The document outlines a health systems development framework with the goal of improving survival rates. It discusses interventions across several components: enhancing service delivery and utilization through expanded community healthcare; strengthening health workforce training and management; improving logistics and supply systems for essential drugs; and building leadership and planning capabilities through tools like District Health Profiling. The overall aim is to develop more integrated and sustainable healthcare systems.

1. Improve
survival
Information for
decision-making
Essential drug supply
& logistics
Health financing &
resource allocation
Leadership &
governance
Improved
equity
Reduced
social costs
Improve
efficiency
…that alter the
climate of
demand for
services ,
Enhanced
Health
Service
Delivery
and
Utilization
Extend
availability of
services and
technologies
Health workforce
size, composition
& training
Improve
quality of
services
Increase
access to care
and
technologies
…generate
system
outcomes…
Integrated service
components
Enabling
sub-system
inputs…
…impact on
health
behavior,
and ….
A Health Systems
Development
Framework

2. Improve
survival
Information for
decision-making
Essential drug supply
& logistics
Health financing &
resource allocation
Leadership &
governance
Improved
equity
Reduced
social costs
Improved
efficiency
…that alter the
climate of
demand for
services ,
Enhanced
Health
Service
Utilization
Enhanced
access to
services and
technologies
Health workforce
size, composition
& training
Improved
quality of
services
Extended
range of
services and
technologies
…generate
system
outcomes…
Integrated service
components
Enabling
sub-system
inputs…
…impact on
health
behavior,
and ….
Health Systems
Development
Interventions

3. Information for
decision-making
Essential drug supply
& logistics
Leadership &
governance
Integrated service
components
Health Systems
Development
Interventions
What are the changes in
service activities & content?
(e.g.. Kangaroo mother,
maternal health care, access
to preventive health
technologies etc)
Health financing and
planning
Enabling
sub-system inputs…
•Train frontline workers to provide evidence-based maternal
and neonatal health services that are currently not being
provided.
•Implement interventions that are proven to reduce under-five
mortality by increasing the capacity of providers at community,
sub-district, and district-level service points.
•Coordinate community and clinic-based activities to
standardize access to anti-malarial preventive measures and
therapeutic regimes.
Health workforce
size, composition
& training

4. Information for
decision-making
Essential drug supply
& logistics
Leadership &
governance
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
•Convene peer exchanges in GEHIP districts that have been slow
to implement Community-based Health Planning and Services
(CHPS)
•Train district managers and other key personnel in the critical
components of effective CHPS implementation and financing so
that they have the skills to spur additional development
investment and the grassroots demand.
•Strengthen referral systems to reduce maternal and perinatal
mortality.
Changes in workforce inputs
(investment in staff, staff
composition, and in-service
training on essential services
to address gaps in service
delivery)Health workforce
size, composition
& training
Integrated service
components

5. Essential drug supply
& logistics
Leadership &
governance
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
•Strengthen planning capabilities below the district level with
mobile technology.
•MoTeCH - ease information capture for community-based
healthcare workers and provide supportive information
feedback at all staff levels.
What are changes in
HMIS procedures for data
capture, data content,
feedback, visualization,
and data access at each
level (MoTeCH)?
Integrated service
components
Health workforce
size, composition
& training
Information for
decision-making

6. Easing information capture for community-based healthcare workers
and provide supportive information feedback

7. Information for
decision-making
Leadership &
governance
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
•Strengthen the operation of the essential medicine
distribution system in Ghana.
•The Ghana Essential Medicines Initiative (GEMI) - tools
for monitoring stock flow at each level of the service
system.
Integrated service
components
What are changes in
the logistics and supply
system for essential
drugs and equipment (
at each level of the
system)?
Health workforce
size, composition
& training
Essential drug supply
& logistics

8. Information for
decision-making
Essential drug supply
& logistics
Leadership &
governance
Health Systems
Development
Interventions
Enabling
sub-system inputs…
•Adapt Tanzania’s PlanRep tool for allocating
healthcare resources according to burden of
disease to facilitate rational healthcare planning
and decision-making at the district level.
•District Health Planning, Analysis, and Reporting
Tool (DiHPART)
Integrated service
components
Health workforce
size, composition
& training
What are changes in the
resource base and capacities
to plan resource allocation ?
(example: PLANREP +
supplemental Cedis in Ghana)
Health financing and
planning

9. Information for
decision-making
Essential drug supply
& logistics
Health Systems
Development
Interventions
Health financing and
planning
Enabling
sub-system inputs…
•Improve health system leadership by developing a
public health leadership program that forges
linkages between public health universities and the
country’s healthcare programs and system.
Integrated service
components
Health workforce
size, composition
& training
Leadership &
governance
What are changes
in leadership
capabilities at each
level in the system?

10. Community Health Officers
Supervisors, Disease Control
Officers, Nutrition, etc.
Registered nurses, midwives
District Directors & Health Management
Team members
GEHIP will add modules for an integrated health
systems development team training
Peer Leadership
Training
District Health
Profiling
Information for
Decision-making

11. Summary…
• By conducting programming that corresponds with each of
these components for HSD, the project will improve the
quality and coverage of community-based healthcare
• Ultimate goal is to improve survival rates in the areas of
focus
• Ensuring the sustainability through the development of fully
functional health care systems.