HAI’s largest ongoing project in Mozambique, the Population Health Implementation & Training (PHIT) partnership, is funded by the Doris Duke Charitable Foundation’s African Health Initiative. This seven-year project began in July 2009 and will continue through June 2017. The goal of the project is to improve health outcomes in all 13 districts of the Sofala Province by strengthening health systems and improving delivery of integrated primary health care.
This will be accomplished through three objectives:
- to strengthen integrated health systems management in Sofala at health facility, district, and provincial levels;
- to improve the quality of routine data and to develop appropriate tools to facilitate data-driven decision-making for provincial and district managers; and
- to build capacity for and to conduct innovative operations research, including program evaluation, in order to guide care integration and system-strengthening efforts.
This project has led to measurable improvements in routine health data quality. Annual data quality audits have been completed to assess the strength of facility-, district-, and provincial-level data so that it can reliably be used to inform strategic programmatic decision-making. Ongoing implementation research has been conducted throughout the life of the project to generate new knowledge on health systems functioning, bottlenecks, and appropriate solutions. This has led to a better understanding of health service delivery and instigated the design of new tools and approaches, including implementation of district-based performance review and enhancement meetings, facility- and district-level action plans, and routine data dashboards. The project also has a robust evaluation plan that will be initiated in mid-2015 to address the effectiveness of the intervention on health service coverage, and its impact on under-five mortality.
This project is led by a partnership composed of the Mozambique Ministry of Health, the Sofala Province Health Directorate, Health Alliance International, the University of Eduardo Mondlane, the University of Washington Department of Global Health, and the UW Department of Industrial Engineering.