This evaluation of the Population Health Implementation & Training (PHIT) and Integrated District Evidence to Action (IDEAs) projects applies common implementation science tools to better understand how these HAI-led data system strengthening projects–supported through the Doris Duke Charitable Foundation’s African Health Initiative–have affected data quality, service readiness and health service outputs in Central Mozambique. The evaluation will help to develop a cost-effective and scalable model to deliver the underlying evidence-to-action intervention nationwide, led by district management teams.
The PHIT and IDEAs projects are grounded in an “audit and feedback” intervention approach, focused on data-driven decision making to improve clinical service delivery. Through systematic assessment, including direct feedback cycles to health professionals on individual facility performance, clinic managers and front-line nurses can adjust their practice in real time, leading to improvements in the coverage and quality of evidence-based clinical interventions that prevent neonatal deaths. The approach also integrates data from related services, such as laboratory and pharmacy, into the scope of assessment, helping to prevent supply chain ruptures and improve service delivery across the full scope of maternal, newborn and child health services.
The initial “audit and feedback” pilot project (PHIT) ended in 2017, followed by the regional scale-up phase (IDEAs) currently implemented in 12 districts in Manica and Sofala provinces, covering a geographical area with 150 health facilities and 2.8 million residents. District management teams, supported by staff from Health Alliance International deliver the IDEAs intervention to all public sector health facilities in their areas.
This evaluation is funded by the National Institutes of Health/Eunice Kennedy Shriver National Institute of Child Health and Development and is conducted in partnership with the Mozambique Ministry of Health and the University of Washington.