In 2022 HEI began leading the Improved Health Service Delivery (IHSD) program: a five-year, USAID-funded project to improve access to high-quality health care in southern Haiti. The project is called Kore Sante (“Supporting Health”) in Haiti.
Seven nongovernmental agencies (NGOs) and 31 public and private healthcare facilities are implementing Kore Sante in Haiti’s Grande Anse, Nippes, Sud, and Sud-Est departments. All participants work under the leadership of the Haitian Ministry of Health centrally through the Director General’s Office and the Technical Directorates, and regionally through the Heads of the Departmental Directorates in the Southern region.
The goal of the project is to support these NGOs and their healthcare facilities in providing high-quality primary care services. The program also emphasizes community health work to improve service delivery, provide community-level health education, and strengthen linkages between community- and facility-based care.
Through Kore Sante, HEI is furthering its mission of ensuring that all people, regardless of their ability to pay, have access to dignified and compassionate health care.
Kore Sante aims to improve service delivery and quality of care across three objectives:
- Sexual, reproductive, maternal, newborn, child, and adolescent health and nutrition (SRMNCAH-N), including:
- Providing reproductive support to women of reproductive age and families with children under 5 years of age
- Increasing health literacy in communities
- Improving adherence to prenatal appointments
- Improving access to hospital-based deliveries
- Increasing demand for family planning
- Improve infection prevention and control through water, sanitation, and hygiene (WASH) activities
- HIV/AIDS, including:
- Providing quality testing services
- Immediately linking patients to care and antiretroviral therapy
- Improving adherence to treatment plans
- Resiliency, community empowerment, data for results, and resource optimization, including:
- Strengthening the Haitian health system and building local capacity to respond to disasters, shocks, and epidemics
- Improve healthcare waste management
- Improve infection prevention and control protocols
- Provide training on data collection, monitoring, and analysis to empower data-driven decisionmaking
Training is a core component of Kore Sante.
Healthcare providers from doctors to nurses’ aides participate in regular trainings focused on improving service delivery and quality of care. At every level, Kore Sante emphasizes the importance of respectful, patient-centered care, equitable access to care, patient agency in treatment decisions, and collaboration with colleagues to improve patient outcomes.
Through specialized training, community health workers are learning to leverage the trust they’ve built with the people they serve to promote health-seeking behaviors. Using strategies that include modeling positive behaviors at community health events and individual counseling as well as group education sessions, community health workers can play an outsize role in improving their patients’ understanding of when and how to access health services.
Finally, Kore Sante is using extensive training and coaching to improve data collection, monitoring, and evaluation systems and overall health governance, including mechanisms for oversight and accountability. These activities support stronger health systems that are more responsive to local needs.