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Making Innovation Sustainable: The Axios Experience in Tanzania. Anne V. Reeler, PhD Chief Technical Officer, Axios. Countries reached. 104 countries reached. Our Health Care Network. The Axios Approach. Innovate in health care delivery Validate cost-effectiveness of innovation
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Making Innovation Sustainable:The Axios Experience in Tanzania Anne V. Reeler, PhD Chief Technical Officer, Axios
Countries reached 104 countries reached Our Health Care Network
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
Innovation and Validation Integrated VCT in Tanzania: • 1 referral hospital • 12 regional hospitals • 79 HC and dispensaries
Local Ownership The Axios Mobilization Methodology
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
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
Use Local Resources (2) Community Based Paralegal Assistance: • Community sensitization • Training of community members • Linked to official legal system and village government
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
Scaling Up and Sustainability • Research and publications • Share methodologies and results • National policies
Thank you Anne V. Reeler, PhD Chief Technical Officer, Axios anne.reeler@axiosint.com