Maintaining and improving the health of the population means providing equitable access to health services for all individuals and providing quality services for the majority of health issues. Access to services is not a reality for a large number of individuals and the quality of services is often sub-optimal.
Several factors could be at the root of the problem. To cite a few:
- Patients who do not always make use of existing health services, particularly due to a lack of trust
- Insufficient numbers of healthcare workers, who are poorly trained, demotivated, poorly paid
- Medical products which are sometimes unavailable and of poor quality
- A range of services which is inappropriate, unavailable or of inconsistent quality:
- A lack of comprehensive care
- Unavailable medical or imaging tests
- Inadequate integration of healthcare, which sometimes means interventions happen in isolation. This lack of coordination sometimes leads to wasting of resources and effort.
- Service and care data which is sometimes not shared, managed or exploited
- Leadership failures within the healthcare authorities including problems of misappropriation and a lack of management of the efficiency and quality of care
Improving access to quality health services involves addressing issues in the following areas:
Our main objectives
Solthis' priority is to contribute to the improvement of individuals' health, by:
- Improving health behaviour through our health promotion activities
- Making accessible a health service provision which is appropriate, of high quality, effective, efficient and permanent and which addresses priority healthcare issues, within the context of limited resources
- Improving links between public providers and community organisations
Our intervention strategy
Health services are at the very heart of health systems. The effective management of health services is therefore closely allied to the functionality of the different aspects of a health system, and it is in this area that Solthis has developed our expertise. To facilitate the effective management of health services all Solthis' expertise is needed, bringing together operational research, lobbying and capacity building strategies, as well as our expertise in the different aspects of the health system.
Understand > Act > Evaluate
Improving access requires a full understanding of the determinants of access to care and then taking action. In order to fully understand the issues involved, Solthis has carried out, mainly through collaborations with academic institutions, a wide variety of social science research: i.e. socio-anthropological, economic, political science.
Solthis is expanding its capacity building, both individual and collective, quality improvement and change management capabilities in order to allow us to better facilitate the introduction or strengthening of health services and to ensure that services meet previously agreed criteria and resolve identified issues.
Community involvement is essential to health promotion, to improving access to health services and in the governance of services. This is why Solthis works to develop partnerships, community mobilisation and empowerment strategies.
What we do in the field
- Geographic access/ decentralisation: in order to improve geographic access and bring services closer to the greatest possible number of individuals, Solthis works with partners to decentralise services. Solthis has therefore developed a strategy for building the capacity of actors, first at a national and then regional level, through the development of good practice which can then be spread more widely. Central and regional actors are supported in the spread of good practice by a standardised mentoring system.
- Human resources
- Contribute to the availability of competent carers who feel valued.
- Find out more about our HR work
- Develop evidence-based clinical recommendations, development of OR
- Find out more on our governance and health policy work
- Ensuring that users are financially able to access healthcare services is a major concern for Solthis. This is why Solthis contributes to mobilisation and to lobbying in favour of TB screening and HIV care services that are free of charge. To enable these services to be free to the patient, Solthis supports the writing of proposals for Global Fund financing.
- Find out more about our healthcare finance work
- Medical and pharmaceutical products
- Ensure medical products are consistently available
- Promote the proper usage of medical products among healthcare workers and patients
- Find out more about our medical and pharmaceutical products work
- Laboratories and technical facilities
- Improve the accessibility of essential tests in healthcare facilities
- Find out more about our laboratories and technical facilities work
- Health information systems
- Data generation, management and exploitation are essential to health service management, the documentation and evaluation of essential criteria, performance, efficiency, quality and accessibility.
- Find out more about our health information system work
In parallel with this work in the field of health services, Solthis has developed a range of health promotion activities.