Draft logframe of Round 11 HSS proposal

Proposal Development Task Team (PDTT) – Executive TeamFriday, 7 October 2011

Four proposed HSS objectives

1. Increase utilization of healthcare services in hard-to-reach rural areas

2. Increase number, competence and effectiveness of health workers in rural areas

3. Build and maintain a single, integrated health information system

4. Strengthen supply chain management for commodities

Objective 1

1. Increase utilization of healthcare services in hard-to-reach rural areas

1.1 Increase availability of integrated health services for hard-to-reach rural populations

Renovate primary healthcare infrastructure, targeting facilities where we are scaling-up integrated AIDS-TB careConduct scheduled outreach to selected isolated areas from Public Health Units using dedicated staff and transport

Train health motivators to increase awareness about available health services

1.2 Strengthen referral systems, with focus on healthcare workers and facilities

Implement Referrals and Linkages Framework

Service delivery areas (SDAs) Activities

Objective 2

2. Increase number, competence and effectiveness of health workers in rural areas

2.1 Increase availability of competent nurses in hard-to-reach rural areas

Give nursing faculties the capacity to enroll more students

Recruit and retain nursesBuild capacity of nurses and doctors to perform task-shifted roles as a clinical teamProvide clinical mentorship for nurses

Support wellness programmes

2.2 Increase availability of health motivators in hard-to-reach rural areas

Recruit & train health motivatorsProvide performance-based incentives

Provide continuous training for health motivators, including task-shifted roles

Service delivery areas (SDAs) Activities

6

2. Increase number, competence and effectiveness of health workers in rural areas

2.3 Strengthen leadership capacity of nurses managing clinics

Train clinic managers in leadership & management skills

Introduce general performance appraisals

Service delivery areas (SDAs) Activities

7

Objective 3

3. Build and maintain a single, integrated health information system

3.1 Design & build a functional health information system

Design an integrated health information system

Scale-up community health information system from pilot to national level

Conduct periodic reviews of functionality of the integrated health information system

3.2 Build IT infrastructure that enables the health information system to function effectively

Procure essential IT support for HIS

Build human resources capacity at community and regional levels to support HIS

Service delivery areas (SDAs) Activities

9

3. Build and maintain a single, integrated health information system

3.3 Use the HIS to make evidence-based decisions

Design central dashboards that are accessible throughout the health system

Design a web portal for dissemination of information reports

Conduct regular reviews and evaluations of disease programs

Service delivery areas (SDAs) Activities

10

Objective 4

4. Strengthen supply chain management for commodities

4.1 Improve infrastructure at facility pharmacies and national warehouse

Establish an integrated storage space at Central Level for all commodities

Improve security of commodities in transit and at CMS, National Laboratory and facility pharmacies

Develop and maintain physical asset-management plan

4.2 Strengthen management capacity

Expansion Integration of Data Management Unit at CMS

Conduct quarterly commodities review meetingsEstablish new operational structure of CMS

Continue capacity development at procurement unit

Service delivery areas (SDAs) Activities

12

4. Strengthen supply chain management for commodities

4.3 Establish standardized quality assurance programme for commodities

Establish medicines regulatory unit

Procure equipment for quality control labs

Establish disposal systems for commodities

Service delivery areas (SDAs) Activities

13