Recent Grants Awarded

Care 2 Communities

Haiti

Care 2 Communities was awarded a two-year, $55,000 grant for the program, Expanding Access to Comprehensive Maternal Health Services in Haiti.

C2C is poised to integrate its successful maternal health service model across its community clinic network in Northern Haiti. The grant will support the core operation of C2C’s antenatal program at their two original clinics, as they expand their maternal health services to the rest of their clinic network through a partnership with the Haitian Ministry of Health. C2C’s maternal health program, iterated over many years in Haiti, delivers a powerful combination of both clinical care and education and behavior-change activities. In a catchment area of 250,000 people, C2C’s five community clinics serve over 10% of the population every year with comprehensive primary care services.

Overall Goal

The overall goal is to safeguard the health of pregnant women and their young children by providing access to quality maternal care, education, and social support in the communities C2C serves.

PIVOT

Madagascar

PIVOT was awarded a two-year, $100,000 grant for the program, Galvanizing a Rural TB Program through Intensive Health System Strengthening: A Model for Madagascar.

This project will galvanize PIVOT’s comprehensive district health system strengthening intervention and intensive analytics with a comprehensive TB intervention to improve the ability to search, treat, and prevent TB. Case finding, diagnosis, and treatment will be fully integrated into PIVOT’s comprehensive primary care offerings, maximizing treatment for comorbidities and associated conditions. PIVOT’s ability to find and treat TB is enhanced by system-level activities aimed at strengthening the health management information systems (HMIS) district-wide, which have allowed for improved surveillance and monitoring of the TB burden and programmatic outcomes.

Over the course of this two-year project (2019-2021), PIVOT will implement the following activities throughout its catchment area in Ifanadiana District:

  1. Uniquely use CHWs in TB control for screening, contact tracing and supporting/accompanying the patients on treatment;
  2. Compensate CHWs (fair reimbursement for their work);
  3. Strengthen primary health centers for management of TB diagnosis and care (with greater access to GeneXpert, a molecular test far superior to microscopy, strong systems of treatment follow-up and care); and
  4. Strengthen the district hospital with modern diagnostics and facilities to care for very sick TB patients.

 

The project will further expand the network of CHWs that search, treat and prevent TB and assure that any person with TB in the district has access to the modern tools at the district hospital.

Ultimately, PIVOT aims to demonstrate a model for better TB care for rural districts in Madagascar (and across the world): using a cadre of well-trained and compensated CHWs, modern diagnostics, and a responsive network that can support treatment at all levels of care.

Overall Goal

By 2021, the program aims to provide state-of-the-art TB care that is fully integrated into a model health system and operating at community, health center and district hospital levels, thus establishing an essential building block of model public systems that can be replicated and scaled throughout Madagascar.

Sanku

Tanzania

Sanku was awarded a one-year, $100,000 grant for the program, Nutrition Security for 4 Million People Through Rural Fortification in Tanzania.

Sanku has designed a game-changing “dosifier” fortification technology coupled with an innovative business model that enables small and medium scale village-level mills to provide nutritious fortified flour at the same price as non-fortified food. Sanku provides access to nutrient premix along with the incentives, tools, and training to enable millers to adopt their dosifier technology, owning the “last mile” of support through direct dosifier installation, service, and maintenance. Their holistic solution requires little behavior change from the miller or the consumer.

This grant advances Sanku’s scaling goals in Tanzania and allows Sanku to purchase and install 40 dosifiers – enough to feed 200,000 people. Project activities will include training millers on good manufacturing practices (GMP), engaging with the local food and drug agency for quality control and quality assurance, and assisting with mill business development. This project will contribute to Sanku’s ongoing efforts to scale in Tanzania, where they intend to reach over four million people with fortified flour by the end of FY2019, adding an additional 600 mills.

Overall Goal

By working with governments, private industries, partner agencies, and directly with small-scale flour millers, Sanku aims to provide nutrition security for 4 million people in Tanzania through the design and implementation of small-scale fortification technology programs.

Sightsavers

Ghana

Sightsavers was awarded a two-year, $300,000 grant for the program, Eliminating NTDs in Ghana.

This project will protect over six million people from river blindness and close to one million people from LF in Ghana. Sightsavers’ work will contribute towards achieving the elimination of river blindness and lymphatic filariasis (LF, also known as elephantiasis) in Ghana by 2025 and 2020 respectively. Support to treat 50 districts with a high prevalence of river blindness and LF over the next two years could be amongst the last mass drug distribution treatments delivered in Ghana. Sightsavers needs support to fund the national program and to directly fund the second round of treatment in 50 districts with a high prevalence. The project will fund the training of health workers and volunteer community drug distributors who are essential to raising awareness of the need for treatment, to administer the correct dosage, and to record treatments. The project will carry out disease surveillance and assessments essential to ensure treatments are targeted where they are most needed and disease elimination is reached. Ghana is leading the way in sub Saharan Africa in the elimination of NTDs; success here will support elimination activities across West Africa.

Overall Goal

The goal of the program is for endemic communities in Ghana to be free from river blindness and lymphatic filariasis and their associated morbidities and disabilities.

The Ihangane Project

Rwanda

The Ihangane Project was awarded a two-year, $75,000 grant for the program, Local Ingenuity Inspiring Global EHealth Solutions.

Alongside front-line health care workers and the Rwanda Ministry of Health, The Ihangane Project is creating Rwanda’s first point-of-care digital health record. This digital health record, called E-Heza, will dramatically improve maternal and child health outcomes by giving nurses the tools they need to adopt evidence-based clinical care protocols, provide high quality care and utilize real-time data trends to both tailor health education to individual family needs and to improve the health care delivery system while simultaneously satisfying Rwanda Ministry of Health data reporting requirements. Because it is based on World Health Organization guidelines and will be compatible with the most commonly used national data reporting systems, E-Heza is designed for replication throughout the continent of Africa.

The Rwanda Ministry of Health has requested expansion of E-Heza to health centers across Rwanda by 2020. During this grant period, the Ihangane team will pilot their implementation strategy at thirteen health centers in Gakenke District, complete features requested by the Rwanda Ministry of Health, finalize the linkage between E-Heza’s database and the MoH database system, and complete implementation of E-Heza across the country of Rwanda. The World Health Organization has created the WHO MAPS Toolkit to support the successful scale of eHealth solutions. The toolkit establishes six key focus areas- Groundwork, Partnership, Financial Health, Technology & Architecture, Operations, and Monitoring & Evaluation- and scorecards to assess implementers’ readiness for scale within each section. The Ihangane Project will work with the Rwanda Ministry of Health to formalize their strategies within each section and strive to score 85% or higher prior to national expansion.  This allows TIP to be as prepared as possible without limiting progress, since some activities can be performed in parallel with early implementation. Their partnerships at all levels of the health care delivery system- from health care recipients and frontline health workers to the Ministry of Health and international entities such as The Global Fund- will ensure an integrated and relevant system that leads to durable improvement in health outcomes.

Overall Goal

The goal of this program is to complete the expansion of E-Heza Digital Health Record throughout Rwanda and conduct rigorous monitoring and evaluation to assess impact and inform future expansion across East Africa.