making innovation sustainable: the axios experience in tanzania
DESCRIPTION
Making Innovation Sustainable: The Axios Experience in Tanzania. Anne V. Reeler, PhD Chief Technical Officer, Axios. Countries reached. 104 countries reached. Our Health Care Network. The Axios Approach. Innovate in health care delivery Validate cost-effectiveness of innovation - PowerPoint PPT PresentationTRANSCRIPT
Making Innovation Sustainable:
The Axios Experience in Tanzania
Anne V. Reeler, PhD
Chief Technical Officer, Axios
2
Our Health Care Network
Countries reached
104 countries reached
3
The Axios Approach
1. Innovate in health care delivery
2. Validate cost-effectiveness of innovation
3. Create local ownership
4. Use local resources in innovation
5. Build local capacity from the start
6. Plan for transfer of ownership and costs
7. Scale up and ensure sustainability
4
Innovation and Validation
Integrated VCT in Tanzania: 1 referral hospital 12 regional hospitals 79 HC and dispensaries
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VCT Research: Cost per HIV+ identified
Cost per HIV+
$-
$20
$40
$60
$80
$100
$120
$140
$160M
AC
KA
Y
MO
RO
VIA
N
SU
MB
AW
AN
GA
KA
RA
GW
E V
CT
FA
RA
JA V
CT
MA
KA
MB
AK
O
HO
PE
VC
T
UR
AM
BO
MB
OZ
I DIS
T
BU
TIA
MA
IYU
LA
HE
AL
TH
SE
KO
U_
TO
UR
E
NJO
MB
E D
IST
BO
MA
NG
OM
BE
KIW
IRA
MW
AK
AL
EL
I
ITE
ND
E
IGO
GW
E
SE
KO
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TO
UR
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Free-standing Co-situated Integrated
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Local Ownership
The Axios Mobilization Methodology
7
Building Local Capacity
Assessment
(AMM)
Building
Technical Assistance
Monitoring
Evaluation
Partner Competence
Full Operation Transition and Sustainability
Leve
l of E
ffort
Phase 1 Phase 2 Phase 3 Phase 4 Phase 5
Communicatio
n
Publicatio
n
8
Use Local Resources (1)
Traditional birth attendants and PMTCT:
Integration of PMTCT in all levels of health facilities in two districts
Training of traditional birth attendants
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Use Local Resources (2)
Community Based Paralegal Assistance:
Community sensitization Training of community members Linked to official legal system and village government
10
Transfer of Responsibility and Costs
Use existing structures and personnel Planning with regions/districts/partners Gradual absorption in local budgets Incorporate activities in supervision schedules
11
Scaling Up and Sustainability
Research and publications Share methodologies and results National policies
