1 August 2016 - 31 July 2017
Direct: $ 1,000,897 | Indirect: $ 197,368
Western Area, Bo and Kambia District
Main: United States Centers for Disease Control and Prevention (CDC)
The 2014-2015 Ebola Virus Disease (EVD) outbreaks in Sierra Leone was unprecedented in scale and devastating in its impact on the country’s fragile health system. In response, the Government of Sierra Leone led an enormous multilateral effort to mitigate and control the outbreak, resulting in successful elimination of EVD by end-2015. As the country transitions from an emergency response to EVD to a post-Ebola recovery plan, expert technical assistance to the health sector is required in order to strengthen health systems and achieve national health goals.
Although Sierra Leone’s health system has made important gains in recent years, many of these have been reversed by the EVD outbreak. Already-scarce health workers died, utilization of health services plummeted, and the impact on maternal mortality, childhood immunization, and other health services has been profound. In addition to support for direct service delivery, support for health systems strengthening, including strategic planning, program monitoring and evaluation (M&E), health workforce capacity building, and quality improvement initiatives are a high priority for the Ministry of Health and Sanitation (MoHS). With the support of the U.S. Centers for Disease Control and Prevention (CDC), ICAP at Columbia University (ICAP) proposes to support the President’s Post-Ebola Recovery Plan by providing technical assistance in health systems strengthening to MoHS.
ICAP proposes to leverage its global assets and experience to support health systems strengthening activities to address the impact of the EVD outbreak and build long-term capacity to respond to public health threats.
In Year two of its project, ICAP at Columbia University, in consultation with CDC and MoHS, aims to:
- Conduct an external evaluation of the CDC-supported Infection Prevention and Control (IPC) Systems Strengthening project at the District Hospital level, including the NGO Mentorship Program launched in March 2015;
- Provide ongoing technical assistance to MoHS on M&E of IPC activities;
- Build local capacity for quality assurance and quality improvement (QI) in the health sector
- Conducting Malaria Program Evaluation particularly Intermittent Preventive Treatment for infants (IPTi) using sulfadoxine pyrimethamine and providing technical assistance on the pilot implementation
The expected outcome of ICAP’s activities is that the percentage of health facilities compliant with infection prevention and control measures will increase. Because facility assessments for the early impact phase of the President’s Recovery Plan are underway, no robust baseline is available at this time.
Expected outputs include:
1. External Evaluation of IPC Systems Strengthening
a. Evaluation report
b. Dissemination workshop
2. Support for M&E and QA of IPC
a. Ongoing participation in an M&E Technical Working Group to support the National IPC Unit
b. Support for the M&E components of the 10-24 month recovery phase, including: expert review of strategies, indicators, and tools; support for tablet-based data collection if requested;
c. If requested, support for development and implementation of a DHIS2 aggregate database for IPC reporting, including: design of database, training of NIPCU and district-level staff; development of automated reports; and analysis of data.
3. Quality Improvement Capacity Building
a. Introductory QI Workshops
b. Baseline Assessment of local QA and QI resources, processes and structures
c. Design and delivery of an intensive “Introduction to Quality and QI” course for MoHS staff and other local stakeholders
d. Identification of district hospitals for pilot QI projects
4. Conducting Malaria Program Evaluation particularly Intermittent Preventive Treatment for infants (IPTi) using Sulfadoxine Pyrimethamine
a. Evaluation protocol
b. Evaluation report
c. Dissemination workshop