Community based health delivery

Key Activities

inSCALE Key activities

During the course of the project, inSCALE plans to:

• Identify best practices in implementing ICCM at sub-national levels in Uganda and Mozambique, and identify innovations in ICCM with potential to increase coverage and improve the quality of ICCM through better performance and retention of CHWs
• Assess the feasibility of identified innovations and their acceptability among community members, CHWs, facility-based health workers, sub-national and national health authorities
• Evaluate innovations with the potential to increase coverage of ICCM and improve its quality through better CHW performance and retention
• Cost the innovations which demonstrate effectiveness in improving ICCM coverage and quality through better CHW performance and retention and investigate the potential for economies of scale and scope
• Promote implementation spread of ICCM by collaborating with ministries of health, sub-national health authorities and stakeholders, experiences and findings that improve coverage of ICCM and improve its quality.

inSCALE has been working since 2010 to achieve its stated objectives. Key outputs to date of the project are listed below.

• Literature and landscape reviews have been conducted to explore the contextual factors which have an impact on aspects of work motivation and satisfaction, such as supervision, data use in quality improvement, incentives, payment for performance, community monitoring, mHealth and work aids for CHWs. To read these literature reviews, please click here
• Feasibility studies of selected innovations were concluded; activities included documentation of CHW selection, evaluation of training methods and materials and formative research with MOH stakeholders and end users on the acceptability and feasibility of the innovations.
• Ethical approval for formative and evaluative research from respective national and international authorities has been sought and granted; research has begun in selected areas
• A costing framework has been developed and costings for ICCM implementation as well as selected inSCALE innovations is ongoing
• Senior ministry of health officials from implementation countries, as well as relevant stakeholders, policy makers and other globally influential partners have been engaged in project objectives and are being updated and consulted at regular intervals
• A dissemination and advocacy strategy for project outputs and learnings has been developed with the aim of meeting the project objectives.
• Resource mapping for sustained national financing of ICCM at scale has also begun and will continue for the duration of the project.
• Innovative approaches to improve CHW motivation, retention and performance have been selected based on extensive formative research; a technology based intervention is being implemented in both countries and community based intervention is being trialled in Uganda. For more information on these interventions, click here
• 1275 community health workers have been trained in the technology based intervention – the inSCALE mobile phone support system - in Uganda
• 890 community health workers were trained in the participatory method of Village Health Clubs in Uganda
• 135 APEs, their 47 supervisors and 6 APE district coordinators are being trained on the inSCALE CommCare application in Mozambique