Draft logframe of Round 11 HSS
proposal
Proposal Development Task Team
(PDTT) – Executive Team
Friday, 7 October 2011
Four proposed HSS objectives
1. Increase utilization of healthcare services in
hard-to-reach rural areas
2. Increase number, competence and effectiveness
of health workers in rural areas
3. Build and maintain a single, integrated health
information system
4. Strengthen supply chain management for
commodities
Objective 1
Increase utilization of
healthcare services in
hard-to-reach rural
areas
1. Increase availability of integrated health
services for hard-to-reach rural populations
2. Strengthen referral systems, with focus on
healthcare workers and facilities
1. Increase utilization of healthcare
services in hard-to-reach rural areas
Service delivery areas (SDAs)
1.1 Increase availability
of integrated health
services for hard-toreach rural populations
Activities
Renovate primary healthcare infrastructure,
targeting facilities where we are scaling-up
integrated AIDS-TB care
Conduct scheduled outreach to selected
isolated areas from Public Health Units using
dedicated staff and transport
Train health motivators to increase awareness
about available health services
1.2 Strengthen referral
systems, with focus on
healthcare workers and
facilities
Implement Referrals and Linkages Framework
Objective 2
1. Increase availability of competent nurses in
hard-to-reach rural areas
Increase number,
competence and
effectiveness of health
workers in rural areas
2. Increase availability of health motivators in
hard-to-reach rural areas
3. Strengthen leadership capacity of nurses
managing clinics
2. Increase number, competence and effectiveness of
health workers in rural areas
Service delivery areas (SDAs)
Activities
Give nursing faculties the capacity to enroll
more students
2.1 Increase
availability of
competent nurses
in hard-to-reach
rural areas
Recruit and retain nurses
Build capacity of nurses and doctors to perform
task-shifted roles as a clinical team
Provide clinical mentorship for nurses
Support wellness programmes
2.2 Increase
availability of
health motivators
in hard-to-reach
rural areas
Recruit & train health motivators
Provide performance-based incentives
Provide continuous training for health
motivators, including task-shifted roles
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2. Increase number, competence and effectiveness of
health workers in rural areas
Service delivery areas (SDAs)
2.3 Strengthen
leadership capacity of
nurses managing clinics
Activities
Train clinic managers in leadership &
management skills
Introduce general performance
appraisals
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Objective 3
1. Design & build a functional health information
system
Build and maintain a
single, integrated health
information system
2. Build IT infrastructure that enables the health
information system to function effectively
3. Use the HIS to make evidence-based decisions
3. Build and maintain a single, integrated health
information system
Service delivery areas (SDAs)
Activities
Design an integrated health information system
3.1 Design & build a
functional health
information system
Scale-up community health information system
from pilot to national level
Conduct periodic reviews of functionality of the
integrated health information system
3.2 Build IT
infrastructure that
enables the health
information system to
function effectively
Procure essential IT support for HIS
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Build human resources capacity at community and
regional levels to support HIS
3. Build and maintain a single, integrated health
information system
Service delivery areas (SDAs)
Activities
Design central dashboards that are
accessible throughout the health system
3.3 Use the HIS to make
evidence-based decisions
Design a web portal for dissemination of
information reports
Conduct regular reviews and evaluations
of disease programs
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Objective 4
1. Improve infrastructure at facility pharmacies
and national warehouse
Strengthen supply chain
management for
commodities
2. Strengthen management capacity
3. Establish standardized quality assurance
programme for commodities
4. Strengthen supply chain management for
commodities
Service delivery areas (SDAs)
4.1 Improve
infrastructure at
facility pharmacies
and national
warehouse
Activities
Establish an integrated storage space at Central
Level for all commodities
Improve security of commodities in transit and at
CMS, National Laboratory and facility pharmacies
Develop and maintain physical assetmanagement plan
Expansion Integration of
Data Management Unit at CMS
4.2 Strengthen
management
capacity
Conduct quarterly commodities review meetings
Establish new operational structure of CMS
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Continue capacity development at procurement unit
4. Strengthen supply chain management for
commodities
Service delivery areas (SDAs)
Activities
Establish medicines regulatory unit
4.3 Establish
standardized quality
assurance programme
for commodities
Procure equipment for quality control labs
Establish disposal systems for
commodities
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