Jhpiego

By integrating self-care into over 1,100 health facilities and training more than 2,100 providers across six provinces and 31 districts, the program significantly increased national uptake from 7% in 2024 to 40% in early 2026, reaching 61% in DISC-supported provinces.

Building on this success, Jhpiego is advancing government-led efforts to expand self-care across broader health services in line with national guidelines, promoting long-term, system-wide impact.

Through routine dashboard reviews, performance scorecards, and structured improvement cycles (including bottleneck and root cause analyses), FHN enables timely, evidence-based decision-making and accountability at all levels.

Supported by job aids, capacity building, and peer learning platforms, the program promotes consistent data use, enhances resource efficiency, and scales innovations such as SmartCare for patient-level tracking, ultimately improving program performance and health outcomes.

Co-developed with government partners, the solution is grounded in clinical safety, with responses strictly aligned to national and WHO guidelines, and enhanced for accessibility through local language translation.

Supported by capacity building of Ministry of Health developers, ViA demonstrates a sustainable, government-owned model for applying emerging technologies, including AI, to improve quality of care and health outcomes.

The program has reached nearly 3,000 CHWs across three provinces, connecting hundreds of communities through district hub sites while maintaining strong engagement, with attendance exceeding program benchmarks. Its sustainability is demonstrated by local facilities independently supporting connectivity costs, highlighting a low-cost, scalable, and locally owned model.

Building on this success, efforts are underway to institutionalize Community ECHO within national strategy, embedding digital learning as a core component of community health systems strengthening.

Anchored in a hub-and-spoke Zonal Mentorship Hub model, high-capacity “hub” facilities provide structured, hands-on mentorship and technical support to surrounding “spoke” facilities, enabling decentralized and continuous capacity building.

Through this approach, over 31,000 providers were reached between 2022 and 2026, with mentorship guided by skills gap analyses and quality improvement plans.

This sustained, real-world learning model has driven measurable improvements in quality of care and health outcomes, demonstrating a scalable and effective approach to strengthening MNCHN services at population level.

Using a hub-based model, provincial teams identified system gaps in areas such as technical skills, communication, data use, adherence to safety checklists, and coordination, and implemented targeted quality improvement initiatives.

These efforts led to significant outcomes, including a reduction in post-caesarean wound infections at Kabwe Central Hospital from 1.82% to below 1% and elimination of related maternal deaths.

The model has strengthened capacity across multiple facilities, improved adherence to surgical safety standards, and reduced delays in care, while demonstrating strong adaptability and sustainability through increasing Ministry of Health ownership and co-investment.

Jhpiego works with the Ministry of Health and partners to accelerate the adoption of WHO-recommended products for preventing and treating postpartum hemorrhage, including heat-stable carbetocin, tranexamic acid, and calibrated drapes across facilities in Lusaka Province.

This approach combines provider training, strengthened supply systems, and integration into routine service delivery. As a result, thousands of women have benefited from improved prevention and management of PPH, while innovations such as the use of drapes have strengthened early detection and response.

This model demonstrates a scalable pathway for expanding access to priority health products and improving quality of care across the health system.