Humanitarian Health Quality of Care Toolkit

This toolkit aims to assist humanitarian health field staff in measuring quality of care in humanitarian health programs to inform quality improvement activities and includes operational guidance for each tool. It can be used in all areas of essential health care as defined by the SPHERE guidelines, including communicable diseases, child health, sexual and reproductive health, injury and trauma care, mental health, non-communicable diseases, and palliative care.

Last modified: February 19, 2024

Language: English

Source: FHI 360

Year of Publication: 2022

Strategies toward ending preventable maternal mortality (EPMM)

The EPMM targets and strategies are grounded in a human rights approach to maternal and newborn health and focus on eliminating significant inequities that lead to disparities in access, quality, and outcomes of care within and between countries. Concrete political commitments and financial investments by country governments and development partners are necessary to meet the targets and carry out the strategies for EPMM.

Last modified: February 19, 2024

Language: English

Source: World Health Organization

Year of Publication: 2015

Motivational Counseling: A Training in Advanced Interpersonal Communication Skills

This training curriculum and module presentations address challenges that frontline healthcare workers face in motivating clients within the HIV services continuum to make informed decisions that lead to sustained, positive outcomes. The curriculum focuses on listening and communication skills for addressing risk behaviors related to sex, alcohol and drug use, HIV testing, and treatment adherence.

PowerPoint modules include:

  1. Understanding the Context(French)
  2. Introduction to Motivational Counseling(French)
  3. Reflective Listening(French)
  4. Affirming(French)
  5. Questioning(French)
  6. Ask-Tell-Ask(French)
  7. Recognizing Talk about Change(French)
  8. Eliciting Talk about Change(French)
  9. Dealing with Resistance(French)

*Available in English and French


Conseil de motivation : une formation aux compétences avancées en communication interpersonnelle

Ce programme de formation et les présentations des modules abordent les défis auxquels sont confrontés les travailleurs de santé de première ligne pour motiver les clients dans le cadre du continuum des services VIH à prendre des décisions éclairées qui conduisent à des résultats positifs durables. Le programme se concentre sur les compétences d’écoute et de communication pour aborder les comportements à risque liés au sexe, à la consommation d’alcool et de drogues, au dépistage du VIH et à l’observance du traitement.

Les modules PowerPoint comprennent:

  1. Comprendre le contexte , (français)
  2. Introduction au counseling motivationnel , (français)
  3. Écoute réflexive , (français)
  4. Affirmant , (français)
  5. Interrogatoire , (français)
  6. Demander-Dire-Demander , (français)
  7. Reconnaître le discours sur le changement , (français)
  8. Susciter le discours sur le changement , (français)
  9. Faire face à la résistance , (français)

*Disponible en Anglais et en Français

Last modified: February 16, 2024

Language: English, French

Source: FHI 360

Year of Publication: 2020

Social and Behavior Change Design: Handbook for Resilience Food Security Activities During the Refinement Period

SBC is the lynchpin of achieving each purpose in the theory of change (TOC). The refine and implement (R&I) model, especially the refinement period, allows resilient food security activities (RFSAs) to review and test aspects of their TOC, complete necessary formative assessments, and pilot interventions so they can revise the TOC and project implementation plan based on these collective findings. Just as experiences and findings guide the TOC, they will also clarify pathways to social and behavior change and thus lead to modification in priority behaviors and the strategy for improving uptake and sustainability. The evidence-based, locally driven SBC strategy with relevant SBC capacity-strengthening activities should mirror and support the overall RFSA implementation plan.

The purpose of this handbook is to orient RFSA partners with step-by-step instructions for SBC best practices, providing practical tools for each milestone during the refinement period. Seven milestones are used to organize the best practice instructions and tools in (loosely defined) time periods in the refinement period. “Early refinement” lasts from award to the inception workshop. “Mid-refinement” is when partners conduct pilots, learning, and research studies. “Late refinement” is the time prior to the culmination workshop, and “later refinement” is between culmination and the Year 2 Pipeline and Resource Estimate Proposal. Although the milestones are presented within these time periods, SBC uses iterative processes with continual learning and refinement during R&I and throughout the life of the project. This embrace of iteration for all approaches, including SBC, is a RFSA hallmark.

The Bureau for Humanitarian Assistance (BHA) recognizes that many resources are available for RFSAs to design, implement, and measure quality SBC. This handbook pulls together existing resources that RFSA implementing partners can use during the refinement period, but is not prescriptive on any particular resource or approach. This handbook aims to assist in developing a clear roadmap for the end of the refinement period that includes—
• a manageable number of prioritized behaviors for each TOC purpose
• identified factors, or barriers and enablers, that prevent or support priority behaviors and that are informed by learning from relevant information gaps and formative research
• planned activities for each priority behavior in a logical format that address factors and influencers, those people who need to take action to address the factors
• alignment with and updates to the indicators in the monitoring evaluation, and learning (MEL) plan, reports—including the detailed implementation plan (DIP)—and annual reports.

Last modified: February 16, 2024

Language: English

Source: JSI Research & Training Institute, Inc.

Year of Publication: 2023

Standards for improving quality of maternal and newborn care in health facilities

This framework contains eight domains of quality of care that should be assessed, improved, and monitored within the health system. The health system provides the structure for access to high-quality care in the two important, inter-linked dimensions of provision and experience of care. Within this framework and in line with the Organization’s mandate, WHO will work towards realization of its vision in six strategic areas, which will be the basis for a systematic, evidence-based approach to providing guidance for improving the quality of maternal and newborn care.

Last modified: February 15, 2024

Language: English, French, Russian

Source: World Health Organization

Year of Publication: 2016

Communication During Hospitalization

This resource is a job aid created by Breakthrough RESEARCH for a study in Kenya that tested a set of interventions that promote a positive experience of care for hospitalized newborns and young children 0-24 months and their parents in Kenya. This wall chart was posted in facilities as a guide for provider-parent communication.

Last modified: February 14, 2024

Language: English

Source: Breakthrough RESEARCH

Year of Publication: 2022

Parents’ Emotional Wellness: Reduce Distress, Emotional Support, and Partnership (DEP) Guide for supporting parents during a young child’s illness

This job aid was created by Breakthrough RESEARCH for a study in Kenya that tested a set of interventions that promote a positive experience of care for hospitalized newborns and young children 0-24 months and their parents in Kenya. This poster summarizes the Distress Recognition, Emotional Support, and Partnership (DEP) Guide which assisted providers in i) identifying sources of anxiety, worries, fears, and concern; ii) providing emotional support, and iii) engaging with parents and family to mitigate stressors, including bereavement.

Last modified: February 14, 2024

Language: English

Source: Breakthrough RESEARCH

Year of Publication: 2022

Optimizing Local Diets through Households and Market Pathways to Improve Nutrition for Women and Children

This guide is for the United States Agency for International Development’s (USAID) Bureau for Humanitarian Assistance (BHA)-funded Resilience Food Security Activity (RFSA) Implementing Partners (IPs) and is intended for use by a multi-disciplinary RFSA team. RFSAs typically include a food assistance resource transfer component, a key benefit of which is to support age-appropriate complementary feeding of children 6–23 months of age and improve women’s or household dietary diversity. However, to sustain these benefits in the long term, RFSAs often look to transition to using local alternatives. This guide aims to support RFSA IPs’ transition from providing resource transfers to using locally available, accessible, and affordable alternatives to sustain nutrition outcomes for women and children under age two. It provides resources, workbooks, templates, and tools with instructions on how to optimize the use of local foods to improve women and children’s nutrition and dietary diversity in a given program area.

Last modified: February 9, 2024

Language: English

Source: USAID Advancing Nutrition

Year of Publication: 2023

The Insights 101 Playbook: A Dynamic Learning Starter Kit

The Insights 101 Playbook is an introductory guide to one of the key building blocks of dynamic social and behavior change (SBC) project design: insights. It has been designed to offer concise and practical guidelines with examples—from identifying insights to applying and sharing them across project partners. Consider insights as the distillation of formative research that allows you to include the research findings in the design.

What’s inside?
The Playbook includes three chapters that use a case example to walk through the different insight phases:

  1. Identify and articulate insights
  2. Convert an insight into an opportunity
  3. Share and apply insights

The chapters provide an overview with clear guidance, a case study, and a capacity-strengthening component. There are insights about teams, approaches, processes, and more.

Last modified: February 9, 2024

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

A Structural and Provider Behavior Change Approach to Enhancing Respectful, Integrative, Responsive Care for Hospitalized Young Children (0–24 months)

This brief describes a co-creation process and a resulting provider behavior change intervention approach that can be adapted to similar low- and middle-income hospital contexts. It offers policy and program managers details around each intervention component, linking to an accompanying provider orientation PowerPoint and other training materials/job aids. Finally, it recommends a few lessons to guide those interested in engaging in a similar co-creation and implementation approach.

Last modified: February 5, 2024

Language: English

Source: Population Council

Year of Publication: 2023