District Management of Health Services
Management of Health Services at District Level in Chad
Since 2015, the project aims at improving health system performance and governance as well as access of populations to quality preventive and curative services in two districts of Chad.
Covering a population of more than 100’000 people, the project increases the quality of the offer in respect to mother and child health and nutrition services. In parallel, demand for healthcare in the population is spurred and management and planning are strengthened at district at regional levels.
Intermediate results show that the population used health services more frequently which we anticipate to translate into lower mortality rates of children and women in the midterm. The project is implemented in collaboration with the Centre de Support en Santé Internationale (CSSI) and funded by the Swiss Agency for Development and Cooperation (SDC).
Strengthening Local Government Units in Albania
Due to local government reforms and decentralisation, a number of functions are shifted to local governments across Albania including increased responsibilities in budgeting, monitoring, performance appraisal, human resource oversight, and facility maintenance.
To support this process and strengthen management practices, Swiss TPH assisted the Department of Public Health of the University of Tirana in developing and offering a modular health management course. From 2016 onwards around 20 health managers are enrolled into the course.
Link to Project
Decentralised Management to Improve Health Workforce Performance
The PERFORM project strengthened district health management teams in all three countries regarding problem analysis, activity development and implementation. Based on research conducted in the nine project districts, workforce performance was addressed through empowerment, increased initiative-taking, team work and collaboration, and application of lessons learnt to other areas.
In Ghana, for example, more regular supportive supervision improved record keeping of community health officers contributing to increased vaccination coverage and reduced drop-out rates. PERFORM was a multi-disciplinary and multi-partner project including Swiss TPH implemented from 2011 to 2015 with the financial support from the European Commission FP7.