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COVID-19: How We’re Responding

Our Work

And you can join the conversation.

On Thursday 10 February (2pm CET), we'll host a Twitter Chat with several contributors and other organisations who have made the FAIR SHARE Commitment to explore the themes of the publication further.

Bring your questions, comments and ideas!

Working towards #genderequality is a collective journey.

That's why we contributed to #LeadingForChange, a collection of organizational case studies put together by @fair_wl exploring #FeministLeadership, organizational change and more.

Find it here: https://fairsharewl.org/project/leading-for-change/

We’re #hiring an Asst. Controller who supports the Controller & CFAO and supervises general accounting, accounts payable & receivable roles. Location negotiable: Washington, DC, preferred. Salary: $125-135k annually, benefits in posting. Apply ➡️ http://ow.ly/3o7W50HAQRz

Raising a glass to Roe v. Wade’s 49th anniversary. I don’t have a lot of hope that we’ll get to celebrate its 50th . Thanks to those who provide, facilitate, & fund abortions. Respect to those who have chosen/may later choose abortion. Power to those working for repro justice.

Last year, Nigerian medical student @ebereillustrate’s image of a Black fetus in the womb went viral, highlighting the need for #diversity in medical illustration. Now, some of his illustrations will be published in a clinical handbook!
http://ow.ly/nJvB50HzqIt

Episode 2 of this season’s Inside The FP Story podcast features programs from @EngenderHealth @CHAI_health and Bangladesh Sheikh Mujib Medical University, integrating #familyplanning with other health areas and settings. https://hubs.ly/Q012tTYJ0

Great news out of #Ghana 🇬🇭! Starting this month, long-term contraceptive methods will be available free of charge in the country, improving access to contraception for millions of women. 🙌

Read more ➡️ http://ow.ly/vuKH50Hxw6q

We’re excited to have @EngenderHealth accept the #WeTrustYouthChallenge, and make their commitment to collectively better the ways of working with young people meaningfully!

Are you ready to join us? Find out more and accept the challenge, now: http://WeTrustYouth.org

Episode 2 of this season’s Inside The FP Story podcast by @fprhknowledge & @ibp_network features an interview with our Senior Technical Advisor Anna Temba discussing mobile family planning outreach & service integration in #Tanzania. Listen now! ➡️ http://ow.ly/B4QU50HxvIr

On January 20, Priyanka Kochar, programs manager for EngenderHealth’s India country office, will take part in a webinar, hosted by @ShareNetIntl, launching the BLOOM (Buy-in and Learning through Outcomes of MYP) campaign. Register today! ➡️ https://share-netinternational.org/events/bloom-campaign-webinar-launch/

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COPE®

COPE® (client-oriented, provider-efficient services) is a relatively simple process for improving quality in health services. COPE encourages and enables service providers and other staff at a facility to assess the services they provide jointly with their supervisors. Using various tools, they identify problems, find the root causes, and develop effective solutions. Although going through this process of self-assessment is not training to perform tasks correctly, it makes the participants aware of good practices because the assessment guides are based on international standards. Equally important, the self-assessment approach creates involvement and ownership in the quality improvement process.

COPE is cost-effective and does not involve large investments of time because some activities may be conducted while staff carry out their routine work. It is also results-oriented.

The COPE tools include:

  • A series of self-assessment guides, including a record-review checklist
  • Client-interview guides
  • Client-flow analysis
  • Action plan

COPE was originally developed for family planning clinics in Kenya and Nigeria in 1988, and since then has been introduced in 50 countries around the world, with proven success. Over the years, the COPE tools have been adapted for a wide range of health services.

How Is COPE Implemented?
The first COPE exercise at a site is completed over a period of two to three days. A facilitator conducts the introduction with site supervisors, who, at the same time, learn to facilitate the process so that they will be able to conduct follow-up sessions and also introduce the COPE process elsewhere. The introduction begins with an exercise to define quality services by asking providers to articulate how they expect to be treated when seeking health services.

  • Staff use 10 self-assessment guides containing several trigger questions. The guides are based on the clients’ rights and staff’s needs framework. At larger sites, the staff break up into teams assessing the services they provide according to one or two guides each. Small sites (fewer than 10 people) may conduct the self-assessment over a few weeks along with their regular work, using one or two guides at a time.
  • The client interviews were developed to increase staff’s understanding of the client perspective. To help staff “break the ice,” COPE includes a guide for conducting interviews with clients. (Sites using COPE are increasingly expanding their definition of customers to include nonusers of the services and the community overall, and to solicit their opinions as well. In addition, internal customers–such as fellow workers not participating in the actual COPE exercise–may also be interviewed using the self-assessment guides.)
  • The self-assessment guides and client interviews provide staff with information to identify problems related to the service-delivery process and to develop an action plan. Staff identify and state the problems, their root causes, and appropriate solutions. The action plan also contains information on assignments for staff to take responsibility for given actions and dates by when actions will be completed.

Finally, the institutionalization of COPE requires establishing a COPE committee. Some organizations have vested this responsibility with already existing committees or teams. Any type of quality improvement is a long-term process. To nurture this process, it is important to ensure site follow-up and management support.

EngenderHealth’s COPE® Handbook: A Process for Improving Quality in Health Services, Revised Edition (2003) is a resource to help COPE facilitators orient managers, train site facilitators, guide facility staff in using the COPE tools, and adapt the COPE process and tools to best fit a facility’s needs. This revised and improved version of the classic 1995 COPE handbook is more focused on the “how-to” aspects of performing COPE exercises and contains more information on orienting key managers, on helping facilitators prepare for the COPE process, and on enhancing facilitation skills.

To accompany the new COPE handbook, EngenderHealth has developed a number of content-specific COPE toolbooks containing the self-assessment guides, record-review checklists, client-interview guides, and client-flow analysis forms needed to conduct a COPE exercise. These toolbooks cover such areas as reproductive health, family planning, maternal health, adolescent reproductive health, cervical cancer screening, and HIV and sexually transmitted infection services. A full list is available in our Publications and Resources.

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