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Table 7 PHIT crosscutting strategies across countries using WHO health system building blocks

From: Tackling the hard problems: implementation experience and lessons learned in newborn health from the African Health Initiative

World Health Organization Health System Building Block Tanzania Zambia Ghana Mozambique Rwanda
Service Delivery Community health worker training Clinical training and supportive supervision, partograph introduction Clinical training, sustainable emergency referral care Action planning focused on addressing quality gaps Clinical training sustained with on-site mentorship
Health Workforce Strengthened front-line community health workers Strengthened community and facility health workers Implemented program to upgrade community health nurses to nurse midwives Training on data interpretation and review; improved data-driven supervision structures Supported management and organization of staff through quality improvement efforts
Information and Research Data sharing annually Electronic medical record introduction, support for data feedback at community and facility levels Death audits, referral audit study and feedback loops Data feedback and action planning Data feedback, gap identification, quality improvement implementation and data monitoring
Medical Products and Technologies Ambulance support, cell phone provision to key health care providers Provision of key equipment for complete antenatal and postnatal assessment Neonatal resuscitation equipment provision Action planning on how to ensure availability of essential commodities Provision of essential package of equipment
Health Care Financing Decreased cost through task-shifting Support for TBAs and community health workers with a monthly stipend Catalytic financing of $0.85 per capita per year Funds to support action plan implementation Some QI projects focused on cost reduction/insurance enrollment if identified as barrier to services
Leadership/ Governance   Training for District Medical Officers in Health Management Advocacy with district political systems to improve health care financing and catalyze support for expanding coverage of primary health care Strengthened management and data driven decision-making by district leadership Staff motivation and leadership development through quality improvement activities