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Table 1 Intervention activities across the different levels of care in the PHIT catchment area

From: Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership

Level

Intervention

Community *

Training of CHWs in primary healthcare modules

 

Enhanced supervision of CHW performance and data quality

 

Household register logging CHW activities at household

 

Support of chronic care patients (HIV, non-communicable disease)

 

Additional performance-based incentives

Health Center

Facility infrastructure improvements

 

Financial support for additional staff to reach national Human Resources for Health norms

 

Community-based health insurance funds to pay inscription and service fees for impoverished patients

 

Primary care electronic medical record (EMR)

 

MESH mentorship program to improve quality of care

 

M&E support for data quality and use

 

Training of clinical staff

District Hospital **

Facility improvements

 

Financial support for additional staff to reach national Human Resources for Health norms

 

Support for district ambulance network

 

Pharmaceutical procurement for non-essential medications

 

M&E support for data quality and use

District Health Unit

Mapping of administrative boundaries, health facilities and water sources for planning

 

Management and planning collaboration

 

Stock and stock management assistance for district pharmacy

  1. *In southern Kayonza District only
  2. **Supported by PIH independent of PHIT initiative, with exception of M&E support