Enhancing Health Care Service Delivery
with Innovation
Current Situation
Health systems in Africa are challenged with fragmented service delivery ecosystems. These systemic misalignments tend to result in inadequately trained frontline personnel, weak governance systems and mismanaged patients, which eventually lead to preventable deaths
Health Systems Strengthening
Our Approach
Our groundwork and close interface with health actors across all sub-sectors and levels of hierarchy provide insights for creativity and innovation in addressing health system challenges within and outside Nigeria.
Health Care Quality Initiatives
Our cluster meetings, capacity development programs, collaborative learning sessions, and network models provide a platform for participating facilities to share best practices, use facility specific data to generate and implement ideas for change, and learn from each other.
Private Sector Engagement (PSE)
PSE aims to shape the health market for better health outcomes by implementing interventions to improve quality of care, strengthen data and financial management systems, and facilitate collaborative activities within networks of facilities aggregated by geography. We achieve our objectives through governance support, stakeholder engagement, performance management, and inter-facility collaboration.
Results
Health Care Quality Initiatives
Our intervention led to the training of 488 healthcare workers across different cadres on QI methodologies; coaching of 58 quality champions to serve as state mentors and to cascade QI support to other public and private health facilities; and reduction in facility-based maternal deaths by 25 percent, 34 percent and 37 percent respectively in Lagos, Imo and Niger states. There was also a reduction in fresh stillbirths by 32 percent, 37 percent and 15 percent respectively, in Lagos, Imo and Niger states.
Private Sector Engagement (PSE)
We have managed networks of for-profit and not-for-profit private sector health facilities providing primary and secondary care in Lagos and Imo states. Some of these include Orlu Catholic Hospitals’ Network and Owerri Catholic Hospitals’ Network. Our support helped these private healthcare providers to implement the pooled procurement of drugs and consumables, shared specialist services and shared laboratory services. We also strengthened financial management processes to support service delivery and improve the viability of the practices through capacity building efforts and hands-on facilitation.