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Making Innovation Sustainable: The Axios Experience in Tanzania

Explore how Axios approaches innovation in healthcare delivery, validates cost-effectiveness, and creates local ownership in Tanzania. Discover how we use local resources, build capacity, plan for transfer of ownership and costs, and scale up for sustainability.

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Making Innovation Sustainable: The Axios Experience in Tanzania

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  1. Making Innovation Sustainable:The Axios Experience in Tanzania Anne V. Reeler, PhD Chief Technical Officer, Axios

  2. Countries reached 104 countries reached Our Health Care Network

  3. The Axios Approach • Innovate in health care delivery • Validate cost-effectiveness of innovation • Create local ownership • Use local resources in innovation • Build local capacity from the start • Plan for transfer of ownership and costs • Scale up and ensure sustainability

  4. Innovation and Validation Integrated VCT in Tanzania: • 1 referral hospital • 12 regional hospitals • 79 HC and dispensaries

  5. VCT Research: Cost per HIV+ identified

  6. Local Ownership The Axios Mobilization Methodology

  7. Transition and Sustainability Assessment (AMM) Building Full Operation Partner Competence Level of Effort Technical Assistance Communication Publication Monitoring Evaluation Phase 2 Phase 3 Phase 4 Phase 5 Phase 1 Building Local Capacity

  8. Use Local Resources (1) Traditional birth attendants and PMTCT: • Integration of PMTCT in all levels of health facilities in two districts • Training of traditional birth attendants

  9. Use Local Resources (2) Community Based Paralegal Assistance: • Community sensitization • Training of community members • Linked to official legal system and village government

  10. Transfer of Responsibility and Costs • Use existing structures and personnel • Planning with regions/districts/partners • Gradual absorption in local budgets • Incorporate activities in supervision schedules

  11. Scaling Up and Sustainability • Research and publications • Share methodologies and results • National policies

  12. Thank you Anne V. Reeler, PhD Chief Technical Officer, Axios anne.reeler@axiosint.com

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