Ensuring community health care needs are met
IMA has worked to improve primary health care (PHC) since the Alma Ata Declaration of 1978, which calls for PHC as the chief strategy to achieve health for all. The need for PHC in the countries where IMA works is acute. In many of IMA program countries, programs are designed to improve some of the lowest PHC indicators in countries that are suffering from high rates of maternal and child mortality, HIV/AIDS, TB, malaria, family planning and immunization coverage.
IMA partners closely with governments to improve availability and access to PHC services. IMA PHC programs generally emphasize improved maternal and child health care, safe water and basic sanitation, immunization, health education, disease control, and provision of essential drugs. IMA also works closely with communities to ensure that services are responsive to community level needs.
IMA improves PHC in some of the most challenging health care operating environments. In South Sudan, which has been impaired by decades of conflict, IMA has transformed health service delivery in two States that include a quarter of the country’s population. A recent study showed that three counties where IMA works were ranked as the most improved counties in health care service provision nationwide. In the Democratic Republic of Congo, IMA is working in 56 health zones to improve uptake and quality of MCH and PHC services.
The ASSP project has increased coverage of life-saving long-lasting insecticide-treated malaria prevention nets (LLINs) from 1 percent at baseline to more than 72 percent to date. This will help prevent thousands of malaria episodes. In addition, the project helped increase new family planning users by nearly 180 percent.
Access to Primary Health Care Project (ASSP) (2012-Present): IMA is improving access to primary health care services in 56 health zones within DRC through the DFID-funded ASSP project. The goal is to reduce morbidity and mortality in women and children under five by strengthening the health system at all levels. IMA has achieved a number of successes within primary health care indicators including steadily increasing utilization of healthcare services each quarter. Nearly 800,000 clients sought health care services, up from an original 430,000 clients when the project began. Patients report improved quality of service from health care workers and increased availability of essential primary health care medicines.
Rapid Results for Health Project (2013-Present): IMA strengthens primary health care capacity in 24 counties of Jonglei and Upper Nile states through the RRHP project. These counties represent more than a quarter of South Sudan’s population. With World Bank support, IMA uses performance-based contracting, training, and mentoring to improve primary health care services at 284 healthcare facilities. More than two million children under age five received outpatient services since the project started and more than 200,000 children were vaccinated for measles.