It can be tempting to selectively choose only the highest-capacity providers for recruitment into the network.
Further, working with lower-capacity providers to improve quality and expand their range of services is an important part of improving standards of care in the private sector, a key promise of franchising and one that selectively choosing only high-capacity providers negates.
Participants commonly identified practical constraints associated with screening and diagnosis, including the need for increased service capacity and provider training, the need for adequate early intervention services, and the evolving and variable nature of FASD presentations.
The capacity of providers is low, services are not felt to be affordable, and patients report concerns about safety, all contributing to low utilization of community health facilities.
Our evaluation strategy is to empower partners to continue understanding the effectiveness, quality, and fit of their programs after our funded work ends, by building the capacity of providers to conduct ongoing evaluation activities.
Clinician burnout reduces the capacity for providers and health systems to deliver timely, high quality, patient-centered care and increases the risk that clinicians will leave practice.
However, my work with WFI has exposed me to advocate for free contraception for women, build capacity of providers in hard-to-reach communities and supply delivery kits to indigent mothers.
Therefore, greater capacity of providers at all levels and broader health system strengthening will also be necessary to improve maternal and newborn health care services further [ 50].
A strategy involving simple structural improvements, in-service training opportunities, effective team-based mentoring and supervision could strengthen the capacity of providers to care for newborns.
