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Doris Duke Charitable Foundation African Health Initiative Population Health Implementation Training (PHIT) Planning Grant Team Project Summaries

Ghana

Grantee Institution: Pangaea Global AIDS Foundation Team Leaders: Dr. Dennis Israelski, Dr. Eddie Addai Project Title: Equity and Access: Scaling up Primary Healthcare for Urban and Rural Poor in Ghana

In 2007, the Ghana Ministry of Health launched a health policy entitled Creating Wealth through Health; striving to achieve middle income status by 2015. With health at the centre of their socio-economic development strategy, the MOH leadership is supporting multiple investments in the health system. At the core of this strategy is bringing quality to health services and providing universal access to primary health care. Working with a core team of individuals from government, community, academia and the private sector we propose to address issues of equity, access and quality in the delivery of primary health care services to impoverished urban and rural populations in the Greater Accra Region.

Greater Accra Region (GAR) is the most populous area of Ghana experiencing exponential population growth based on heavy rural to urban migration patterns of indigent groups. The resultant urban slums and isolated rural communities pose significant challenges to providing services and achieving improvements in health outcomes. Responding to the expressed needs of GAR, we propose to develop an integrated package of interventions targeting health systems, health care providers, and end-users that would lead a marked increase in the coverage and quality of primary health care services.

Kenya

Grantee Institution: African Population & Health Research Center Team Leaders: Dr. Joseph Inungu, Dr. Eliya Zulu

Project Title: The Partnership for a Healthy Nairobi

Rapid urbanization amidst stagnating economies and poor governance have created a new face of abject poverty in overcrowded informal settlements, commonly called slums. The term informal settlement underscores their nonpermanence and implicitly suggests the lack of government responsibility to provide basic infrastructure and services, including water, electricity, garbage collection and drainage infrastructure, health services, and law enforcement. The Partnership for a Healthy Nairobi (PHN) is designed to improve the delivery of effective and sustainable integrated primary health care (IPHC) to the residents of three Nairobi slums – Korogocho, Viwandani and Kibera, which house about 650,000 people in an area of only four square kilometers. PHN will work closely with the Ministry of Health and other stakeholders in contextualizing and implementing the Kenya Essential Package for Health, the primary tool for revitalizing the country’s health sector under the Second National Health Sector Strategic Plan. PHN’s key strategies include fostering public-private partnerships, training of health workers, strengthening service management, and strengthening community responsibility and ownership of health. PHN will also adopt a comprehensive monitoring and evaluation system using community and clinic-based data to provide lessons on program effect and health impact of the IPHC package in slums. The six PHN core partners are: the African Population and Health Research Center, Population Council, AMREF-Kenya, Jhpiego, the City Council of Nairobi and Provincial Medical Office.

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