Health System Strengthening for Human Capital Development in Eswatini

closed

The objective of the Health System Strengthening for Human Capital Development in Eswatini Project for Eswatini is to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and Noncommunicable Disease (NCD) services in Eswatini. The Project has four components. 1. Improve health service delivery to increase the coverage and quality of health services to build human capital component will improve health service delivery. Subcomponent 1.1. Build capacity of health care workers to deliver enhanced, high impact RMNCAH, and nutrition and NCD services across the continuum of care will support: (a) Competency-based and residential trainings for health care workers to deliver high-quality RMNCAH, nutrition, and NCD services across the continuum of care; (b) Technical Assistance (TA) and procurement of tablets/technology to develop, test, and scale up provider digital decision support tools for RMNCAH to consolidate the trainings and ensure that competencies of health care workers are maintained for enhanced decision making; (c) Specialist training and mentorship to operationalize a four-bed specialized neonatal unit; (d) Creation of a Community of Practice (CoP) for midwives to promote continuous professional development, intra-professional collaboration, and staff morale for improved maternal and neonatal outcomes. Subcomponent 1.2. Increase the availability of drugs, commodities, functioning equipment, and client data for high-quality health and nutrition service delivery in facilities will support: (a) Modernization and scale-up of an interoperable electronic record management system for service inputs and service delivery and coverage to strengthen evidence-based service planning and management; (b) Construction of an Integrated Operations Centre with upgraded fleet; (c) Limited procurement of key commodities and equipment for nutrition and NCDs; (d) Procurement of biomedical equipment and supplies for hygiene and sanitation to supplement COVID-19 health care readiness in hospitals and health facilities. Subcomponent 1.3. Strengthen the capacity of facilities, programs, and regions to monitor quality of care, supervise, and implement a Quality Management Approach in health facilities will ensure the delivery of high-quality services by strengthening the capacity of facilities, programs, and the Regional Health Management Teams (RHMTs) to supervise, monitor, and implement a Quality Management Approach (QMA) in health facilities. 2. Increase community demand for RMNCAH, nutrition and NCD services component will support: (a) Strengthening the Community Health Volunteers (CHVs) Program to conduct community sensitization and outreach; (b) Scale-up of social accountability monitoring of sexual and reproductive health (SRH) services; (c) Targeted Social and Behavioral Change Communication (SBCC) and (d) Design, develop, and scale up client-based digital applications to help generate awareness, improve knowledge, and boost uptake of services and adherence to appointments and treatment. 3. 3. Strengthen the Ministry of Health (MOH’s) stewardship capacity to manage essential health and nutrition services and project activities component will provide TA to support the drafting of updated regulations, policies, and strategies including for the draft Health Bill, professional regulatory bodies, National Quality of Care Framework, public-private partnerships, nutrition, sanitation, and health care waste management (HCWM)—including the capture or combustion of fugitive methane emissions—and health financing. 4. Contingent Emergency Response Component (CERC) will allow for rapid reallocation of project proceeds in the event of a future natural or manmade disaster or crisis that has caused or is likely to imminently cause a major adverse economic and/or social impact during the life of the project.