Evidence-to-Action: Improving MNCH Service Delivery using the IDEAs Strategy

The Integrated District Evidence to Action strategy (IDEAs) develops and systematizes data-driven decision-making to strengthen health system capacity to improve maternal, newborn, and child health services. 

For over a decade, HAI has partnered with the Doris Duke Charitable Foundation’s African Health Initiative and Mozambique’s Ministry of Health to improve maternal, newborn and child health (MNCH) service delivery and outcomes in Central Mozambique. Out of this partnership, HAI developed the IDEAs strategy to identify contextually approariate solutions to gaps in MNCH service delivery using routine health information system data.

The IDEAs strategy is a three-step cycle that occurs on a regular basis. First, health facility and regional managers begin by assessing health system readiness and conducting data quality audits.  Next, managers come together at District Performance Review and Enhancement Meetings (DPREM) to:

  • Review performance, including facility and district-level performance measures;
  • Identify priority problems and their potential causes; and
  • Develop action plans, including roles & responsibilities, required resources, and timeline;

In the third step of the cycle, provincial, district, and facility leadership are then held accountable to supporting the implementation of these solutions through ongoing mentoring and financial support to address health system limitations. Progress against action plans and key output indicators are then reviewed at the following DPREM meeting.

The intervention has resulted in noticeable improvements in data quality and health system readiness. And health systems stakeholders have reported an increased ability to understand and use data for resource allocation.

HAI-LIGHTS

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Publications

Developing a representative community health survey sampling frame using open-source remote satellite imagery in Mozambique Int J Health Geogr, 2019
The everyday practice of supporting health system development: learning from how an externally-led intervention was implemented in Mozambique Health Policy Plan, 2018
Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and Zambia BMC Health Serv Res, 2017
Tackling the hard problems: implementation experience and lessons learned in newborn health from the African Health Initiative BMC Health Serv Res, 2017
Measuring health systems strength and its impact: experiences from the African Health Initiative BMC Health Serv Res, 2017
Mentorship and coaching to support strengthening healthcare systems: lessons learned across the five Population Health Implementation and Training partnership projects in sub-Saharan Africa BMC Health Serv Res, 2017
Research capacity building integrated into PHIT projects: leveraging research and research funding to build national capacity BMC Health Serv Res, 2017
Effects of a health information system data quality intervention on concordance in Mozambique: time-series analyses from 2009–2012 Popul Health Metr, 2015
Effects of health-system strengthening on under-5, infant, and neonatal mortality: 11-year provincial-level time-series analyses in Mozambique Lancet Glob Health, 2014
Stock-outs of essential health products in Mozambique- longitudinal analyses from 2011 to 2013 Trop Med Int Health, 2014
Strengthening integrated primary health care in Sofala, Mozambique BMC Health Serv Res, 2013
Brain Drain and Health Workforce Distortions in Mozambique PLoS One, 2012

Funding

[2016-2021] Spreading the Integrated District Evidence-to-Action (IDEAs) Program to Improve Maternal, Newborn and Child Health.

This project receives funding support from the Doris Duke Charitable Foundation.

[2018-2023] Spreading the Integrated District Evidence-to-Action (IDEAs) Program for Neonatal Mortality Reduction  in Mozambique.

This project receives funding support from the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under award number R01HD092449, via a subagreement from the University of Washington.

[2009-2016] Strengthening Integrated Primary Health Care in Sofala Province, Mozambique.

This project received funding support from the Doris Duke Charitable Foundation.

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