies in cost-effectiveness, efficiency, and performance that are not solved by a centralized system.

Numerous small-scale efforts to change practices often improve the health of clients in one clinical setting or community, but their effects frequently decrease over time. The way these change efforts are introduced may cause their results to fade in the months after a project ends. How they are designed and implemented may hinder their expansion to additional clinical settings or communities.

It is crucial for local governments to manage basic health services effectively in countries undergoing decentralization, as district or municipal health administrations become more responsible for managing services and mobilizing resources. Experience in many countries shows that it is possible to improve services rapidly while strengthening the capabilities of health teams.

Human resources are central to planning, managing, and delivering health services. In most countries personnel account for a high proportion of the national budget for the health sector—often 75 percent or more.

Purpose: To assist non-governmental organizations (NGOs) and program managers assess management strengths and weaknesses so that they can jointly formulate and implement a management development program. Description:

Purpose:To provide a comprehensive listing of the most widely used indicators for evaluating family planning programs in developing countries.

Purpose: A step-by-step handbook to assist health and non-health related non-governmental organizations (NGOs) understand how to integrate family planning education and services into their existing programs.Description: The handbook identifies essential areas to be addressed when developing strategies for integrating family planning with ongoing program activities, each of which is presented as a

Purpose: A step-by-step handbook to assist non-governmental organizations (NGOs) in helping communities ensure safer motherhood through presenting information and tools to assess, organize, and implement safer motherhood strategies that complement existing community health programs.Description: Initiatives Inc. and in partnership with The Linkages Project.

Purpose:To apply a broader gender perspective in assessing the quality of sexual and reproductive health services in a variety of clinical settings.Intended Users:Private or public sector sexual and reproductive health organizations, and non-governmental organizations (NGOs) providing reproductive health services.Description:The Manual to Evaluate Quality of Care from a Gender Perspective is an ev

Purpose: To allow effective, rapid, inexpensive, large-scale, decentralized implementation of health programs and projects. Intended Users: Ministry of Health (MOH) at central, provincial, and district level, non-government organizations (NGOs), hospitals, and any organizations or groups responsible for program implementation within a decentralized health care system. Description:

Purpose:To provide organizations with the tools and guidance necessary to help them monitor and improve the quality and performance of integrated programs.Description:The Performance Improvement Review (PIR) package measures actual program performance against established performance indicators.

Purpose:A guide that provides logistic formulas and principles to help clinic and warehouse staff manage contraceptive supplies and other commodities properly and efficiently, at service delivery sites, and at storage and warehouse facilities.Description:The tool is a reference manual with guidelines on how to keep appropriate levels of contraceptive supplies available, good warehouse practices to

Purpose:To improve family planning program development and policy decision making by using client data from the Demographic Health Survey (DHS) to answer specific national and organizational level policy and programmatic questions.Description:The policy manual and accompanying diskettes describe how DHS data can be used to answer specific programmatic questions about designing cost-effective and c

Purpose: To assess the appropriateness of computerizing a health facility warehouse. If users are interested in receiving technical assistance to improve and/or computerize the logistics information system, Management Sciences for Health (MSH) will analyze the responses to determine the initial steps in this process. Description:

Purpose To provide a framework and tools to help countries assess options for expanding social insurance coverage and make decisions about social insurance policies. Description

Purpose:This tool helps program managers and clinicians determine the extent to which current reproductive health services are youth-friendly.

Purpose:Community COPE is intended to assist supervisors and staff at service delivery sites to gather information from the community about the services the facility provides. The process identifies site strengths and weakness and also involves community members in addressing the weaknesses identified.

Purpose:To provide health care staff with a continuous quality improvement approach to maternal health services.Description:COPE is a process and a set of simple and practical tools for assessing and improving the quality of maternal health services. The process encourages self-assessment and joint problem solving by service staff and supervisors.

Purpose: To evaluate and improve counselor-client interactions. Description:

Current technical information for global health professionalsThe Global Health eLearning Center developed by the USAID Bureau of Global Health is a response to repeated requests from field staff for access to technical public health information.

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