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

Lesotho

Grantee Institution: Trustees of Columbia University in the City of New York Team Leaders: Dr. Elaine Abrams, Dr. Raphael Ntumy Project Title: Lesotho PHIT Partnership: A Proposal to Strengthen Health Systems and Support Primary Care and District Health Systems

The Lesotho Ministry of Health and Social Welfare (LMOHSW) proposes a partnership with Columbia University Mailman School of Public Health (MSPH) and the Faculty of Health Sciences of the National University of Lesotho (NUL) to form the Lesotho Population Health Implementation and Training Partnership (LPHITP). The LPHITP will engage in an innovative initiative to strengthen health systems in two large adjoining districts in Lesotho, Mafeteng and Mohale’s Hoek to achieve the following health related MDGs: reduce child mortality (MDG 4), improve maternal health (MDG 5) and combat HIV/AIDS and other diseases such as tuberculosis and diarrheal diseases (MDG 6). The partnership will build on MSPH’s existing work in these districts to support the LMOHSW to develop and implement effective structures and frameworks to establish district health systems, strengthen primary health care, and to establish mechanisms to assess the impact of interventions on key health indicators directly relevant to key MDGs.

Madagascar

Grantee Institution: Medical Care Development International Team Leaders: Dr. Josea Ratsirarson, Dr. Noeline Razanamihaja Project Title: Integrated Primary Health Care in the Region of Atsimo Andrefana, Madagascar

Medical Care Development Incorporated and its consortium partners will design an Integrated Primary Health Care (IPHC) Program for Madagascar’s Region of Atsimo Andrefana (RAA). The RAA with a population of 1.2 million is one of the most underserved regions of the country with some of the lowest health indicators. The goal of the project is to provide sustainable, integrated primary health care to the underserved population in the RAA. The Partnership will work with local stakeholders to define a minimum package of IPHC services for community, health center, and referral levels. Once the basic IPHC package is agreed upon, related existing technical support and training materials will be revised, adapted and simplified. The IPHC package will build on the quality control and participatory approaches to care now being piloted by MCDI under its current child survival project. Over the implementation period, the Partnership will improve the capacity of the Ministry of Health at all levels to adopt a more efficient and effective planning process and a mentoring approach to supervision in support of the IPHC package. Finally, the Partnership will develop innovative approaches to improve important aspects of the health system, and increase the demand for health services at all levels. The project will provide a model that can be implemented in other regions of Madagascar to improve primary health care services.

Malawi

Grantee Institution: Global AIDS Interfaith Alliance Team Leaders: Dr. William Rankin, Mr. Jones Laviwa Project Title: Integrated Primary Health Care and Workforce Training in Zomba District Malawi

Malawi is a densely populated country with low life expectancy, high maternal and infant mortality, and high rates of HIV/AIDS, malaria, and tuberculosis. The Global AIDS Interfaith Alliance, in partnership with the University of California San Francisco School of Nursing and the University of Malawi Kamuzu College of Nursing, will work closely with existing Ministry of Health systems and facilities in remote areas of Zomba district to strengthen and improve integrated primary care delivery in a lasting, sustainable fashion. Central to the strategy are: 1) empowering villagers (especially women)

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