We document and disseminate various results, trainings, and resources from our research, programs, and projects.
Many health centers are at the crossroads of needing to invest in updating their care model so they can engage in the evolution of the health care system, and maintaining financial sustainability in what remains largely a fee-for-service world. By helping to shape value-based payment models in their services areas, health centers can lay a…
Over a the-year period, Penobscot Community Health Care, a federally qualified health center in Maine, implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this “Delegate Model,” Penobscot physicians assign tasks that they used to perform to trained care team medical assistants (CTMAs). The goal of delegation was to…
To address challenges in public health supply chain performance, Tanzania invested in a national logistics management unit (LMU) and a national electronic logistics management information system (eLMIS). This evaluation examined the impact of these two key management upgrades approximately one year after they were introduced. It was found that investing in a LMU and eLMIS…
As Pakistan decentralized health, population, education, and other social sectors to the provincial level, that decentralization created some challenges, including limited understanding and capacity of provincial staff to fulfill their new duties. To address this, capacity building became an integral part of both the Sindh Health Sector Strategy 2012–2020, which highlights the need to build…
Although CHX had been added to the essential drug list, the lack of coordination between implementing partners and non-existent standard guidelines and protocols has resulted in fragmented CHX delivery in Pakistan. This fragmentation prohibited possibilities for scale-up, as implementing partners were using different drug protocols and often working in silos. There was inadequate CHX supply…
Recognizing the challenges to improving the performance of the Expanded Program on Immunization (EPI) in the province, the Government of Sindh’s Department of Health (DOH) requested technical support from the Health Systems Strengthening Component of USAID’s Maternal and Child Health program team to conduct an EPI pilot in the four lowest performing districts: Jacobabad, Kashmore,…
Globally, more than 100 million people become impoverished and a further 150 million face severe financial hardship as a result of health care payments.This is a critical barrier to achieving universal health coverage (UHC), a central pillar of Goal 3 of the Sustainable Agenda 2030. Heartfile Health Financing (HHF) is a new and a third…
In Sierra Leone, the Advancing Partners & Communities project worked to strengthen the policy environment to enable increased access to health posts (HPs) (community health posts and maternal and child health posts) and at the community level; increase capacity and effectiveness of the health workforce and community platforms to provide high-quality RMNCH services, including infection…
Between May 2014 and January 2016, Sierra Leone was impacted by the worst Ebola outbreak in recorded history. The outbreak exposed critical gaps within the country’s health system, revealing the need to strengthen health services to prevent future outbreaks. To begin the country’s recovery, Sierra Leone launched the Health Sector Recovery Plan, 2015-2020. USAID, through…
In 2015, JSI made a five-year commitment to scale-up activities on immunization, maternal, newborn and child health, logistics services, nutrition, and HMIS in 10 countries worldwide, while training over 20,000 health workers by 2020. This pamphlet documents JSI's progress in 2016 toward this commitment. JSI, 2017.
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