Gaps between actual and desired quality performance are identified and analyzed. Assurance that key products such as condoms, hormonal contraceptives and oral rehydration salts are well known and distributed at a reasonable price, through channels that are accessible by the majority of the target population. Development and printing of IEC materials for service providers and clients, development of training programs to address communication and counseling weaknesses in service delivery and outreach, and the development of mass media campaigns that promote and model positive health behaviors. The surrounding community is then mobilized to further promote the use of services provided in the Gold Circle sites. The quality work of service providers is publicly recognized.
Public recognition motivates providers to keep providing high standard work.
The operations research component of the project is responsible for monitoring the impact of the interventions and continuously providing feedback for qualitative and quantitative program improvement. This component aims at improving efficiency and effectiveness by diagnosing service delivery problems, testing performance improvement strategies and proposing solutions. As a result, the project s approach is being continuously refined. Criteria of quality of care have been reviewed and revised. The Gold Circle accreditation model will also be reviewed and possibly revised.