Areas of Expertise

Areas of Expertise

Health Systems Strengthening

CSIH recognizes that the viability of health systems around the world has been challenged by imposed economic reforms, poor investment into the sector, and the limited attention paid to the social determinants of health.

Health systems are strengthened when changes are implemented at the policy level or at the practice level in one or more functions of the health system in order to improve access, coverage, quality or efficiency.

CSIH’s overall framework for health systems strengthening is driven by values and vision of equity and accountability, supported by the two pillars of a social determinants framework and a “health in all policies” approach. In applying this approach, CSIH works with partners in government, civil society, community, and academia to build and sustain the necessary leadership and long-term stewardship required for a sustainable health system.

CSIH supports counties and global health partners to address the social determinates of health that are known to be among the worst causes of poor health, inequalities and inequities. The level of investment into those health, social, and economic issues relevant to a nation’s burden of disease is a critical predictor of health outcomes.

CSIH has identified and supported several key elements of a health system for which technical assistance will have the greatest impact on improving health outcomes.

 

Capacity Building

CSIH is committed to ensuring the transfer of knowledge and expertise to those we work with. Along with improving knowledge and strengthening skills and abilities, one of the major aims of capacity building is to develop a common language and understanding. 

Evidence-Based Medicine

Effective decision-making in health care requires evidence at all levels and across the continuum of care to ensure the clinical effectiveness of interventions, the elimination of ineffective or unnecessary care and interventions, and the reduction of duplicate efforts and activities. 

Health Information Systems

Accurate and up-to-date information and evidence plays a critical role in appropriate policy development and clinical decision-making within the health system. CSIH has significant experience building local capacity to utilize reliable, valid data for decision-making and improved service delivery.

Infection Prevention

The improvement and efficient use of human resources and infrastructures to prevent and mitigate the spread of infectious diseases is essential to the maintenance of a healthy population. Best practices in infection prevention guide the improvement of human resources and infrastructures towards the reduction of infectious disease rates.

Maternal and Child Health

Interventions aimed at all levels of society to build the capacity of women during and after pregnancy is essential to ensure the reduction of mortality rates in areas that are at high risk of death in these population groups. Interventions are aimed at the national, local and individual levels to provide all members of society with the capacity to reduce maternal and child mortality rates. 

Quality Improvement

A focused approach to quality improvement in provision of health care plays an important role in strengthening health systems. CSIH has extensive experience working on Quality Improvement Strategies across health sectors, as well as assessing gaps in clinical abilities of health professionals and building capacity appropriately. Past projects have centred on improving quality at the primary health care level as well as implementing quality improvement systems and services at all levels of the health system.