Table 2 Key results according to the health systems building blocks
| Â | Building blocks | Key themes |
|---|---|---|
1 | Health financing | Enablers; • Counterpart funding from government • Successor grants from other donors • Continued support from other USAID-funded projects |
Barriers; • High cost of servicing maternity equipment • Inability to finance some community components | ||
2 | Service delivery | Enablers; • Demand-side component popularised services • Consistent application of learning • Heavy infrastructural upgrade • Project-procured equipment continued to serve |
Barriers; • Setbacks in the community referral systems • Disruptions in the private sector component | ||
3 | Human Resources for Health | Enablers; • Massive absorption of project-recruited workforce • Project staff salary harmonisation with public service |
Barriers; • Termination of support from offsite project mentors • Some health facilities (rural) unable to retain staff | ||
4 | Health Information systems | Enablers; • Continued offsite support from implementing partner • Government support with reporting tools |
Barriers; • Data management requirements exceed capacity • Variations in capturing data within the catchment area. | ||
5 | Governance | Enablers; • Calibre of district leadership |
Barriers; • Unstable district technical leadership. | ||
6 | Medical products, Vaccines and Technologies | Enablers; • Support for medicines and supplies from successor grants. |
Barriers; • Medicines and supplies stock-outs |