Component 1: Supportive Management Systems and Process for Primary Health Care

The objective of USAID/PHCPI under Component 1 is to strengthen the quality of Primary Health Care (PHC) delivery in Iraq through developing highly functional management systems to ensure accessible, efficient, and quality health services. Effective management and leadership systems will provide the underpinning for efforts to build more accessible and sustainable quality health services. Building on the Government of Iraq’s Strategic Framework for 2009-2014, the USAID/PHCPI team will assist the MoH in improving skills to prioritize the needs for systemic changes in the face of a myriad of challenges. Working with counterparts at the national, provincial, and district levels, the team will assist in building skills for planning and management, and updating and revising operational guidelines. USAID/PHCPI will deliver tailored training and technical assistance that fills skills gaps and links good management practices to enhance health outcomes. To improve primary healthcare management systems, USAID/PHCPI work on:

Fostering PHC governance at the National Level

The MoH identified a group of national experts to serve as members of a Technical Advisory Group (TAG) with the objective of strengthening PHC service delivery systems in Iraq. Through the TAG, USAID/PHCPI will work with the MoH  to establish, mobilize and manage teams with broad representation from relevant management and clinical sectors, which will provide direction and coordination to the development of stronger management support systems critical for improving PHC services. These will include systems and guidelines for facility management, pharmaceutical management, human resource management, environmental health, logistics, labs and equipment systems, among others. The project team will use this group to share insights and disseminate lessons learned from the USAID/PHCPI sponsored Improvement Collaboratives and to explore ways to scale up improvements beyond the 360 project-supported clinics. USAID/PHCPI will assist the MoH to improve facility management and logistics systems to ensure an uninterrupted supply of drugs and medical commodities.

Strengthening PHC Management  

In partnership with the MoH, USAID/ PHCPI will develop a Handbook of Quality Standards and Operational Guidelines for management of PHC clinics. The handbook will include simple, practical tools to help clinic staff assess, strengthen, monitor, and improve compliance with the standards and guidelines. Topics covered will include: Organization and Leadership; Client Care; Clinic Safety; Clinic Support Services; Operational Management; Facility Management; Health Information Management; Building Community Partnerships; and Quality Improvement. Training will be implemented either directly or through MoH Training-of-Trainer programs, covering personnel from a minimum of 360 participating clinics.

Developing PHC Leadership and Management Training Program

USAID/PHCPI will work with the MoH to establish a PHC Leadership and Management training program. The Leadership Training program will build on the various management training materials developed within the MoH to date and will be linked to the concepts and quality standards described in the Management Handbook.

Improving PHC Patient Records System

The project will work with the MoH to develop an effective, standardized approach to patient records, incorporating either paper or electronic recordkeeping which can be easily implemented at all PHCs. This system will be compatible with and feed into the Health Management Information System piloted by the project.