This presentation provides an update on our work to improve the quality of community health worker programmes in Mozambique

1. QUALITY IMPROVEMENT INTERVENTIONS
FOR A RESILIENT AND RESPONSIVE
COMMUNITY HEALTH WORKER
PROGRAMME IN MOZAMBIQUE
The REACHOUT project is funded
by the European Union
M Sidat, C Give & S Ndima
Faculty of Medicine
University Eduardo Mondlane

2. ABOUT MOZAMBIQUE:

3. SUPERVISION
(training on supportive
supervision)
REFERRAL SYSTEM
(slip use and referral
tracking)
CHWs MOTIVATION
(before-after change)
QI CYCLE 1 INTERVENTIONS
(based on context analysis):

4. • Supervision of CHWs:
– Improvements in frequency
and quality of supervision
(supportive)
– Group supervision adopted
as viable option for
regularity of supervision and
peer-support
– Record keeping of
supervisory activities still
problematic
QI CYCLE 1 FINDINGS:

5. • Referral system:
– Still problematic (poor
record keeping makes
tracking problematic)
• Motivations of CHWs:
– Fragile improvements
(prone to contingencies –
timely subsidy payment, kit
supply, work load, etc.)
QI CYCLE 1 FINDINGS:

6. CHALLENGES TO RESILIENT AND
RESPONSIVE HEALTH SYSTEM
(ANY HS LEVEL):

7. QI CYCLE 2:
INTERVENTIONS PLANNED

8. • Strengthen supportive supervision:
– Embeding practice of record keeping and monitoring and
evaluation
• Strenghten the referral system (CHW
programme):
– Training on QI;
– Embeding QI practice;
– Embeding practice of record keeping and monitoring and
evaluation
QI CYCLE 2
INTERVENTIONS
(based on persistent challenges):

9. MANY
THANKS
FOR YOUR
ATTENTION
!
MANY THANKS
FOR YOUR ATTENTION!