Community COPE®

2008

Introducing QI Tools and Approaches

Facilitative Supervision for Quality Improvement Curriculum

2

EngenderHealth’s QI Package

QI Approaches

Facilitative Supervision

Whole-site Training including Inreach

QI Tools

COPE®

Community COPE

QMT

Cost Analysis

Medical Monitoring

3

Goal of the Community COPE InterventionTo understand the community’s needs and

its definition of quality services

To close the gap between the community’s definition of quality and actual performance of the site

To foster a partnership between the community and a site

4

Learning Community Members’ views:

Lets site staff learn why some community members do not seek services, do not gain access to services, or stop using services

Provides another way to learn clients’ views about the services

Helps the site provide more relevant, accessible services

Builds trust between clients and site staff

5

Learning Community Members’ views (2):

Makes site’s services more sustainable

Promotes empowerment, increased awareness, and behavior change in the community

Ensures ongoing, two-way communication between a site and the community

Makes staffs’ work more interesting and satisfying

6

Information Gathering ActivitiesIndividual interviews

• With current users of services at the site

• With former users of the services at the site

• With those who have never used the services at the site

Group discussionsSite walk-throughParticipatory Mapping

7

Community COPE® Process (1)

Orient site staffin Community

COPE activities

Staff meet w/ local leadersand representatives

Identify groups for participatory activities

Select and plan activities

Individual interviewsGroup discussionsSite walk-through

Participatory mapping

8

Community COPE® Process (2)

Conduct Action Planning

with Community(?)

If Yes If NoDevelop Action Plan,

Prioritize recommendationsw/Community

Develop Action Plan,Prioritize recommendations

w/StaffReview site’s QI

Committee membership

Review site’s QICommittee membership

ImplementAction Plan

9

Ongoing Monitoring & Feedback

Follow-up Committees are established

Revise status of action plans and inform community members

10

Communicating Progress to the Community

Report at community meetings

Ask satisfied clients to talk about improvements in the services

Ask local leaders, NGOs, and health committees to help to communicate progress to the community

11

Communicating Progress to the Community (2)Post information about the site’s QI

activities and results in the waiting room or reception area

Ask community representatives on the QI Committee to report progress to community groups

Announce the site’s improvement in a site newsletter, local newspapers, on the radio & TV

12

Process - Lesson 1

The community is not a uniform group but diverse groups with different needs

Community discussions might reveal more information than client interviews in earlier COPE exercises

13

Process - Lesson 2

The issue of how to communicate with the community is important, and some methodologies are more effective than others

14

Process - Lesson 3

Community involvement is more than soliciting the community perspective of the services; learned importance of including community members in the action planning process

The QI Process

Information Gatheringand Analysis

Action Plan Developmentand Prioritization

Implementation

Follow-up/Evaluation