The Santé pour le Développement et la Stabilité d’Haiti—Pwojè Djanm project is a technical assistance initiative aimed at improving the health care system in Haiti. The project, which began in August 2007, is funded by the United States Agency for International Development (USAID) and is led by Management Sciences for Health (MSH) in collaboration with several international and local partners.
The project’s primary objective is to increase access to and use of the Government of Haiti’s basic health care package in 80 nongovernmental organization (NGO) and 72 Ministry of Health’s service delivery points in all 10 departments in Haiti. To achieve this goal, the project focuses on three key areas: Service Delivery, Support to the Government of Haiti, and Commercial Sector Partnerships.
In the Service Delivery area, the project aims to increase access to and use of the Government of Haiti’s basic health care package through results-proven performance-based contracts. This includes providing training and technical assistance to health care providers, improving the quality of services, and increasing the availability of essential medicines and supplies.
The project also provides support to the Government of Haiti by strengthening the leadership of the Ministry of Health for health care services delivery in Haiti and strategic management of resources for the health sector. This includes providing technical assistance to the Ministry of Health, facilitating decision-making at all levels, and promoting government-donor coordination.
In addition, the project aims to mobilize and increase commercial sector businesses’ participation to become active partners with the Ministry of Health in the delivery of health care in Haiti. This includes providing technical assistance to private sector partners, promoting public-private partnerships, and increasing the availability of health care services in the private sector.
The project’s results are impressive, with outstanding results in Voluntary Counseling and Testing (VCT) at 30 NGO service delivery sites, acceptable results in Prevention of Mother-to-Child Transmission (PMTCT) at SDSH-supported sites, and new concepts of PMTCT in progress at 13 selected sites. The project has also introduced early infant diagnosis and pediatric HIV services, palliative care, and antiretroviral therapy.
In the area of Tuberculosis, the project aims to reinforce interventions for SDSH and PLNT. In Maternal Health, the project has achieved PY1 results from around the network and Zones Ciblées, with challenges remaining in some areas. In Child Health, the project has faced challenges in some areas, but has made progress in others.
In Family Planning, Reproductive Health, and Youth, the project has ensured the availability of commodities at USG-funded sites under a new distribution strategy, ensured supply of FP commodities at the Zones Ciblées, and achieved full attainment of results in introducing longer-term FP methods. The project has also helped departmental directorates revise strategy and develop plans, applied FP federal regulations, and implemented SDSH-FOSREF youth programs.
The project has also made progress in Cross-Cutting Interventions, including Behavior Change Communication/Community Mobilization, Monitoring and Evaluation, EMR-Waste Management, and Human Resources Capacity Development.
In Governance, Decentralization, and Executive Functions, the project has facilitated unprecedented government-donor coordination, health program management, and decision-making at all levels. The project has also provided technical assistance to the State University Hospital.
Overall, the Santé pour le Développement et la Stabilité d’Haiti—Pwojè Djanm project has made significant progress in improving the health care system in Haiti, with outstanding results in several areas. The project’s focus on Service Delivery, Support to the Government of Haiti, and Commercial Sector Partnerships has helped to increase access to and use of the Government of Haiti’s basic health care package, strengthen the leadership of the Ministry of Health, and promote public-private partnerships.