Impact Evaluation of a Primary Care Health System Strengthening Intervention on HIV and TB services in Kono and Kailahun Districts, Sierra Leone
Abstract
The overall objective of the parent study led by PIH is to evaluate the impact of a comprehensive primary care health systems strengthening intervention in Kono District, Sierra Leone. PIH’s evaluation compares 4 intervention with 7 non-intervention clinics in Kono District. The PIH intervention is a health-systems strengthening intervention that will horizontally integrate clinical and related services in a highly vertical donor-driven system; this includes infrastructure, mentorship, training, and supply chain management. In this project I propose a modest addition to a large evaluation project being undertaken by PIH to provide an additional control group that is less likely to have been contaminated. I will lead a new evaluation component that will sample clinics in the neighboring Kailahun District using the same methods and staff as the PIH parent study. In addition, I will conduct a cost analysis of the intervention. This study will generate evidence that will be used to convince donor agencies to direct their funds to support health systems strengthening