Beginning in late 2013, the USAID ASSIST Project began to provide technical support for community-level improvement of elimination of mother-to-child transmission (EMTCT) services to the Ministry of Health of Mozambique as part of the PEPFAR-funded Partnership for HIV-Free Survival (PHFS). The project took place in Bilene District in Gaza, Province in three health centers (Licilo, Chissano and Incaia) and their associated catchment areas which included 15, 11 and 13 bairros (communities) respectively. The goal of the PHFS Community Demonstration Project was to contribute to EMTCT through increased community awareness, improved community-facility linkages, and increased access to services for pregnant women. The project focused on increasing the number of pregnant women identified by the community who sought antenatal care (ANC) at the health center and who were tested for HIV. This demonstration project employed the community health system strengthening model to improve the quality of PHFS services at the community level.
The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project has recently developed an age-disaggregated data collection tool to allow for the analysis of maternal and reproductive health outcomes among females of different ages, to identify gaps in outcomes among young females and older women as well. The District Improvement Database has been designed to track and create charts for up to 30 improvement indicators for a single district, containing multiple sites.
A webinar hosted by WHO and the USAID ASSIST Project
Injections are one of the most common clinical procedures in the world with over 16 billion administered annually. Prioritizing injection safety within healthcare delivery will help prevent avoidable injuries and transmission of diseases, resulting in fewer lives lost and a reduction in medical costs associated with treating adverse events that occur as a result of unsafe injection practices. This webinar will highlight Swaziland’s experience with improving injection safety, WHO and the Safe Injection Global Network’s (SIGN) leadership and global campaign, and strategies to effectively apply global guidelines at the local level.
The Ministry of Health (MOH) of Uganda has implemented voluntary medical male circumcision (VMMC) as part of its HIV prevention strategy since 2010 with support from the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and its partners. In 2012, two PEPFAR-led external quality assessments found serious gaps in performance to minimum VMMC quality standards in a number of sites. In response, PEPFAR asked the USAID ASSIST Project to provide support in quality improvement to the MOH and implementing partners to improve quality and safety in VMMC services and build capacity of MOH staff to continuously improve VMMC service quality. This article describes the initial work with 30 sites across Uganda to identify barriers in achieving national standards, identify possible solutions to overcome the barriers, and carry out improvement plans to test these changes, while collecting performance data to objectively measure whether they had bridged gaps.