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Results for “Capacity Building”

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Strengthening primary health care: building the capacity of rural communities to access health funding.

Present health funding models can place onerous pressures on rural health services. Staff may lack the time, resources, access to data, and the expertise needed to complete complex and lengthy funding submissions. This present study describes an innovative capacity-building approach to working with Victorian rural communities seeking to access health care funding through the Regional Health Services Program. This approach used several strategies: engaging stakeholders in targeted rural communities, developing an information kit and running a workshop on preparing submissions to the Regional Health Services Program, facilitating community consultations, and providing ongoing support with submissions. Six rural communities were supported in this way. Four have been funded to date, with a combined annual recurrent budget for new primary health care services of over $2.5 million. Each community has developed a service delivery model that meets the particular needs of their local area. This capacity-building approach is both effective and replicable to other health funding opportunities.

Budgets↗

Building capacity through collaborative leadership.

This paper is based upon material from the manuals and training program underpinnings the 'Sustaining community-based initiative' from the Healthcare Forum with the W.K. Kellogg Foundation in the USA. In order to address the problems of American urban communities a new approach is proposed using the concept of 'collaborative empowerment'. This is a planning and organizational method that lets community- and neighbourhood-based organizations design, implement and assess problem-solving strategies that increase their effectiveness at dealing with community issues. The use of organizational management principles and practices in community involvement and strengthening community leadership is illustrated through practical examples.

Community Health Planning↗

State services research capacity: building a state infrastructure for mental health services research.

State mental health agencies in the United States manage increasingly larger and complex systems of care. This requires an increasingly sophisticated workforce and decision support infrastructure. However, with the exception of larger states with their own research and evaluation offices, few states have the necessary resources to develop these important elements. Bringing in talent from academic organizations who have research as a priority may be the preferred direction for many states. The unique approach developed in South Carolina is the first systematic collaboration between a state mental health system and a multi-institutional, inter-disciplinary academic group oriented towards developing a comprehensive, statewide infrastructure for policy-relevant mental health services research.

Academies and Institutes↗

Building capacity for risk factor surveillance in developing countries: a new approach.

The need to create surveillance systems that go beyond data release and generate useful, relevant and accessible information has been widely recognized. To reach this goal the design and implementation of surveillance systems should consider not only technical issues but aspects that guarantee their sustainability and utility and more important, the utilization of surveillance data for resource allocation and planning of health programs and interventions. Until now key issues have been neglected, such as political will, community involvement, decision-making processes and accountability in surveillance outcomes. For many years we have faced the same problems, all within an epidemiological mosaic where infectious and communicable diseases coexist, with limited capacity to conduct surveillance, low priority given by decision-makers, lack of resources, scarce utilization of information, competing priority between chronic, infectious diseases and risk factors surveillance. Technical, management and political approaches involving new partnerships, new ways to involve different stakeholders in the process, new methods and tools, ways to overcome resource restrictions and improve surveillance effectiveness, have to be achieved. An alternative approach has been suggested to meet the above problems and to make surveillance socially responsible; relevant and effective, not only for reporting, but for its contribution to produce the needed health changes and sustain these outcomes. The vision, strategies, methods, tools and results of a community-based surveillance system are presented. Three aspects are addressed, the context in which the surveillance is applied; the theory supporting behavioural risk factor surveillance; the perspectives, goals, solutions and lessons learned from previous experience.

Child↗

Auto Action Learning: a tool for policy change. Building capacity across the developing regional system to improve health in the North East of England.

Health policy traditionally has tended to focus on health care policy. The World Health Organisation Investment for Health approach aims to influence policy development by locating health as both the outcome of, and an asset for, sustainable economic and social development. The policy context in England offers a range of drivers and opportunities to operationalise the Investment for Health approach through action to improve health and reduce inequalities, nationally and as importantly at a regional and local level. This paper traces developments in the North East of England April 2002-November 2002, from the perspective of an advocate for developing a systemic and systematic approach using an Investment for Health approach. The tool used to track change is based in action learning [M. Pedler, Action Learning for Managers, Lemos and Crane, London, 1996]. The Action Learning Problem Brief identifies why the goal is important, who to, how progress might be identified, difficulties and benefits. Generally, this acts as a starting point for problem solving within an Action Learning Set. This piece of work uses the framework for reflection and tracking, with input from a mentor, at four to eight weekly intervals, 'Auto Action Learning'. The authors pull out key learning points from the process, using a framework 'Towards a model for systematic learning from doing in the North East of England'.

Delivery of Health Care↗