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Bridging gaps


Bridging the Gaps Between Public and Traditional Healthcare Sectors – Testing a Model to Improve Quality of STI/HIV/AIDS Care in sub-Saharan Africa
Framework programme:
Project number:
EC contribution:
€ 1 320 000
40 months
Starting date:
Autumn 2002


The feasibility and potential benefits of collaboration between the traditional and public healthcare sectors in Uganda and Zambia will be assessed. The focus will be on improving the humanity and public health dimensions of STI/HIV/AIDS care between both categories of providers. Collaborative models will be designed, based on studies of community and provider needs and preferences, and assessments of quality of care in both settings, using a prospective policy analysis approach. Qualitative and quantitative methods are used. Intervention, based on these data, will be implemented at district/municipal level, with joint training involving traditional and public providers. A before-and-after quasi-experimental evaluation will assess process and outcome indicators, providing evidence that collaborations can work and, at the same time, increase access to essential care services.


The objective is to develop and evaluate strategies that build understanding, and facilitate dialogue and collaboration between public and traditional healthcare providers in Uganda and Zambia. The aim is to improve the quality and increase the uptake of STI/HIV/AIDS healthcare services, focusing on the humanity of patient/provider interactions and the uptake of prevention and care services in both sectors. Specific objectives are to assess the community and provider views on existing services, theirs as well as policy-makers' attitudes towards collaboration; and the quality of care in both sectors. These data will be used to design an intervention, targeted at both categories of providers. The evaluation will provide evidence of the effectiveness of the collaboration, and of changes in numbers of patients accessing services. A policy analysis stream aims to facilitate getting research lessons into policy and practice.

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