Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership

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Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership

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dc.contributor.author Drobac, Peter C en_US
dc.contributor.author Basinga, Paulin en_US
dc.contributor.author Condo, Jeanine en_US
dc.contributor.author Farmer, Paul E en_US
dc.contributor.author Finnegan, Karen E en_US
dc.contributor.author Hamon, Jessie K en_US
dc.contributor.author Amoroso, Cheryl en_US
dc.contributor.author Hirschhorn, Lisa R en_US
dc.contributor.author Kakoma, Jean Baptise en_US
dc.contributor.author Lu, Chunling en_US
dc.contributor.author Murangwa, Yusuf en_US
dc.contributor.author Murray, Megan en_US
dc.contributor.author Ngabo, Fidele en_US
dc.contributor.author Rich, Michael en_US
dc.contributor.author Thomson, Dana en_US
dc.contributor.author Binagwaho, Agnes en_US
dc.date.accessioned 2014-02-13T19:01:30Z
dc.date.issued 2013 en_US
dc.identifier.citation Drobac, P. C., P. Basinga, J. Condo, P. E. Farmer, K. E. Finnegan, J. K. Hamon, C. Amoroso, et al. 2013. “Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership.” BMC Health Services Research 13 (Suppl 2): S5. doi:10.1186/1472-6963-13-S2-S5. http://dx.doi.org/10.1186/1472-6963-13-S2-S5. en
dc.identifier.issn 1472-6963 en
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:11708598
dc.description.abstract Background: Nationally, health in Rwanda has been improving since 2000, with considerable improvement since 2005. Despite improvements, rural areas continue to lag behind urban sectors with regard to key health outcomes. Partners In Health (PIH) has been supporting the Rwanda Ministry of Health (MOH) in two rural districts in Rwanda since 2005. Since 2009, the MOH and PIH have spearheaded a health systems strengthening (HSS) intervention in these districts as part of the Rwanda Population Health Implementation and Training (PHIT) Partnership. The partnership is guided by the belief that HSS interventions should be comprehensive, integrated, responsive to local conditions, and address health care access, cost, and quality. The PHIT Partnership represents a collaboration between the MOH and PIH, with support from the National University of Rwanda School of Public Health, the National Institute of Statistics, Harvard Medical School, and Brigham and Women’s Hospital. Description of intervention The PHIT Partnership’s health systems support aligns with the World Health Organization’s six health systems building blocks. HSS activities focus across all levels of the health system — community, health center, hospital, and district leadership — to improve health care access, quality, delivery, and health outcomes. Interventions are concentrated on three main areas: targeted support for health facilities, quality improvement initiatives, and a strengthened network of community health workers. Evaluation design The impact of activities will be assessed using population-level outcomes data collected through oversampling of the demographic and health survey (DHS) in the intervention districts. The overall impact evaluation is complemented by an analysis of trends in facility health care utilization. A comprehensive costing project captures the total expenditures and financial inputs of the health care system to determine the cost of systems improvement. Targeted evaluations and operational research pieces focus on specific programmatic components, supported by partnership-supported work to build in-country research capacity. Discussion Building on early successes, the work of the Rwanda PHIT Partnership approach to HSS has already seen noticeable increases in facility capacity and quality of care. The rigorous planned evaluation of the Partnership’s HSS activities will contribute to global knowledge about intervention methodology, cost, and population health impact. en
dc.language.iso en_US en
dc.publisher BioMed Central en
dc.relation.isversionof doi:10.1186/1472-6963-13-S2-S5 en
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668243/pdf/ en
dash.license LAA en_US
dc.title Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership en
dc.type Journal Article en_US
dc.description.version Version of Record en
dc.relation.journal BMC Health Services Research en
dash.depositing.author Drobac, Peter C en_US
dc.date.available 2014-02-13T19:01:30Z

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