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Partnership as a Tool for Strengthening Primary Health Care in Côte d’Ivoire

Partnership as a Tool for Strengthening Primary Health Care in Côte d’Ivoire. Ahoua Koné, JD, MPH UW DGH Clinical Assistant Professor Director of Côte d’Ivoire Projects April 5, 2014. Background. How we started

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Partnership as a Tool for Strengthening Primary Health Care in Côte d’Ivoire

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  1. Partnership as a Tool for Strengthening Primary Health Care in Côte d’Ivoire Ahoua Koné, JD, MPH UW DGH Clinical Assistant Professor Director of Côte d’Ivoire Projects April 5, 2014

  2. Background • How we started • Unmet health needs & partnership with INSP (national public health institution) and Rotary • Provided support to government hospitals struggling as a result of structural adjustment measures • Current Projects in HAI Cote d’Ivoire • CDC-PEPFAR – HIV/AIDS care & Treatment services • Operations Research: Training; Studies (PMTCT Cascade with PopCouncil and USAID; NIH -3-country PMTCT systems analysis)

  3. Background (continued) • Key country indicators • Independence 1960; relatively peaceful until 2000 • Pop: 23 million • 57% Literacy rate; • IMR 63 • U5MR 102 • HIV prevalence 3.7% pop. (4.6% women and 2.7% men) • Per capita GDP: $1,245

  4. Implementing Partners

  5. HAI approach to strengthening MOH • Work directly with MOH counterparts • Joint planning of activities • Transparency – sharing of budgets • Financial resources, including for activities, maintenance, rehabilitation, and MOH salary support • Close collaboration with local universities and research institutions (UAO, INSP) and local groups • Joint evaluations and research, including capacity building in research methods

  6. CDC-PEPFAR HIV/AIDSPROJECT GOAL: To expand access to comprehensive HIV/AIDS care and treatment while building capacity and contributing to sustainable service delivery

  7. HAI approach within CDC-PEPFAR project Health System support Health Providers Support Community Partners Support • HAI staff work within MOH offices • Rehabilitation of health facilities • Supplies & materials. • Collaborative OR & quality improvement • On-site training & coaching of health care providers • Support of roaming doctors to visit sites with no permanent doctor • Supervision & support of local NGOs • Reinforcement of the link between community and health facility for care and treatment

  8. Major achievements • Rapid scale up of high-quality, integrated HIV servicesin the project area • Solid collaboration between CDC, MOH, NGO and UW partners • Involvement of districts for activities related to HIV/AIDS • 147 sites providing C&T, 138 providing PMTCT, 48 providing ART • 5352 patients on ART actively followed

  9. Operations ResearchActivities GOAL: To provide training and capacity building; to assess major factors associated with performance of health facilities and help resolve such bottlenecks to improve patient care.

  10. PMTCT Flow mapping

  11. Preliminary Findings • Substantial variation in flow map from site to site • Certain steps of PMTCT cascade not completed • Different perceptions of health care providers regarding patient flow and PMTCT cascade

  12. Upcoming Projects – Our wish list • National level operations research to assess scale up of PMTCT Option B • Implementation and scale up of GeneXpert TB diagnostics • Malaria operations research: assessing quality of care, including measurement of • Partnership with a school of public health in Guangzhou, China

  13. HAI-CI today • CI-HQ staff (Administrative & Technical) • 50 in-country staff • 5 city offices: Bouaké, Bondoukou, Korhogo, Abidjan, Katiola • 4 regions: Gbêké, Hambol, Poro-Tchologo-Bagoue (PTB) , Gontougou-Bagoue (GB) • 15 health districts

  14. MERCI!

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