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Malawi: Support for Service Delivery-Excellence (SSD-E) Sector I

Grant Amount: $8,482,707
Project Dates: October 2011 – September 2016
Technical Areas Covered: Community Health Systems Strengthening


Project Summary:

The JHPIEGO-led consortium for the USAID-funded “Support for Service Delivery Excellence” (SSD-E) project is comprised of JHPIEGO, Save the Children (SC), CARE, Plan International (Plan), and Broad Branch Associates (BBA), and Malawian partners. The SSD-E approach engages all levels of the Malawian health sector to improve access, utilization and quality of health services, to change health behavior, and to strengthen health system.

At the facility/service provider level, SSD-E’s strategy oversees improvements in access to and quality of priority essential health package (EHP) services through a comprehensive model that ensures “no missed opportunities” and integrates clinical mentoring, quality improvement, supportive supervision, improved referral systems, and community-based services.

At the community/household level, SSD-E combines broad community mobilization and planning with better engagement of community-level human capital and strategic engagement of youth and women—particularly those populations with the poorest health outcomes. Communities will be mobilized and engaged to take action to support service delivery, improve health behavior and, most critically, provide constructive feedback and creative problem-solving to challenges in the health system and governance structures.

Over the five year project, SSD-E will reach eight million Malawians with priority EHP services through a phased approach that achieves 90% coverage in 15 districts in Malawi’s five zones. By the end of the project, SSD-E will ensure that:

  1. Service delivery in communities is “reaching the unreached” through careful targeting and outreach approaches;
  2. Health Surveillance Assistants (HSAs) and volunteers in communities are working together to optimize service delivery;
  3. All providers in target districts are actively supported by a clinical mentor and have strengthened their EHP clinical and interpersonal skills; Performance-based incentives are employed at multiple levels to stimulate quality, demand and access; and
  4. The Ministry of Health (MOH) has capable, district-level partners to outsource future community mobilization, health promotion and support for service delivery functions.