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Gaston Sorgho Harvard School of Public Health
Designing a Service Delivery Matrix Gaston Sorgho Harvard School of Public Health
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Session Objectives To understand the role of standards of service in terms of planning, budgeting, and monitoring health services, and To be able to develop a matrix describing the services offered at each level in their own countries.
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ICPD Focus on client Redefinition of services to be delivered at health facilities Focus on rights, health, sexuality
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Findings of ICPD +5 Policy shifts made Implementation slow
how to operationalize concern about costs prioritization not clear
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How to operationalize RH
Design and Delivery of RH service delivery matrix resource allocation:priority setting resource utilization: costing resource utilization: people political analysis
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Service Delivery Matrix
1. Describe Service Delivery System 2. Elements of service prioritized 3. Services defined by level 4. Standards of service treatment protocols staff equipment, supplies
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1. Describe Service Delivery System
Describe Levels of System Community Health Center District Hospital Referral Community Health Post Referral Hospital Center
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Describe the Service Delivery System
Community Health Center District Hospital Referral What is referral process? communications transportation follow up
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2. Elements of service prioritized
Family Planning Safe Motherhood Youth Child Health HIV/AIDS Gender Based Violence Cancer Prevention and Treatment Other…..
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2. Elements of service prioritized
Community Health Center District Hospital Referral Family Planning How are priorities set? Safe Motherhood By Whom? Youth Child Health
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3. Services defined by level
Community Health Center District Hospital Referral Family Planning Safe Motherhood Youth Child Health
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3. Services defined by level
Example: Safe Motherhood What will be done in community? How will referrals be achieved? At what level will C-sections, blood, antibiotics be available?
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3. Services defined by level
Community Health Center District Hospital Referral Family Planning communications transportation follow up Safe Motherhood Youth Child Health
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3. Services defined by level
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4. Standards of service Standard Treatments hemorrhage fever
Community Health Center District Hospital Referral Standard Treatments hemorrhage fever antenatal care Safe Motherhood
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4. Standards of service Planning
Community Health Center District Hospital Referral Safe Motherhood staffing supplies equipment building transportation Standard Treatments hemorrhage fever antenatal care
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4. Standards of service costing
Community Health Center District Hospital Referral Safe Motherhood staffing supplies equipment building transportation Standard Treatments hemorrhage fever antenatal care costing
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4. Standards of service monitoring
Community Health Center District Hospital Referral Safe Motherhood staffing supplies equipment building transportation Standard Treatments hemorrhage fever antenatal care monitoring quality access
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Matrix of Service Delivery
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Matrix of Family Planning Burkina Faso
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Service Delivery Matrix
specific system wide approach prioritization explicit basis for quality costing, budgeting monitoring
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Service Delivery Matrix
Family Planning Safe Motherhood Youth Child Health 2 Community Health Center District Hospital Referral 1 3
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Matrix of Service Delivery
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