Improve Primary Health Care Services Delivery

(2022-2027)
A young mother with her child in Jinka, South Ethiopia, Amref intervention site

Improve Primary Health Care Service Delivery (IPHCSD) is a five-year project implemented by Amref Health Africa and JSI Research & Training Institute, Inc. (JSI) with financial support from Bill and Melinda Gates Foundation.

Our Objective 

Strengthen the functionality of and bidirectional linkage across Ethiopia’s Primary Health Care (PHC) delivery platforms—health post to the health center to the primary hospital —for improved reproductive, maternal, newborn, child, adolescent health, and nutrition outcomes.

Outcomes

  • Ensure equitable access to and use of essential health services
  • Improve the quality of essential health services
  • Strengthen technical oversight and accountability

Our Footprint

We work in eight regions that represent agrarian, pastoralist, and agro-pastoral contexts of Ethiopia:

          Afar

 

          Amhara

 

          Gambella

 

          Oromia

 

          Sidama

 

          Southern Nations, Nationalities and People

 

          Southwest Ethiopia People

Mobile outreach health service supported by Amref in Afar region, Ethiopia

Major Activities

Ensure equitable access to and utilization of essential health services

  • Pressure-test the Redefined Health Extension Program service packages
  • Implement a community health program in health centers and primary hospitals
  • Contextualize service delivery modalities in pastoralist context
  • Strengthen community engagement strategies

Improve the quality of essential health services

  • Strengthen networks of primary care facilities for improved quality
  • Introduce combined facility-community Quality Improvement (QI) process
  • Codesign and pressure test a facilitated Participatory Learning Action (PLA) approach for improved quality Maternal, Neonatal and Child Health (MNCH) services uptake and outcomes
  • Introduce a performance management and performance-based incentives for PHC

Strengthen technical oversight and accountability for Primary Health Care

  • Implement a managerial accountability for PHC framework; revamp and test the community scorecard to ensure it works across the PHCU
  • Reorganize the governance structure of PHCU Measurement and Evaluation
A trained health worker counselling a pregnant woman
Young mother with her kid, North Ethiopia, Amref intervention
A young health worker on duty, Gambella Amref intervention, Ethiopia

Gender is integrated into all of the project life cycles.

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