PRIME IITechnical Leadership
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Performance Improvement

PRIME applied a breakthrough method to real-world situations, achieving sustainable results in global reproductive health care

The PRIME II Project focused on creating success where it counts—wherever primary providers are striving to offer the best possible care in resource-scarce environments. These nurse-midwives, physicians, clinic staff members and community-based workers in developing countries find that their efforts are greatly enhanced when their organizations respond to challenges on the ground with the Performance Improvement (PI) approach.

Beginning in 1997, PRIME applied the guiding principles of Performance Improvement to real-world reproductive health contexts. Our work around the world indicates that PI users like the clear, highly participatory process and the focus on cost-effective interventions to address the most important problem areas. The results PRIME achieved through PI energized our efforts to share the technique with health care organizations globally.

PRIME Voices
Dominican Republic: Community Mapping in Bateyes (12/2001)
Dominican Republic: Involving Communities in Quality Services (11/2002)
Ghana: Glasses for Midwives (9/2002)
India: Community Partnerships for Safe Motherhood (8/2001)
India: Harnessing the Profit Motive (3/2003)
India: Supportive Supervision for Auxiliary Nurse-Midwives (6/2001)
Kyrgyzstan: Motivating Providers by Posting Performance Data (4/2004)
Paraguay: Client Feedback Helps Providers Improve Services (2/2004)
Senegal: Supportive Supervision for Community-Based Health Workers (3/2004)
Uganda: Establishing Adolescent-Friendly Services (5/2001)
PRIME Dispatches
To Reach the Youth: Creating Adolescent-Friendly Reproductive Health Services in Uganda (5/2001)
Armenia: Improving Maternal and Infant Care (11/2003)
Armenia: Measuring the Impact of Performance Factors on Maternal Health Care Providers (5/2003)
Armenia: Shifting the Policy Environment for Primary Providers of Reproductive Health Care (1/2003)
Benin: An Action Plan to Reduce Maternal and Neonatal Mortality (11/2001)
Benin: Collaboration and Coordination with PROSAF (11/2001)
Building Capacity, Leveraging Resources, Sharing Expertise (11/2001)
Dominican Republic: Assistance to a Family Planning NGO (10/2002)
Dominican Republic: Consumer Feedback Improves Clinic Services, Increases Paying Clients (1/2003)
Dominican Republic: PI Approach Raises Reproductive Health to a New Level (10/2000)
Ghana: Cost Analysis and Tools for Health Care Planners (10/2002)
Ghana: Costing and Cost and Results Analysis for Effective Approaches and Interventions (2/2004)
Ghana: Decentralized Health Care (7/2000)
India: Community Partnerships for Safe Motherhood and Child Survival (8/2000)
Lessons Learned in Improving Provider Performance (2/2004)
Nigeria: Strategy for Family Planning Program Recovery (1/2001)
PI Global Team Builds on Storehouse of Experience (9/2002)
Rwanda: A Stronger Role for Primary Providers and Communities (11/2003)
Rwanda: Community-Provider Partnerships (11/2003)
Rwanda: Improving Service Quality through Provider-Community Partnerships (12/2002)
Rwanda: Mutuelles Increase Access to Health Care (8/2002)
Rwanda: Mutuelles Unify the Population (11/2003)
Rwanda: National Reproductive Health Policy and Training (11/2003)
Rwanda: Prepayment Schemes Improve Accessibility and Quality of FP/RH Services (10/2002)
Senegal: Supervision and Other Non-training Interventions (11/2002)
Strengthening Traditional and Peer Supervision (2/2004)
Supportive Supervision (8/2002)
Uganda: Adolescent-Friendly Services at District Health Centers (9/2000)
Yemen: Connecting Midwives and Communities (3/2001)
Technical Leadership Series
Technical Leadership Brochures (8/2004)
Technical Leadership Brochures (7/2002)
PRIME Technical Reports
Dominican Republic Performance Improvement Project Evaluation (1/2000)
Performance Needs Assessment of Safe Motherhood Regional Resource Teams in Upper East, Upper West and Northern Regions of Ghana (7/2002)
Results of the Second Follow-up Study of the Dominican Republic Performance Improvement Project Evaluation (11/2001)
PRIME Better Practices
Cost and Results Analysis, Volume 1: Strategy (9/2003)
Cost and Results Analysis, Volume 2: Toolkit (9/2003)