Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4421
Country/Region: Namibia
Year: 2007
Main Partner: U.S. Health Resources and Services Administration
Main Partner Program: NA
Organizational Type: Other USG Agency
Funding Agency: HHS/HRSA
Total Funding: $150,000

Funding for Treatment: Adult Treatment (HTXS): $150,000

This activity will expand upon pilot quality improvement (QI) work started in FY06 that included technical assistance from the HIVQUAL Program of the AIDS Institute, New York State Department of Health through HHS/HRSA. An initial site visit was made in July-August 2006 to present the QI program model to the MOHSS. The undersecretary of MOHSS indicated that the HIVQUAL Program was consistent with Namibia's health care quality improvement plan and encouraged the Directorate of Special Program's Case Management and M&E units to collaborate with the health services division's Quality Assurance Unit to begin implementing HIVQUAL, with technical assistance from HIVQUAL and CDC. A position description for a Quality Improvement Medical Officer was developed to recruit a project manager under Potentia . A HIVQUAL working group will be convened to develop a work plan to adapt the HIVQUAL methodology to Namibia's needs and select core quality indicators and pilot sites. A part time informatics/data clerk based in the M&E unit will be assigned to assist with HIVQUAL assessment. A second visit in late 2006 is planned to finalize indicator and site selection, provide training and capacity building and initiate a baseline assessment using the HIVQUAL method in a group of pilot sites.

In FY07, the continuation and expansion of HIVQUAL-Namibia will be executed under the leadership of the Ministry of Health and Social Services in close collaboration with CDC-Namibia for technical support. Activities will include: 1) QI training; 2) assessment of quality management programs at the participating clinics; 3) performance measurement (at six month intervals) of selected core indicators; 4) ongoing quality improvement coaching to participating sites; and 5) regular conference calls with the US-based team. Data analysis and planning for expansion based on the results of the pilot will also occur.

Activities will result in strengthening systems of care and documentation in health care facilities. The emphasis of this method is to develop skills for use of performance data by providers within their organizations and for the specific purpose of driving improvements in their systems of care. Training will also be provided to key MoHSS staff at the national, regional, and site level as indicated.