Cordier L. F., Kalaris K., Rakotonanahary R. J. L., Rakotonirina L., Haruna J., Mayfield A., Marovavy L., McCarty M. G., Aina A. T., Ratsimbazafy B., Razafinjato B., Loyd T., Ihantamalala F., Garchitorena Andres, Bonds M. H., Finnegan K. E. (2020). Networks of care in rural Madagascar for achieving universal health coverage in Ifanadiana district. Health Systems and Reform, 6 (2), p. e1841437 [13 p.]. ISSN 2328-8604.
Titre du document
Networks of care in rural Madagascar for achieving universal health coverage in Ifanadiana district
Année de publication
2020
Auteurs
Cordier L. F., Kalaris K., Rakotonanahary R. J. L., Rakotonirina L., Haruna J., Mayfield A., Marovavy L., McCarty M. G., Aina A. T., Ratsimbazafy B., Razafinjato B., Loyd T., Ihantamalala F., Garchitorena Andres, Bonds M. H., Finnegan K. E.
Source
Health Systems and Reform, 2020,
6 (2), p. e1841437 [13 p.] ISSN 2328-8604
Health care is most effective when a patient's basic primary care needs are met as close to home as possible, with advanced care accessible when needed. In Ifanadiana District, Madagascar, a collaboration between the Ministry of Public Health (MoPH) and PIVOT, a non-governmental organization (NGO), fosters Networks of Care (NOC) to support high-quality, patient-centered care. The district's health system has three levels of care: community, health center, district hospital; a regional hospital is available for tertiary care services. We explore the MoPH/PIVOT collaboration through a case study which focuses on noteworthy elements of the collaboration across the four NOC domains: (I) agreement and enabling environment, (II) operational standards, (III) quality, efficiency, and responsibility, (IV) learning and adaptation. Under Domain I, we describe formal agreements between the MoPH and PIVOT and the process for engaging communities in creating effective NOC. Domain II discusses patient referral across levels of the health system and improvements to facility readiness and service availability. Under Domain III the collaboration prioritizes communication and supervision to support clinical quality, and social support for patients. Domain IV focuses on evaluation, research, and the use of data to modify programs to better meet community needs. The case study, organized by the domains of the NOC framework, demonstrates that a collaboration between the MoPH and an NGO can create effective NOC in a remote district with limited accessibility and advance the country's agenda to achieve universal health coverage.
Plan de classement
Santé : aspects socioculturels, économiques et politiques [056]
Description Géographique
MADAGASCAR ; IFANADIANA
Localisation
Fonds IRD [F B010080486]
Identifiant IRD
fdi:010080486
