Since its inception, I-TECH has conducted more than 250 evaluations and assessments in the areas of health care worker training, program scale-up, data quality, health care service delivery — and much more. Below is an overview of I-TECH assessments conducted between 2017 and 2021.
| Category | Countries | Examples |
| Health Care Worker Training | Tanzania, Malawi, South Africa | Health care worker needs assessment in Malawi for the Kuunika Project: Data for Action (2017): I-TECH conducted a health care worker training needs assessment with support from the Ministry of Health. Using the assessment data, I-TECH collaborated with the MoH, district health teams, local university representatives, and subject matter experts to design and develop a training curriculum that was piloted in 2018. |
| Training Center Capacity | Tanzania | Assessment of the Center for Distance education in Tanzania (2018): This assessment aims to support the ongoing development of continuing education programmes offered and operated by the CDE and its ability to develop, deliver, support and report on distance and e-learning training programs. The results and recommendations from this assessment will assist MOHCDGEC to establish priorities for the next phase of CDE activities. |
| Scaling Up HIV Services | Mozambique, Tanzania | Mapping of differentiated HIV Service Delivery (2017): A mixed-methods approach to map the types of DSDM implemented in Tanzania. Data was used to inform recommendations for the national HIV guidelines on what types of DSDM could be adapted to the local context. |
| HIV Service Quality | India | I-TECH India has conducted/participated in health service delivery assessments of facilities such as the national HIV/AIDS Centers of Excellence, ART Centers, Link ART Centers, and other care and support centers for the NACO. |
| Data Quality | Zimbabwe | Data quality audits for high-quality VMMC service provision in Zimbabwe: As part of the ZAZIC consortium, Zim-TTECH undertakes weekly, monthly, and quarterly data quality audits (DQA) to ensure data correctness and completeness for adverse events. Intensive DQA processes were documented and availability and completeness of data collected before and after DQAs in several specific sites was assessed with the aim to determine the effect of this process on data quality. ZAZIC found that after the DQA, high record availability of over 98% was maintained and record availability increased. |
| Program Pilots (including SIMS) | Malawi, Tanzania | Evaluation of the implementation of Cryptococcal antigen screening, prevention, and treatment for clients with advanced HIV disease (AHD) in target facilities in Tanzania (2020-2021) |
| Program Acceptability/Feasibility | Cameroon, Kenya, Mozambique | Assisted HIV partner services training in three sub-Saharan African countries: facilitators and barriers to sustainable approaches (2019): Cameroon, Kenya and Mozambique are three African countries that have implemented APS programs and are working to bring those programs to scale. In this paper, is presented and compared different APS training strategies implemented by these three countries, and discuss facilitators and barriers associated with implementation of APS training in sub-Saharan Africa. These three programs demonstrate that APS training can be implemented and scaled up in sub-Saharan Africa. Manuscript published in 2019 by the Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society. |
| ClASS | Ukraine | I-TECH applies the Clinical Assessment for Systems Strengthening (ClASS) methodology and tools to assess 18 regional and local HIV care sites and facilities in Ukraine. The National ClASS Guidelines and User Manual was developed with support from I-TECH and formally approved by the Ministry of Health. |
| Status of HIV Services | Malawi | Status of Adolescent and Pediatric HIV Services in Malawi: Assessment Report (October 2016) |
| HRH | Malawi | Qualitative Assessment to Guide Strategies for the Provision of Technical Assistance to Ministry of Health in Malawi at the National Level (May 2016) |
| Demand Creation | Mozambique, Tanzania, Zambia | Nursing efficiency study in Tanzania and Zambia (2020): A mixed-methods pre-post cross-sectional design that included time and motion observations of nursing care and task analysis surveys during a baseline visit, followed by a facility-level process improvement intervention. |
| Distance Learning | Mozambique | Synchronous distance learning for clinicians’ continuing education in Mozambique: the I-TECH model, past or future practice? (2018):
In Mozambique there is a shortage of health professionals, particularly for the specialized care of people living with HIV, and difficulty of access to refresher courses for many clinicians in remote areas of the country. I-TECH Mozambique has been delivering the distance learning Clinical Management of HIV Infection course following the syllabus and structure of the “Clinical Management of HIV” course organized annually by the University of Washington in Seattle, USA. I-TECH participated in the symposium to discuss the best ways to integrate this model into the continuing education of health professionals and ensure its sustainability and expansion to subjects other than HIV/AIDS in Mozambique. A oral presentation at the symposium in Sept 2018 at MOH’s national research days (Jornadas da Saúde). |
| Clinical Mentoring | Mozambique, South Africa | In Mozambique, I-TECH provides assistance to MISAU in implementation of the national Quality Improvement for HIV Services (QIHS) Strategy, with the goal of improving HIV clinical care through the training of clinicians in QI cycles (Plan-Do-Study-Act) and mentoring to improve weak performance indicators. |
| Community Health Workers | Mozambique | Community Health Workers in the national health service: salaries, motivation, aspirations (2021):
I-TECH sought to answer the following questions: Who are the Community Health Workers (CHWs)? What is the relationship between them and the HFs where they are based? How much do they receive/cost? How do they self-perceive? How do they imagine their future? What are the factors that motivate them? The assessment, by interviewing CHWs using a semi-open-ended questionnaire, involved 25 HFs in 10 Provinces was carried out. Findings from the Time and Motion assessment and from other projects were used to inform the development of the reference manual on Counseling, Testing and Psychosocial Support with the preface by the Minister of Health. An abstract to be submitted to Sept 2021 MOH national research days (Jornadas da Saúde). |