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Client:

  • JSI/FHI360/Advancing Partners & Communities Project Tanzania & Sierra Leone

The Task:

Better inform the policy-to-district level implementation planning for a National Community Health Worker Program in Tanzania & improve access to high quality health services for communities in Sierra Leone

 

 

 

 

Our Role:

In Tanzania: To explore how to improve the implementation planning process, The Tanzanian National Ministry of Health piloted a Human Centered Design approach through USAID’s Advancing Partners & Communities programme. As African HCD experts, Matchboxology was brought in to design and lead the process in collaboration with the APC team working in Tanzania.

The team conducted 61 field immersion sessions with individuals in rural and urban settings in the Mbeya and Kyela Districts along with face-to-face interviews with Advisory Group members, national government officials and key health NGOS in Dar Es Salaam. Through +-30 minute face-to-face conversations, Matchboxology facilitators introduced the project’s goals and workshop while obtaining key insights that influenced the final content, group structures and exercise designs for District Level Design For Success. Accompanied by JSI and FHI APC team members, the teams engaged in active listening—observing not only what was said but how others reacted to the answers, uncovering realities and truths without judgment.

These insights led to a two day Design For Success district level workshop agenda in Mbeya and the bespoke interactive exercises Matchboxology created for participants. These stimulated rich conversation and deeper insights into specific CHWP challenges, barriers and opportunities and allowed the district level people, who are ultimately responsible for putting health policy into practice, the opportunity to share insights and pragmatic actions/ ideas on how to make things work best in practice.

 

In Sierra Leone: MBX and APC are supporting the Ministry of Health and Sanitation through communications and actionable recommendations for Health Facility Management Committees undertaking community engagement activities in health. The guidance will build on current activities, tools, and experiences, and focus on a set of communications and operational guidelines toward a vision of FMC good relationships with communities, functionality and sustainability for nationwide implementation. Recommendations also focus on RMNCH and Family Planning. A 36 person solutions generating workshop was held in Freetown with highly interactive groupwork inspiring robust discussions and innovative problemsolving that led to key actionable recommendations.

 

Results:

  • 150 immersion sessions in Sierra Leone and 61 immersion sessions in Tanzania with individuals and groups revealing insights and recommendations
  • 2 two-day highly interactive incubation workshops for 66 diverse district level government and NGO participants
  • 4 districts providing national Health Ministires with actionable policy implementation insights and recommendations
  • An easy-to use insights and recommended actions report from MBX/APC

 

 

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