Health Service Delivery

HEALTH SERVICE DELIVERY

CAPACITY DEVELOPMENT

Building the capacity of individuals, organizations, and governments to manage programs, treat and prevent illnesses, and plan for healthier futures, lies at the heart of the Panax mission. Through enhanced local capacity, programs and projects will be able to close the gap between knowledge and action in public health. We apply proven, innovative methods to increase the knowledge and skills of health officials at all levels to strengthen planning, management and health service delivery. Methods include participative organizational assessments, virtual and face-to-face competency-based training, supportive supervision, coaching and mentoring, joint data review and analysis, and other means.
Panax strengthens institutional capacity of organizations in a broad range of technical and organizational areas through global, regional, and country projects. Examples of Panax’s capacity building initiatives include:

  • Leadership, Management, and Sustainability (LMG)
  • Grants Management Solutions (GMS)
  • Monitoring and Evaluation to assess and Use Results
  • COMMUNITY MOBILIZATION

    Panax has experience of working with local leaders and foster community partnerships to achieve lasting health impact. We strengthen organizations and their ability to manage health service delivery programs to ensure that individuals have the resources to live healthier, more productive lives. We have experience of using a range of outreach strategies (including educational campaigns, community events, and health fairs) to raise awareness and address the most critical public health challenges among target and vulnerable populations.
    We ensure cultural sensitivity, gender equity, and youth-friendly services, as in our work with youth groups. We have experience of increasing access to health information, using local television, radio stations, mobile cinemas, and engagement of mullahs and community leaders, to share messages with the target populations.
    We have experience of engaging men as partners in supporting family planning and child immunization activities. We can utilize market day events, health workers engaging men in discussions about the importance of family planning, the different methods available, and the role of men in supporting their partners to access family planning services.

    DECENTRALIZATION AND SUSTAINABILITY

    Panax possesses expertise in revision and restructuring public and private sector health service systems, particularly where service provision and management is weak at the district and community level, or where population changes, such as urban growth or migration, have challenged the health system’s ability to meet that population’s needs. Panax has experience of engaging all levels of the health system to develop their capacity to plan, lead, and manage. At the community level, Panax can mobilize local leaders and communities to support and use health services. At the facility level, we can train workers to provide evidence-based care and to manage their work effectively. At central, provincial, and district levels, we can develop and support new roles for ministries of health and other government entities working in a decentralized environment to support better health service delivery. Panax also provides sustainability planning and support, particularly where donor support is diminishing or stakeholder ownership is weak.
    Our teams of health professionals have experience of ensuring that plans and policies are adequately supported, implemented effectively, and regularly monitored and evaluated to ensure high quality, equitable service provision and good value for money. We promote the use of data to monitor program implementation and guide any necessary modifications. Our work involves evidence-based analysis, alignment with international policy and regulatory bodies, and knowledge of country-specific resources and challenges. Policy implementation includes the development of norms and standards for service delivery and support at all levels of the health system.
    Panax has experience of working hand-in-hand with the public and private sector to strengthen every aspect of its health system from developing sustainable financing mechanisms, data collection and use, to standardizing and improving the quality of services in private and public facilities. Panax helped organizations increase equal participation, benefits, and outcomes for men and women in the health system through the development of a national strategic plan and the ensuring gender mainstreaming and inclusion.
    Panax focuses on achieving the greatest health results and serving those most in need. Our pathway to results ensures; focus on interventions that work best in project design, implementation, and evaluation; foster programs to create sustainable health systems; and harness the strength of all sectors: public, private, and civil society–to work together as a unified whole. We have experience of working at all levels of the health system–from the household to the community to the health facility to national authorities.

    INTEGRATION OF SERVICES

    Panax has available within the organization, the required experience which ensures improving health service delivery through the integration of health services. Panax’s integration strategies link service levels of decentralized health systems and make critical linkages between priority services. Integration enables providers to address all health needs of individuals and families efficiently, regardless of the initial reason a person seeks care. Panax can help countries achieve health impact by providing essential packages of health services that provide the greatest impact and value. Typically essential packages of health services include maternal, newborn, and child health services; immunization; nutrition; communicable diseases treatment and control; primary care screenings, and regular supplies of essential drugs. These essential services are the keystone of Panax’s Universal Health Coverage strategy.
    Panax can implement integrated packages—such as those which are evidenced-based, tailored to the needs, and delivered by capable and trained providers. They can be scaled-up as capacity is built to develop a stronger and sustainable health system. Panax also focuses on priority services, such as: maternal, newborn, and child health; family planning and reproductive health; HIV/AIDS, tuberculosis, malaria and other infectious diseases; and chronic diseases, we can also address lagging priority health indicators during transitions from vertical service delivery (that is, separate and unlinked services for each priority area). Panax has available as its staff and affiliates, who are considered leaders in community-based service delivery of priority services, including integrated community case management and innovative ways of working with community health workers.

    POLICY DEVELOPMENT

    Panax has experience of collaborating with public sector and ministries to identify, develop, and implement health policies in support of national health plans and priorities. Our experience involves evidence-based analysis, alignment with international policy and regulatory bodies, and knowledge of country-specific resources and challenges. Policy implementation includes the development of norms and standards for service delivery and support at all levels of the health system, with data development and active monitoring to ensure application, feedback and eventual modifications.

    PUBLIC PRIVATE PARTNERSHIP

    A strengthened public health system often requires the participation of the private sector because today’s complex challenges require innovative and efficient service delivery models, and often not all of that can be provided by governmental systems. Panax has experience of innovations in health finance, policy, and systems help to compensate and regulate private providers in a public system. We engage private sector organizations as a means of increasing community access to quality health services. A primary mechanism for integrating private providers into public-private service delivery systems is performance-based contracting. Panax has experience of supporting all aspects of performance-based contracting and provides assistance to private sector providers, facilities, and insurers to participate.

    QUALITY IMPROVEMENT

    Panax has the experience to employ quality assurance as a major cross-cutting strategy to improve health services. We support supervision, mentoring and coaching of service providers and managers in alignment with sector wide plans, norms, standards, and procedures. Panax can also assist to develop formal certification and accreditation programs and to institutionalize processes of continuous quality improvement (CQI) at all levels of the health system. We support quality requirements with on-the-job training and team problem-solving. The best services are those that not only meet technical quality standards, but are also perceived by all as culturally appropriate, and by youth and women of reproductive age as meeting their needs.
    Panax experts have the expertise to identify performance gaps, and develop participatory, tailored work plans to ensure quality, sustain strengths, and correct weaknesses. These efforts reinforce outreach and referral systems, use supportive supervision, coordinate community and facility linkages, support participation of community health workers and traditional birth attendants where appropriate, and facilitate local area mapping and monitoring to ensure quality service delivery. Quality improvement approaches reinforce facilities’ and providers’ capacity for using data, and strengthen facility management, including record-keeping and reporting. We also seek to ensure continued stakeholder engagement in quality assurance.