Exemplars in Global Health (EGH) is a partnership of funders, independent researchers, academics, and in-country experts committed to harnessing rigorous data and evidence to better understand and replicate large-scale health successes around the world. Exemplars aims to identify and learn from “exemplar” contexts that have achieved public health success at scale. In partnership with Last Mile Health, EGH has published findings on Community Health Worker programs in four Exemplar countries – Bangladesh, Brazil, Ethiopia, and Liberia. The research provides a rich and detailed understanding of the scaling and implementation of these community health worker programs.
There is now a potential opportunity for the Sierra Leone Ministry of Health and Sanitation (MoHS) to build upon this existing base with an analysis of drivers of community health system performance in Sierra Leone. The new National Community Health Policy roll-out offers an opportunity to measure and track community health performance and implementation fidelity across the country. By identifying and seeking to explain sub-national variation in implementation fidelity, the MoHS and other stakeholders can better target investments to optimize Sierra Leone’s community health system.
Large-scale national community health systems commonly exhibit variation across different geographies linked to differences in management, resources, and personnel capacity, which provides opportunities to understand what factors contribute to higher and lower performance. For instance, variations in supervision frequency, supply chain functioning, timeliness of frontline community health worker incentive payments and other key aspects of program implementation may have stronger or weaker effects on performance. Identifying the most important sub-national drivers of performance variation can help MoHS prioritize investments where most needed and best used while collecting data to inform future refinements.
Last Mile Health is collaborating with EGH and the MoHS to co-design a research project examining the factors driving district-level community health system performance variation. This research intends to generate actionable learnings that can inform policy, implementation and/or resource allocation in Sierra Leone. At present, the research is in the design and preparation phase, with a goal of defining the scope and research questions that will produce findings of greatest value to future decision-making.
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Please follow this link for more information: https://lastmilehealth.applytojob.com/apply/4Z75NP60ZP/Request-For-Proposals-Exemplars-In-Global-Health-Sierra-Leone-Subnational-Research-Project?referrer=20210421184807D7DXPGZYNJE26QY7
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