Integrated Community Based Health Systems Strengthening in Northern Togo

Summary

The general objective of this study is to optimize implementation and assess effectiveness of the integrated facility and community-based health systems strengthening (ICBHSS) model in four Northern Togo districts, using the RE-AIM implementation science framework. Specific study aims include: (1) Analyze longitudinal changes regarding maternal and child health outcomes, health service utilization rates, and public sector facility readiness in the ICBHSS model intervention sites catchment areas; (2) Identify barriers to and facilitators of access and quality services related to ICBHSS model; and (3) Assess changes in health care services coverage, effectiveness, and adoption of ICBHSS model. These findings are expected to contribute to continuous quality improvement initiatives, optimize implementation factors, provide generalizable knowledge regarding health service delivery, and accelerate health systems improvements in Togo and more broadly.

Conditions

• Maternal and Child Health
• Health Service Utilization

Interventions

OTHER

ICBHSS model

Bundle of evidence-based interventions that include the following 5 components: 1. Community engagement meetings and feedback; 2. Elimination of public sector facility user fees for children under five and pregnant women; 3. Pro-active community based IMCI using trained, equipped, supervised, and salaried Community Health Workers (CHWs) with additional services including linkage to family planning and counseling, HIV testing \& referrals; 4. Clinical mentoring and enhanced supervision by a trained peer coach at public sector facilities; 5. Basic infrastructure improvements and supply chain management training of pharmacy managers

Sponsors & Collaborators

• Ministère de la Santé et de l'Hygiène Publique, Togo

  collaborator UNKNOWN

• Université de Lomé, Faculté des Sciences de la Santé, Togo

  collaborator UNKNOWN

• Albert Einstein College of Medicine

  collaborator OTHER

• Montefiore Medical Center

  collaborator OTHER

• City University of New York, School of Public Health

  collaborator OTHER

• Integrate Health

  lead OTHER

Principal Investigators

• Kevin P Fiori, Jr., MD, MPH · Integrate Health; Albert Einstein School of Medicine

• Molly E Lauria, MPH · Integrate Health

Eligibility

Min Age

15 Years

Max Age

49 Years

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2018-05-01

Primary Completion

2022-07-31

Completion

2022-07-31

Countries

• Togo

Study Locations