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.

IDEAs HAS TRANSFERRED TO CSM
As of October 2021, HAI fully transferred all global operations and active Mozambique programs to CSM, an independent local NGO with a board, leadership, and staff that reflects the communities they serve.
Stay up to date on IDEAs and follow CSM’s full portfolio by clicking any CSM logo on this website.
For over a decade, HAI 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 appropriate 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 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

Want to dig a little deeper?
Publications
News/Media
Pillars of Strength: How embedded research supports resilient health systems in Mozambique | WHO/AHPSR, 2020 |
A Foundation Set Out to bolster African Health Systems. What has it Achieved? | Inside Philanthropy, 2019 |
Enabling Learning Systems: the African Health Initiative in Mozambique | AHI Video, 2018 |
Funding
[2018-2021] Spreading the Integrated District Evidence-to-Action (IDEAs) Program for Neonatal Mortality Reduction in Mozambique [project transferred to CSM for continuation]
This project received 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.
[2016-2021] Spreading the Integrated District Evidence-to-Action (IDEAs) Program to Improve Maternal, Newborn and Child Health [project transferred to CSM for continuation]
This project received funding support from the Doris Duke Charitable Foundation.
[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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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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