Apex Quality Manual: Quality Assurance/Quality - FHI 360

270 Pages·2011·4.18 MB·English

Quality Assurance/Quality Improvement
Framework and Standard Operating Procedures
for HIV Prevention among
Street Youth and Children
Apex Quality Manual • Enhance SAMARTH: Salaam Baalak Trust Project • February 2011
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Quality Assurance/Quality Improvement
Framework and Standard Operating Procedures
for HIV Prevention among
Street Youth and Children
Apex Quality Manual • Enhance SAMARTH: Salaam Baalak Trust Project • February 2011
Apex Quality Manual:
Quality Assurance/Quality Improvement Framework and
Standard Operating Procedures for HIV Prevention among
Street Youth and Children
© 2011 by FHI
ISBN: 1-933702-68-0
This manual is an innovative effort to measure the quality of HIV prevention services among street
children, runaway children, adolescents, and young adults. It has two parts. The first provides a general
overview and detailed description of the standard operating procedures (SOPs). The second explains
the checklists and describes the interdepartmental teams for internal assessments. An appendix with
checklists for the staff members who are responsible for implementing the SOPs follows.
This manual was created under the aegis of Salaam Baalak Trust (SBT), a nongovernmental organization
based in New Delhi. SBT is dedicated to the care and protection of neglected and highly vulnerable
street and runaway children.
Technical support was provided by FHI, an international nongovernmental organization whose
mission is to improve the lives of the world’s most vulnerable people using a scientific, evidence-based
approach.
This work was made possible by the generous support of the American people through the United
States Agency for International Development (USAID) and the United States President’s Emergency Plan
for AIDS Relief (PEPFAR), the largest global program on HIV/AIDS. PEPFAR’s goal is to treat at least 3
million people, prevent 12 million new infections, and care for 12 million people, including 5 million
orphans and vulnerable children, by 2013. Financial assistance was provided to FHI by USAID under
the terms of Cooperative Agreement # 386-A-0006-00161-00. The contents are the responsibility of
FHI and do not necessarily reflect the views of USAID or the United States Government.
Content development: Javita Narang
Photos: Sanjay Kumar
All photographs are courtesy of FHI.
FHI/India Salaam Baalak Trust (SBT)
H-5, Green Park Extension, (Ground Floor) DDA Community Center
New Delhi-110 016 Chandiwali Gali, Pahar Gani
India New Delhi 110 055
Tel: [phone] India
E-mail: [email protected] Tel: [phone]
Web site: www.fhi.org E-mail: [email protected]
[email protected]
Contents
Foreword ............................................................................................................................................................................... iv
Preface .....................................................................................................................................................................................v
Acronyms ................................................................................................................................................................................vi
Part One: Overview and Standard Operating Procedures ...............................................................................1
Part Two: Checklists ......................................................................................................................................................131
Part Three: Appendixes ..............................................................................................................................................237
Foreword
The United States Agency for International Development (USAID) in India is committed to supporting
the National AIDS Control Organization (NACO) in strengthening the infrastructure, systems, and hu-
man resources of the National AIDS Control Program, Phase III (NACP III).
The SAMARTH Project, supported by USAID and implemented by FHI, is mandated to improve the
life of street-children, who are the most vulnerable population to sexually transmitted infections,
including HIV/AIDS. This vulnerability is due to the very characteristic of their being at the devel-
opmental stage, without support and information, and often being exposed to exploitation early in
life, including exposure to risk-inducing substance abuse. Supporting vulnerable and street children
through the SAMARTH Project is a part of the President’s Emergency Plan for AIDS Relief (PEPFAR)-
supported projects.
As the scale of operations continues to expand in India to promote HIV prevention, care, support
and treatment programs, improving quality in the delivery of products and services at the district,
state, and national levels is emerging as a priority. A robust Quality Assurance and Quality Improve-
ment (QA/QI) system, implemented systematically and monitored periodically, will make a significant
contribution toward improving the quality of health products, processes and people-based outcomes
in the long run. This example of Standard Operating Procedures and Checklists, developed by FHI in
partnership with the Salaam Baalak Trust, should prove useful for bringing in sustained quality of care
for street children.
I congratulate all the staff and management of Salaam Baalak Trust of Delhi and FHI for their efforts in
developing this QA/QI manual for street child programming.
Kerry Pelzman
Director
Office of Population, Health and Nutrition
iv Quality Assurance/Quality Improvement Framework and Standard Operating Procedures
Foreword
Preface
In the third phase of the National AIDS Control Program (NACP-III), the government of India is
improving the efficiency and effectiveness of the national response to HIV and AIDS for greater impact
and better health outcomes. The emerging priority under the national program is to optimize the scale
and resources with a sharper focus on quality of services.
Under the USAID-funded “Strengthening Abilities to Manage and Respond Effectively to HIV/AIDS”
(SAMARTH) project, FHI is extending technical assistance (TA) to governmental and nongovernmental
partners to strengthen the response to HIV/AIDS at the national, state, and district levels. One of the
core areas of TA is quality assurance and quality improvement (QA/QI) in child programming.
FHI, in partnership with the Salaam Baalak Trust (SBT) of Delhi, has developed innovative
standard operating procedures (SOPs) and checklists for measuring the quality of HIV prevention
services among street children. The SOPs cover key areas of services for children, such as health,
psychosocial assistance, education, vocational training, and rehabilitation. These SOPs are widely
applicable in different program settings. They can provide useful direction to both governmental and
nongovernmental agencies in programming for vulnerable children and adolescents in India.
Dr. Bitra George
Country Director
FHI/India
Quality Assurance/Quality Improvement Framework and Standard Operating Procedures v
Acronyms
AB abstinence and being faithful
AIDS acquired immune deficiency syndrome
ART antiretroviral therapy
CBO community-based organization
CBSE Central Board for Secondary Education
CYFS child and youth-friendly services
DIS drop-in shelter
FBO faith-based organization
GIPA greater involvement of people with HIV/AIDS
GO government organization
HIV human immunodeficiency virus
IA implementing agency
ICT integrated counseling and testing
IEC information, education, and communication
IEP individual education plan
IQ intelligence quotient
LS learning site
LSE life skills education
M&E monitoring and evaluation
MH mental health
MP management plan
MHP mental health program
MIS management information system
NACO National AIDS Control Organization
NFE nonformal education
NGOs nongovernment organizations
NOS National Open School
vi Quality Assurance/Quality Improvement Framework and Standard Operating Procedures
Acronyms
PE peer educator
PEPFAR President’s Emergency Plan for AIDS Relief
PM project management
PIF performance indicator forms
PPTCT prevention of parent-to-child transmission
QA/QI quality assurance/quality improvement
RH reproductive health
RMFR recipients monthly financial report
SAMARTH Strengthening Abilities to Manage and Respond Effectively to HIV/AIDS
SBC strategic behavior communication
SBT Salaam Baalak Trust
SDC skill development center
SGMs small group meetings
SHO station head officer
SOPs standard operating procedures
STIs sexually transmitted infections
TB tuberculosis
TOT training of trainers
USAID United States Agency for International Development
USG United States Government
VCT voluntary counseling and testing
WHO World Health Organization
Quality Assurance/Quality Improvement Framework and Standard Operating Procedures vii
1
Quality Assurance/Quality Improvement
Framework and Standard Operating Procedures
for HIV Prevention among
Street Youth and Children
Overview and Standard Operating Procedures
Apex Quality Manual • Enhance SAMARTH: Salaam Baalak Trust Project • February 2011