This document discusses embedding care into health systems through the Strive to Thrive initiative. The initiative developed a rapid assessment tool to evaluate six areas (clinic services, health workers, supplies, health data, financing, and governance) as well as care, connection to the health system, and community involvement. Assessments have been conducted at over 20 sites. The dashboard measures care through questions about respecting patient rights, listening to concerns, and satisfaction with quality and privacy of services. Americares also embeds care by protecting health workers, providing mental health support, and addressing gender-based violence.

1. Embedding “Care” into
Health System Strengthening

2. 2
“Our strategy is built on this singular idea:
when local health centers thrive, so do people in
their communities; they have better health, more
opportunity and increasingly productive lives.”

3. 3
Example: El Salvador CIAF Mission
“Nuestra Misión Institucional es Proporcionar Atención Médica Integral basada
en los principios básicos de la Atención Primaria en Salud: Promoción,
Prevención, Curación y Rehabilitación con calidad y calidez, para la población
en general, contribuyendo a mejorar sus condiciones de salud.”
“Our institutional mission is to provide integral medical care
based on the basic principles of primary health care: promotion,
prevention, healing, and rehabilitation, with quality and
warmth for everyone, contributing to bettering health
conditions.”

4. 4
Strive to Thrive (STT) Initiative

5. 5
Strive to Thrive Pilot
Plan
• Begun FY2018
• Develop tool & define metrics
• Do assessments in >5 diverse sites
Accomplished
• Rapid Assessment (RA) designed
• US version uses PCMH
• 22 assessments done*
• Gap & programming options identified
• Implementation in progress
• Funding model developed

6. 6
STT Dashboard
Clinic: WHO
building blocks
• Services
• Health workers
• Supplies & Logistics
• Health data system
• Financing
• Governance
Care
• Felt by patient
• Priority to HCW
Connection
• Referral pathway
to health system
• Policies/resources
from HS to site
Community
• Trust & oversight
from community
• Services to the
community

7. 7
Measuring “Care”
Health care workers
• “Do you understand patients’ rights and their expectation of services with respect and care?”
• “Do you agree that your colleagues listen to patients’ concerns and provide clear instructions?”
Community
• “Do you feel that the facility staff listen to your needs and answer any questions regarding your
treatment plan?”
• “Are people in your community satisfied with the quality of services provided by the health center?
If yes, why? If no, why not?”
Patients
• “Do you feel that the facility cares about your privacy?”
• “Do you feel healthcare provider was respectful to you and your needs?”

8. 8

9. 9

10. 10
Where else does Americares embed/promote “care”?
• Health worker safety
• Protecting HCws
• Better engagement & retention
when they feel valued
• Mental Health Psycho-social
MHPSS:
• Health Care Workers – Resiliency
• Patients – Fistula (Liberia,
Tanzania)
• Emergency Programs
• Embedding psychologists within
medical teams
• Taking on GBV (Colombia)

11. Thank you
Pregunta?