Solthis Therapeutic Solidarity and Initiatives for Health

Health is a right
Having access to it is vital

STRENGTHENING SYSTEMS AND HEALTH SERVICES

The issues

In the world today, 400 million people lack access to essential care.

Although there has been undeniable progress in terms of global health, there are still huge areas of need, particularly in formulating a long-term solution to health concerns.

This is especially true in Africa, where health systems remain fragile because of a lack of financial resources, organisational issues and human resources. In this context, Solthis is working to develop a concrete, complete and permanent solution to public health needs.

Our strategy

For over 15 years, we have been developing our exper-tise using a systematic and multidisciplinary approach to work around the various components of health systems, as defined by the WHO, to create a global momentum across countries. This involves joint action both on the quality of the provision of healthcare services and on the promotion of health and community mobilisation. Solthis has chosen two areas of intervention in order to influence the offer of care services: improving the quality and performance of healthcare services, but also support for the evolution of the content and organization of health services, notably by optimising care pathways and their organisation.

The ongoing operation of these services requires essen-tial resources and preconditions such as training and support of staff, the quality of production and analysis of medical results by laboratories as well as supply chains guaranteeing continuous access to treatment. See our 8 expertise domains

Solthis would also like the provision of care to be user-centred in order to recognise the role of patients and communities in improving the quality of healthcare ser-vices. We believe in the power of the collective, in the value of bringing together civil society actors, researchers and public actors for resilient healthcare systems.

Solthis in the field :

Focuses on a strategy of health promotion and community mobilisation which aims to enable users to define their own needs and to promote their primary role in defining services through feedback on their experiences or their involvement in steering and governance.

Acts to improve health services across the continuum of care simultaneously covering promotion, prevention, testing, therapy, long-term monitoring of patients, taking into account all patient needs, whether clinical and biological, cognitive, psycho-social or emotional, in order to achieve the best possible health results as well as the commitment and empowerment of patients.

 

Solthis supports multidisciplinary healthcare teams in order to facilitate their work and enable them to offer the most appropriate services. This capacity building work begins with addressing skill needs. To this end, Solthis trains various healthcare professionals: clinicians, nurses, midwives, pharmacists and paramedics.

To improve patient care further and to support healthcare teams in the practical implementation of their theoretical knowledge, Solthis' medical teams assist healthcare workers in their day-to-day work with a programme of on-the-job training, mentoring or internships.

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Medicines and medical products are fundamental to quality care. The main challenges for Solthis are ensuring that healthcare providers have consistent access to quality products, eliminating supply shortages and ensuring their appropriate use.

To achieve this, Solthis provides technical assistance aimed at improving the knowledge of those involved in the various stages of the supply chain: selection, quantification, purchase, storage and local distribution. Whilst making products available is a major task, ensuring that they are then used to best effect is one of Solthis' main concerns. We therefore develop activities aimed at improving the use of medical products, whilst also taking action with regards to the quality of prescriptions, dispensation and the preparation of patients for treatment.

Solthis also supports those involved at different levels of the relevant institutions- both national and local- working particularly to coordinate the actions of all actors, to create practice reference documents, to control pharmaceutical systems allied with information systems and the training of relevant professionals.

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Laboratory and technical staff must be able to use specific tools and have the requisite skills to diagnose diseases and monitor patients. Solthis provides teams with technical and material support in arriving at, and interpreting, results. We also work to reinforce the link between technical facilities and other health services in order to ensure that test results facilitate optimal patient care. Partnerships with French hospital laboratories and scientific collaborations are also developed by Solthis to support laboratories further.

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Generating high quality, complete and up-to-date data; gathering, compiling and then analysing this information, on a number of levels, are fundamental elements of good patient monitoring, the analysis of epidemics and the evaluation of health programmes; necessary facets of a reactive and functional information system. Solthis supports partners in the selection of information and statistical tools, the integration of monitoring and evaluation into the health system, user training and the systematic exchange of information at all levels of the health system access pyramid.

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Solthis provides our partners with technical assistance in producing requests for subsidies and international funding. Solthis works to advocate the mobilisation of funds towards global health, to national, French and international authorities. Because of our position as an actor in the field as well as on an institutional level, Solthis also plays an active role in ensuring that international aid measures reflect the reality on the ground, in particular in fragile states. Finally Solthis fights for equitable access to healthcare for all, working through our research, advocacy and advisory activities, to help eliminate financial barriers to access to healthcare and to ensure the prioritisation of the solutions which are most cost-efficient for the patient as well as for the national health system.

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Solthis shares its expertise with our national partners, supporting them in formulating national health policies and strategies, norms and technical procedures in the sector. Solthis also participates in the strengthening of consultation plans and the coordination of the various institutional players, including civil society (community organisations, monitoring organisations, patient networks etc).

Solthis also supports our national partners in the creation and monitoring of the different aspects of their human resources policies and performance management; i.e. national training programmes, organisational strategies for dealing with the low pay of certain categories of healthcare workers.

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Country action

NIGERGUINEAMALISENEGALCOTE D'IVOIRESIERRA LEONERDCBENINBURKINA FASOBURUNDICHADMOROCCOMADAGASCAR

Expertise

Capacity building and empowermentCAPACITY BUILDINGHUMAN RESOURCES FOR HEALTHADVOCACY FOR FAIR ACCESS TO QUALTITY HEALTH CARELABORATORIES AND TECHNICAL PLATFORMSHEALTH INFORMATION SYSTEMOPERATIONAL RESEARCHHealth Service Provision InitiativesCommunity mobilisation and health promotionGOVERNANCE AND HEALTH POLICIESHEALTH PRODUCTS AND PHARMACEUTICAL SYSTEMHEALTH FINANCINGOur areas of expertise

Health priority

Promoting Sexual and Reproductive Health and RightsFighting HIV / AIDSFighting Covid-19Infectious and emerging diseasesImprove the health of children in AfricaFighting tuberculosisCOVID-19Fighting HEPATITISMALARIAPromoting One healthChild Health

Associated contents

AFRAVIH 2024 – Gender-based violence as a factor and consequence of unintended pregnancy among schoolgirls in Guinea

2024

NIGERSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Presentation by Dr Sy, public health doctor and founding member of the Guinean Women's Association for the fight against sexually transmitted diseases. (in French)

AFRAVIH 2024 – Introduction of the HIV/syphilis duo test: the challenges of triple elimination in 33 integrated health centers in 5 regions of Niger

2024

NIGERSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Presentation by Dr Issouf Alassane MAIGA, head of the technical assistance AT DSD PTME (in french)

AFRAVIH 2024 – Contribution of GeneXpert HIV to the management of HIV-exposed infants in the pediatric ward of Ignace Deen in Guinea (ANRS 12412 IPOP project)

2024

GUINEASTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Presentation by Dr Alpha Oumar Mansare, epidemiologist and IPOP project coordinator (in french)

AFRAVIH 2024 – Posters on children and adolescents living with HIV in Cameroon.

2024

MALISTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting Covid-19Infectious and emerging diseases

At the International Francophone Conference on HIV (AFRAVIH) Solthis presented two posters on the theme of children and adolescents with HIV in Cameroon. Discover our posters on : (in french)

AFRAVIH 2024 – Poster on the fight against emerging pandemics (COVACOM study)

2024

MALISTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting Covid-19Infectious and emerging diseases

At the International Francophone Conference on HIV (AFRAVIH), Solthis presented a poster on the COVACOM project, focusing on the successful integration of antigenic tests for SARS-CoV-2 and community malaria in Mali. Discover our poster on this link. (in french)

AFRAVIH 2024 – Gender disparities in the care of adolescents living with HIV in Cameroon

2024

STRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDSImprove the health of children in Africa

Presentation by Dr Guillaume Breton, infectious pathologies and research referent, on technical assistance for a situational analysis of pediatric HIV care in Cameroon.  (in french)

AFRAVIH 2024 – Launch and presentation of the SUCCESS II project

2024

GUINEASTRENGTHENING SYSTEMS AND HEALTH SERVICES

Presentation by Dr Jean-Claude Kouassi, SUCCESS II project coordinator (in french)

Poster SANSAS ICFP 2022

2022 |  Posters

SENEGALSTRENGTHENING SYSTEMS AND HEALTH SERVICESPromoting Sexual and Reproductive Health and Rights

At the "International Conference on Family Planning" held in Pataya from 14 to 17 November 2022, Solthis presented a poster on the SANSAS project on "Diagnosis of sexual and reproductive health service provision for adolescents and young people in 2 regions of Senegal". Discover our poster on this link (in french)

Posters on our actions against COVID The Union 2022

2022 |  Posters

MALINIGERSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting Covid-19

During the Union Against Tuberculosis and Lung Disease Conference held from 8 to 11 November 2022, Solthis presented two posters on its actions against COVID19 through the ECOVAN and ECOVAM studies. Discover our poster on the ECOVAN study in Niger on this link Discover our poster on the ECOVAM study in Mali on this link

Poster coaching Mali HSR2022

2022 |  Conferences, Posters |  , , ,

MALICAPACITY BUILDINGCapacity building and empowermentHUMAN RESOURCES FOR HEALTHSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

The 7th Global Symposium on Health Systems Research, the  HSR 2022,has been held in Bogota from October 31st to November 4th 2022, Solthis has presented a poster on its experience in coaching healthcare professionals in Mali. The poster is available on this link.

AFRAVIH 2020 – Can task shifting improve efficiency of HIV self-testing kits distribution ? A case study in Mali

2020 |  Posters |  

MALICAPACITY BUILDINGSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Poster presented by Solthis as part of its participation in AFRAVIH 2020.

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AFRAVIH 2020 – Is manufacturer’s instruction for use sufficient in a multilingual and low literacy context ? The example of HIV self-testing in West Africa

2020 |  Posters

COTE D'IVOIREMALISENEGALSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Poster presented by Solthis as part of its participation in AFRAVIH 2020.

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AFRAVIH 2020 – Lay providers’ concerns on HIV self-testing provision to peers, ATLAS project

2020 |  Posters

COTE D'IVOIREMALISENEGALCAPACITY BUILDINGSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Poster presented by Solthis as part of its participation in AFRAVIH 2020.

  Download resources

AFRAVIH 2020 – A pragmatic approach to building the capacity of health structures and health workers to provide quality care for people living with HIV

2020 |  Posters

SIERRA LEONECAPACITY BUILDINGHUMAN RESOURCES FOR HEALTHSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Poster presented by Solthis as part of its participation in AFRAVIH 2020.

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What do we know about patient-provider interactions in sub-Saharan Africa? a scoping review

2020 |  Scientific Papers

STRENGTHENING SYSTEMS AND HEALTH SERVICES

Research article published in the PanAfrican Medical Journal, September 25, 2020. The article was co-authored by Etienne Guillard, Director of Strengthening Health Services and Systems in Solthis, with Bienvenu Salim Camara, Loubna Belaid, Hawa Manet, Delphin Kolie, Téophile Bigirimana and Alexandre Delamou.

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HIV stigma limits the effectiveness of PMTCT in Guinea, the ANRS 12344 Diavina trial

2020 |  Posters

GUINEAADVOCACY FOR FAIR ACCESS TO QUALTITY HEALTH CARELABORATORIES AND TECHNICAL PLATFORMSSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

AIDS 2020 - Poster

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A Participatory Approach to Improving Retention in HIV Treatment and Care for Newly Diagnosed Patients in a Secondary Health Facility in Sierra Leone

2017 |  Scientific Papers

SIERRA LEONESTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

  • Authors : Wole Ameyan, Hannah Kamara, Jaicy Sesay, Mariama Sheriff, Khadija Dumbuya, Mabinty Timbo, Sulaiman Conteh and Etienne Guillard
(Solthis, Sierra Leone)
  • Published by Journal of AIDS & Clinical Research

  Download resources

Biovision conference – Lyon, March 2009

2009 |  Conferences

NIGERHEALTH INFORMATION SYSTEMSTRENGTHENING SYSTEMS AND HEALTH SERVICES

Technical Assistance to improve HIV National Information System in Niger Author(s) : C. Dézé, G. Lurton, L. Pizarro   Download the Biovision conference Information system presentation

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GERES – Cotonou, Bénin, march 2008

2008 |  Oral presentations

NIGEROPERATIONAL RESEARCHSTRENGTHENING SYSTEMS AND HEALTH SERVICESFighting HIV / AIDS

Enquête comportementale face aux Accidents d'Exposition au Sang (AES) dans deux structures sanitaires de Zinder (Niger) Author(s) : M. Aminou Brah, C. Dézé

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TOWARDS A FEMINIST APPROACH TO CARE

STRENGTHENING SYSTEMS AND HEALTH SERVICESPromoting Sexual and Reproductive Health and Rights

Towards a feminist approach to care: promoting sexual and reproductive health rights for all Consult ONLINE or DOWNLOAD our report and summary (more…)

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Humanitarian consulting at Solthis

2021

STRENGTHENING SYSTEMS AND HEALTH SERVICES

For more than 15 years, Solthis has been working hand in hand with local actors in West and Central Africa on prevention and access to quality health care by sustainably strengthening health systems and services. Solthis' technical assistance aims to respond to the needs and expectations of beneficiary countries for technical expertise. Discover our note dedicated to solidarity consultancy.

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