The Doris Duke Charitable Foundation Supporting Primary Health Care Management
As part of their African Health Initiative, the Doris Duke Charitable Foundation awarded $43.8-million to support primary health care in Africa. The Foundation hopes the grants will "address some of the delivery gaps that will improve the health-care systems in the regions they are working," stated Ed Henry, the foundation's president.
HAI is one of the four partnerships to receive the grant, which is $10 million over 7 years to work with the Mozambican government in strengthening primary health care in a region hard hit by the AIDS epidemic, poverty and other challenges.
The project aims to improve delivery of health care by giving key health managers the skills to identify and fix problems in the quality and efficiency of services.
The project will focus on Sofala Province in central Mozambique, a region with more than 1.6 million people-most living without running water and electricity-and only 40 doctors.
Health Alliance International, the Mozambican Ministry of Health and other partner organizations will work with management teams at 140 government-run health facilities throughout the province to increase their ability to collect, manage and use health system data to improve services.
The three main activities to build management capabilities are:
- training and mentoring district-level management staff
- improving information management systems to collect clinic data and developing simple tools to improve the use of these data for management purposes
- helping managers to develop and conduct operations research, including program evaluation, to measure how management changes impact health care and improve patients' health.

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