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Health Service Delivery

A community health assistant works with nurses at a health post in Zambia, registering pregnant women for first antenatal visits. ©2012 Katharine Shelley/CHAI, Courtesy of Photoshare

Health Service Delivery

The opportunity to improve implementation of health service delivery centers on improving quality and increasing capacity to improve maternal and newborn care health outcomes. Our focus is on improving efficiency of health service delivery systems by rationalizing existing resources at health facilities and improving alignment of those delivery system strategies with the health needs of the population. While these efforts may extend into the community, the current TRAction efforts in this area primarily target the health workforce and service delivery at the facility level.

Referral and Surveillance Systems

Traditional birth attendant in Guatemala, © 2002 Virginia Lamprecht, Courtesy of Photoshare
Referral and Surveillance Systems

Improving health systems to strengthen maternal, neo-natal and child health and nutrition (MNCHN) is a current priority for the Guatemalan government. To do this, the health system must systematically identify complications related to these priority areas and build strong networks from community-level providers up to hospitals. Without clear communications between these levels of health care providers, there is a risk that once a problem is identified, referrals to proper facilities will not take place. TRAction has developed a surveillance system to ensure proper identification of MNCHN complications and is working to identify factors that affect decisions about seeking care through an implementation assessment.  

Human Resources for Health

Task Sharing Research Methodology Workshop, TRAction
Human Resources for Health

Human resource shortages in health services are widely acknowledged as a challenge to health service delivery in low income countries. A more rational distribution of tasks and responsibilities among available cadres of health workers, or task sharing, is as a promising strategy for improving access to health services within health systems. TRAction research in this area explores implementation of task sharing for Caesarean section policy using a case study and landscape analysis approach in Malawi, Tanzania, Zambia and Kenya.

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