Uzazi Salama Model

Amref Health Africa, PharmAccess Foundation and the M-PESA Foundation are committed to achieving lasting health change in Africa. This vision is closely aligned to the United Nations’ Sustainable Development Goal 3 – to ensure healthy lives and promote well-being for all at all ages. Essential to achieving SDG 3 is continuing the great progress made thus far in maternal and child health indicators. Globally,the maternal mortality ratio has declined by 37% since 2000, and over the period 2012 to 2017, almost 80% of live births worldwide occurred with the assistanceof skilled health personnel, up from 62% in the 2000 to 2005 period.

Six years later, we reflect on the program’s progress and comprehensively define the model that was successful in improving MNH indicators in Samburu County – an arid pastoralist region chosen as the primary location for Uzazi Salama because of its lagging health indicators and priority standing according to the Kenyan Ministry of Health. To-date, Uzazi Salama has made significant improvements in MNH indicators in Samburu against its initial targets, but there remains work to be done. The remainder of this report details the specific activities carried out by the project partners, the results of those activities, and areas for improvement in future replications. We put forth this discussion to inspire health sector actors to leverage Uzazi Salama as a model to improve existing MNH programs based on our learnings; and/or inspire these actors to work with us to replicate and scale Uzazi Salama to improve

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Amref Selected as Talent Partner for UNLEASH 2019

For the 3rd year running, Amref Health Africa has been selected to be an UNLEASH talent partner! As a talent partner, Amref Health Africa will support UNLEASH to source top talents from sub-Saharan Africa for the UNLEASH Innovation Lab in Shenzhen, taking place from 6-13 November 2019. The nomination process is outlined in the following files:

  • Talent nomination guidelines. This document outlines the selection criteria for talents eligible to participate in UNLEASH 2019 and provides talent partners with an overview of the process and deadlines for nominating talents.
  • Talent deck. This presentation provides an overview of the UNLEASH program and application process for interested candidates.

As a talent partner, UNLEASH has reserved nomination spots for applicants sourced from within Amref or within our network. All nominated applicants must submit an application at using our unique nomination code. The application platform will open on 18 March 2019 and close on 18 April 2019.

Amref will be taking applications for nominations through our offices across the various countries in sub Saharan Africa so look out for the announcement from the office closest to you.

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Digital Health Ecosystem for African countries

Digital technologies will influence the future of well-being and economic growth worldwide. African economies are well-positioned to benefit from this accelerating technological change that will help to overcome limitations and the costs of physical infrastructure in important areas
of economic life.
The health sector is benefitting from this trend, in particular in Africa. Substantial investment in digital solutions in recent years have already improved health services in Africa. African leaders who gathered at the African Ministerial Dialogue on digital health leadership at the May 2017 World Health Assembly affirmed their commitment to digital health and identified the pathway towards realising strong Digital Health Ecosystems in their countries. A Digital Health Ecosystem is the holistic application of Information and Communication Technologies (ICT) to support and improve health care delivery, its coordination and integration across providers.
In this study, framework conditions, requirements and options for the successful, sustainable implementation of Digital Health Ecosystems in Africa are analysed with the goal to create an action-oriented framework for digital
infrastructure and services, based on a well-founded health policy context. Relevant partners include decision makers, health system operators and industry in African countries, development partners and companies with expertise in Digital Health Ecosystems and applications.
The study provides a basis for these actors to jointly develop Digital Health Ecosystems that address the respective needs and technical requirements of African countries.

The study results are summarised in seven key
messages and recommendations:
Seven Key Messages
Digital health supports the Sustainable Development Goals and Universal Health Coverage.
To meet the health targets of the Sustainable Development Goals by 2030, progress must be accelerated, in particular in regions with the highest burden of disease. When implemented appropriately, digital health is a great enabler towards better health care and health coverage.
The establishment of a national Digital Health Ecosystem should be based on an integrated framework.
A sustained transformation of health systems requires a holistic vision, driven by priorities and a unifying approach that ensures that all eHealth applications are integrated through a national digital health infrastructure platform—a Digital Health Ecosystem.
There is no one-size-fits-all solution for digital health.
Implementing and sustaining digital applications in the health sector is demanding, complicated and time-consuming. There is no one-size-fits-all platform solution. Instead, each solution has to be tailored to local needs, circumstances and resources.
Instead of developing individual pilots, governments
and development partners should focus on integration.
Stand-alone eHealth implementations and pilot projects that rarely reach scale or sustainability
should be avoided. Focus on a few health care
and/or public health priorities to guide nation-wide investments. Ensure coordination and integration
of all stakeholders.

There are four building blocks for successfully
implementing a National Digital Health Ecosystem: a strategy, roadmap, implementation elements and evaluation.
Drafting an eHealth strategy will not do the job. Three additional building blocks are needed: An actionable, realistic roadmap on how to move from strategy to implementation and long-term sustainability, six implementation elements (national platform, core services, interoperability guidance, leveraging the “open” approach, change management, governance and legal framework) and measuring impact to guide further development.
Fostering a Digital Health Ecosystem requires close coordination of all stakeholder, with strong leadership from governments.
Governments make decisions on health system structures, regulation and financing and determine the needs, priorities and investment procedures in Digital Health Ecosystems. To avoid the disparate development of siloed eHealth applications, a national framework must include close coordination between all stakeholders. Therefore, calls for tender specifications must fully align with the national digital health framework.
Digital health investments should be based on a cooperative investment approach.
To translate opportunities into action, a cooperative investment approach is recommended. Customers, local Ministries of Health, health care providers and health professionals, national and international development partners and financiers, not-for-profit and commercial suppliers, providers of digital health software, hardware and services should come together and collaboratively pursue country or district-specific opportunities.

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