Projects

Dynamic Health Systems Initiative (DHSI) was contracted by the Global Health Supply Chain Program – Procurement and Supply Management (GHSC-PSM) to conduct a situational assessment of the Pharmaceutical Sector in Eswatini including Assessing implementation success and gaps/shortfalls of the EPSP 2012-2016. This work also included formulating comprehensive recommendations for the next Eswatini Pharmaceutical Policy and Strategic Plan in collaboration with key stakeholders

Dynamic Health Systems Initiative (DHSI) was contracted by the World Health Organization in Philippines for the evaluation of laboratory connectivity solutions for the National Tuberculosis Program. The National TB Program (NTP) of the Philippines has successfully rolled out WHO-recommended test platforms that include rapid diagnostics (i.e. GeneXpert and more recently TrueNat), TB culture and susceptibility testing (i.e. MGIT, LJ and LPA methods) so as to diagnose Filipinos who need urgent TB care and treatment. In line with the WHO Framework of indicators and targets for laboratory strengthening under the End TB Strategy (indicator 4 and 9) as well as the priorities and strategies for testing and diagnosis of TB in the updated 2020-2023 Philippines Strategic TB Elimination Plan Phase 1 (PhilSTEP1), the NTP is working on improving implementation and monitoring of mandatory TB case notification and increasing the use of data for informed decision making and resource allocation through use of diagnostic connectivity solutions that automate reporting from the Laboratory network.The evaluation looked at the Pros and Cons of each diagnostic connectivity system under consideration in relation to the cost effectiveness, sustainability, reliability and other features of the diagnostic connectivity solutions under consideration by the Philippines National TB Program such as compliance with data sovereignty and patient privacy policies of the Philippines and ability to support collaborative activies between the NTP and other health programs under the Department of Health (DoH).

Dynamic Health Systems Initiative (DHSI) was sub-contracted by University Research Co. LLC Centre for Human Services (URC-CHS) under the Human Resources for Health 2030 (HRH2030). DHSI provided data tool consultation, revision, field testing and validation of Community Health Care Worker (CHW) survey tools as well as limited collection and analysis services of selected sites in two regions to gain a comprehensive understanding of how community lay cadres support HIV/TB interventions and what service coverage they provide to support national HIV/TB targets. DHSI engaged the Eswatini Human Resources for Health (HRH) Technical Working Group and various local stakeholders that included WHO Eswatini to review and adopt CHW survey tools that had been piloted in other African countries under the HRH2030 project. DHSI presented the field-test implementation results to the Ministry of Health for review, comment and final approval of tools for Eswatini.

Dynamic Health Systems Initiative (DHSI) was sub-contracted under the Supply Chain and Pharmaceutical Assistance for Sustainable Systems (SC-PASS) project to provide Technical Assistance to the National Voluntary Medical Male Circumcision (VMMC) Program under the National AIDS Prrogram. This support included capacity building on Management of VMMC Adverse Events (AEs), Use of Data for Decision Making and administration of the Eswatini Online Training Hub (OTH) Voluntary Medical Male Circumcision Course to health care workers involved in the VMMC Program. DHSI also provided TA towards the integration of the VMMC Supply Chain that was endorsed by the Ministry of Health and the drafting of the National VMMC 2018-2022 Operational Plan

Dynamic Health Systems Initiative (DHSI) managed the technical and administrative responsibilities of supporting the Swaziland Ministry of Health to institutionalize and maximize the use of the Data for Decision Making tools for Swaziland’s response to HIV/AIDS. Avenir Health, under the PEPFAR funded Project SOAR (Supporting Operational AIDS Research) developed a suite of VMMC data for decision making tools to support national VMMC programs to improve their planning, monitoring and use of data to enhance overall service delivery. This suite of tools includes: 1) the Decision Makers Program Planning Toolkit (DMPPT) 2 Online, which has been used by countries over the last two Country Operational Plan (COP) cycles; 2) the Site Capacity and Productivity assessment Tool (SCPT), and 3) the Geospatial Information System (GIS) Mapping Dashboard, which takes results from the DMPPT and the SCPT and displays them geospatially on country maps thereby visualising epidemiological and intervention data.

Dynamic Health Systems Initiative (DHSI) was sub-contracted under the Supply Chain and Pharmaceutical Assistance for Sustainable Systems (SC-PASS) project to conduct a Supply Chain HRH needs assessment for the Central Medical Stores. This assessment was aimed at identifying the human capital requirements for the CMS to support the Business Process Re-Engineering at CMS and the National Supply Chain Intergration plans that would see pharmaceuticals, laboratory diagnostics, vaccines and other supply chains being managed jointly under the CMS.

Dynamic Health Systems Initiative (DHSI) was sub-contracted under the Technical Support for PEPFAR (TSP) program managed by Baylor College of Medicine Children’s Foundation Malawi (Baylor Malawi). DHSI supported Baylor Malawi in the successful transition from the USAID funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program to the Supply Chain and Pharmaceutical Assistance for Sustainable Systems (SC-PASS) program managed under Baylor College of Medicine Children's Foundation Swaziland (Baylor Swaziland). Under the sub-contract, DHSI provided Technical Assistance to Baylor Malawi and Baylor Swaziland in support of the Eswatini Ministry of Health to achieve the goal of improving the delivery and consistent use of HIV, TB and other reproductive health commodities, as well as diagnostic and treatment services to achieve desired HIV, TB and reproductive health outcomes.

JSI Research and Training Inc. awarded DHSI a subcontract as the best qualified local technical partner to provide technical assistance towards the development of the National Health Scetor 2018-2022 Supply Chain National Strategic Plan and Implementation Plan. This work included stakeholder meetings with key MoH leaders, MoH Facility personnel, Implementing Partners and Donors among others. This work came at the perfect moment as the MoH was embarking on a National Supply Chain Integration Plan as part of the National Health Sector Strategic Plan II (NHSSP II) goal towards establishing a more cost-effective procurement, storage and distribution flow for all health commodities in ESwatini encompassing medicines, laboratory diagnostics, vaccines, condoms and VMMC commodities among others.

The United Nations Population Fund (UNFPA), through Family Life Association of Swaziland (FLAS), sub-contracted DHSI to conduct a survey on the availability of contraceptives and life-saving maternal health medicines within Service Delivery Points (SDPs). Based on the UNFPA GPRHCS paper-based Tool, DHSI conducted a country-wide assessment in a representative sample of 61 out of 287 facilities covering primary, secondary and tertiary health care facilities. DHSI used mobile digital technology to convert the GPRHCS "paper-based" tools into e-format that had GPS location capabilities to enable GIS mapping of the Service Delivery Points that participated in the survey. The assessment findings were used to inform the revision of the 2014-2018 Sexual Reproductive Health Program Strategic Plan.