Assessors: expertise embedded in the public system
Assessor is a Portuguese term meaning “advisor” used by HAI to refer to HAI technical advisors working directly within national ministry of health offices, providing technical expertise and direct support to ministry officials.

Dating back to our first years in Mozambique, one strategy that HAI used to build technical capacity within the National Health Systems is through the placement of HAI technical advisors, or assessors. Assessors were embedded in the structure of the public sector health system responding to and collaborating daily with their MOH counterparts.
HAI’s most recent assessor, Dr. James Cowan (pictured above), served in Mozambique’s National TB Program (NTP). As an embedded senior TB, TB/HIV and DR-TB advisor, Dr. Cowan worked closely with NTP colleagues across a range of issues including strategic leadership, strengthening M&E platforms, and developing a nascent Quality Improvement Program. Dr. Cowan helped develop and implement a national MDR-TB control program strategy, including scale up of MDR diagnosis and treatment services, expanstion of training and support on research efforts aimed at improving MDR-TB care, and support for the development of an MDR-TB monitoring and evaluation framework and database to better understand the burden of MDR-TB in Mozambique.

Mozambique
1988
HAI-LIGHTS
HAI’s Assessor strategy dates back to our early years in Mozambique. For three decades, HAI developed and applied the strategy to strengthen expertise within national health systems in partner countries. HAI Assessors included:
- Mary Catlin (center of photo), Mozambique
- Nancy Anderson, Mozambique
- Susie Osaki, Mozambique
- Rachel Rubin, Mozambique
- Kenny Sherr, Mozambique
- Sarah Gimbel, Mozambique
- Joe Lara, Mozambique
- Caroline Soi, Mozambique
- Dan Lee, Mozambique
- Roxanne Hoek, Mozambique
- Jamie Cowan, Mozambique
- Steve Gloyd, Côte d’Ivoire & Mozambique
- Serge Dali, Côte d’Ivoire
- Valerie Kouraï, Côte d’Ivoire
- Wisal Hassan, Sudan
- Abdulrazig Hummaida, Sudan
Want to dig a little deeper?
Publications
Spatial epidemiology for tuberculosis surveillance: a relevant add-on to routine surveillance. | Int J Tuberc Lung Dis, 2019 |
Effects of Xpert MTB/RIF testing and GxAlert on MDR-TB diagnosis and linkage to care in Mozambique | Int J Tuberc Lung Dis, 2018 |
Tuberculosis in Mozambique: Where do we Stand? | Curr Trop Med Rep, 2018 |
Remote monitoring of Xpert® MTB/RIF testing in Mozambique: results of programmatic implementation of GxAlert. | Int J Tuberc Lung Dis, 2016 |
Implementing rapid testing for tuberculosis in Mozambique. | Bull World Health Org, 2014 |
News/Media
World TB Day 2015 | HAI Media, 2015 |
Funding
[2014-2019] Treat TB: Technology, Research, Education and Technical Assistance for TB Project.
This project received funding support from the United States Agency for International Development (USAID), via a subagreement from Vital Strategies, an affiliate of the International Union Against Tuberculosis and Lung Disease.
[2016-2017] Mapping Mozambican Miners with GIS for TECHS: A technology-enabled community health system for Tuberculosis in Mozambique.
This project received funding support from the U.S. Centers for Disease Control and Prevention (CDC), via a subagreement from ThinkWell.
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Our Mission
Our mission is to promote policies and support programs that strengthen government primary health care and foster social, economic, and health equity for all. Our vision is a just world that promotes health and well-being, including universal access to quality health care.
Our History
Health Alliance International began in 1987 as a US-based international solidarity organization committed to supporting the public sector provision of health care for all. Over 35 years, HAI conducted programs in 17 countries, with flagship programs in Mozambique, Côte d'Ivoire, and Timor-Leste.
Our Evolution
In line with HAI’s commitment to support and strengthen local public health leadership, as of October 2021, HAI fully transitioned global operations and active programs to locally-based, locally-led NGOs. Learn more about this shift toward local autonomy and equity in global health.
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