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Service Delivery
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Community health worker training
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Clinical training and supportive supervision, partograph introduction
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Clinical training, sustainable emergency referral care
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Action planning focused on addressing quality gaps
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Clinical training sustained with on-site mentorship
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Health Workforce
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Strengthened front-line community health workers
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Strengthened community and facility health workers
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Implemented program to upgrade community health nurses to nurse midwives
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Training on data interpretation and review; improved data-driven supervision structures
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Supported management and organization of staff through quality improvement efforts
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Information and Research
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Data sharing annually
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Electronic medical record introduction, support for data feedback at community and facility levels
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Death audits, referral audit study and feedback loops
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Data feedback and action planning
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Data feedback, gap identification, quality improvement implementation and data monitoring
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Medical Products and Technologies
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Ambulance support, cell phone provision to key health care providers
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Provision of key equipment for complete antenatal and postnatal assessment
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Neonatal resuscitation equipment provision
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Action planning on how to ensure availability of essential commodities
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Provision of essential package of equipment
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Health Care Financing
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Decreased cost through task-shifting
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Support for TBAs and community health workers with a monthly stipend
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Catalytic financing of $0.85 per capita per year
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Funds to support action plan implementation
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Some QI projects focused on cost reduction/insurance enrollment if identified as barrier to services
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Leadership/ Governance
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Training for District Medical Officers in Health Management
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Advocacy with district political systems to improve health care financing and catalyze support for expanding coverage of primary health care
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Strengthened management and data driven decision-making by district leadership
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Staff motivation and leadership development through quality improvement activities
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