Evaluation 2015: Exemplary Evaluations in a Multicultural World

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Challenges Posed by Resource Constraints and Cultural Contexts

Session Number: HE7
Track: Health Evaluation
Session Type: Multipaper
Session Chair: Michael A. Harnar [Claremont Lincoln University]
Presenter 1: sudharsanam Manni Balasubramaniam [Johns Hopkins university]
Presenter 2: Lacreisha Ejike-King [Food and Drug Administration]
Presenter 3: Ahmed Mohamed Tammam Abdelgawad [Save the Children International - Middle East and Eurasia Regional office]
Presenter 4: Anuraag Chaturvedi, Senior Program officer
Presentation 2 Additional Author: Rashida Dorsey [US Department of Health and Human Services]
Presentation 2 Additional Author: Denys Lau [HHS, CDC, National Center for Health Statistics]
Presentation 2 Additional Author: Kelly Myrick [HHS, CDC, National Center for Health Statistics]
Time: Nov 11, 2015 (04:30 PM - 06:00 PM)
Room: Skyway 282

Abstract 1 Title: Designing and Implementing a Quasi-Experimental Evaluation Design in a Resource Constrained Settings: Experience from India
Abstract 2 Title: Designing a Comprehensive Survey to Assess the Provision of Culturally and Linguistically Appropriate Services among a Nationally Representative Sample of Ambulatory Care Physicians
Presentation Abstract 2: In 2013, the Office of Minority Health (OMH) published the enhanced National Standards for Culturally and Linguistically Appropriate Services in Health Care (National CLAS Standards), a framework to help health/health care organizations best serve the nation's increasingly diverse communities. With the growing demand in ambulatory care services, OMH is examining the ability of ambulatory care physicians to provide culturally and linguistically appropriate services (CLAS). There is limited national-level information about CLAS provision among ambulatory care physicians. Existing cultural competence surveys are mostly organizational assessments used for quality improvement purposes. OMH, in collaboration with the CDC's National Center for Health Statistics (NCHS), has designed a new survey to investigate CLAS provision and familiarity with the National CLAS Standards among a nationally representative sample of office-based physicians. This presentation describes the process used to design the national CLAS survey and provides recommendations on designing instruments to assess CLAS at the provider level.
Presentation 2 Other Authors: Farida Ahmad (HHS, CDC, National Center for Health Satistics)
Crystal L. Barksdale (SRA International)
Shondelle M. Wilson-Frederick (HHS, Office of Minority Health; U.S. Public Health Service)
Abstract 3 Title: Association between Health Finance and Maternal and Child Health Outcomes in Middle East and North Africa Region
Presentation Abstract 3: Improving maternal and child health outcomes for women and children is a critical step to achieve the MDGs; however it requires sufficient funding to implement proven quality interventions. The aim of the study is to investigate the relationship between the different health care financing options cross the Middle East and North Africa "MENA" countries and the maternal and child health outcomes. Can different health care financing strategies affect Maternal, Neonatal and Child health? If yes, How?. This study is based on a cross sectional analysis of twenty one states from MENA region between 2009 and 2013 exploring the three dimensions of the maternal and child health outcomes namely a) Infant mortality b) Maternal mortality and c) Child health. Correlation between financial and maternal and child health indicators as well as linear regressions was carried out to investigate the relationships between the maternal and child health indicators and health spending consequently health system financing strategy. The findings of this study indicate that more spending on health is highly associated with positive maternal and child health outcomes namely reduction in infant and child mortality. Our results also indicate that the improvements in government effectiveness in regards to government health spending is accompanied with higher maternal and child health outcomes. Thus, increasing government expenditures is likely to lead to better improvements of health outcomes if it is accompanied by the right policies and institutions, which was the case of the first group of countries in MENA region.
Abstract 4 Title: Evaluating Health Outcomes of Complex Health Intervention Using Community Driven Lot Quality Assurance Sampling (LQAS): Experience from a Large Scale Community Health Project in India
Presentation Abstract 4: Effective management of community health programs require regular and current information at local level to know program progress and whether they are moving in the right trajectory. Lots quality assurance sampling (LQAS) developed initially as a quality control tool in production industry offers a practical method to evaluate results of health program.

A large scale community mobilization project in the state of Uttar Pradesh, India through a platform of 70,000 self help groups (SHGs) is annually reaching out to 5 million pregnant and newly delivered women to improve their maternal and neonatal health care practices. The project uses LQAS technique for evaluation which is challenging, novel and empowering. Presently, 100 community federations using LQAS technique are periodically evaluating performance of their project zones and making program improvements. The paper reports the results, implementation and challenges of a community driven LQAS evaluation approach that has implications for its further use and adaptations.
Audience Level: Intermediate

Session Abstract: 

Challenges posed by Resource Constraints and Cultural Contexts

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