Solthis Solidarité Thérapeutique et Initiatives pour la Santé

International solidarity NGO

Created by research physicians,

Solthis contributes to improve health for all

By strengthening health systems

Donate now

HEALTH SERVICE

Services sa santé1

The issues

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

Our vision

Improving access to quality health services involves addressing issues in the following areas:

  • Improve the public's knowledge about healthcare with health promotion activities
  • Understanding the user perspective and involving users, including in the planning and assessment of health services
  • Reduce barriers to access, whether these be financial, socio-cultural or gender-based, in particular for the most vulnerable

He

alth services are at the heart of health systems and their performance is essential to the provision of quality healthcare which is as effective and efficient as possible.

They must therefore meet a number of criteria:

  • Be patient-centred, and focussed on improving the quality of the relationship between healthcare workers and patients
  • Ensure equitable access for all, including the most vulnerable
  • Offer a range of services which is appropriate for the health situation, patients' needs and also the different levels of the health system access pyramid, allowing:
  • Action to take place across the healthcare continuum: prevention (vaccination, health promotion activities), screening, short- and long-term medical care
  • Alignment with WHO's definition of health: “A complete state of physical, mental and social well-being, and not merely the absence of disease or infirmity. [1]”, the delivery of comprehensive and holistic care to patients which addresses the whole range of factors affecting the individual- physical, medical, cognitive, psychological, emotional and social- essential to improving their commitment to their care and improving outcomes.
  • Be organised and structured in a way that simplifies patients' care journey and enhances efficiency:
    • Improve the coordination of different services and providers and promote the integration of programmes, avoiding a vertical approach
    • Refer patients towards other healthcare providers or towards organisations which are able to provide complementary services
    • Ensure the safety of beneficiaries as well as carers, in particular when it comes to matters of hygiene
    • Be in a position to adapt quickly to situations and constraints, by improving reactiveness and resilience
  • Have appropriate governance models, particularly in involving patients in the provision of care (co-production). Support in reaching outcomes regarding the quality of care.

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.
  • Finance
    • 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
  • Health information systems

In parallel with this work in the field of health services, Solthis has developed a range of health promotion activities.

Watch this video to find out more

 

Country action

GUINEANIGERMALISIERRA LEONE

Expertise

CAPACITY BUILDINGOPERATIONAL RESEARCHHEALTH INFORMATION SYSTEMHEALTH WORKFORCESTRENGTHENING SYSTEMS AND HEALTH SERVICESTherapeutic Patient EducationGOVERNANCE AND HEALTH POLICIESHEALTH PRODUCTS AND PHARMACEUTICAL SYSTEMLABORATORIES AND TECHNICAL PLATFORMSHEALTH FINANCINGADVOCACY

Health priority

HIV / AIDSMOTHER AND CHILD HEALTHTUBERCULOSISEBOLAHEPATITISMALARIA

Associated contents

Evaluation de la prise en charge pédiatrique du VIH en Guinée Conakry

2009 |  Research papers

GUINEACAPACITY BUILDINGHEALTH SERVICEHIV / AIDSMOTHER AND CHILD HEALTH

Author : C. Manteau Partners : Capacité de médecine tropicale de l'Ouest File available on demand.

AIDS Impact – Marseille, july 2007

2007 |  Posters

NIGERHEALTH SERVICEOPERATIONAL RESEARCHHIV / AIDS

Compliance in Niger : a socio-anthropological approach useful for action Author(s) : JP. Olivier de Sardan, L. Pizarro, A. Diarra, A. Moumouni, C. Nicoué

  Download resources

HIV prevalence and impact on renutrition in children hospitalised for severe malnutrition in Niger : an argument for more systematic screening

2011 |  Scientific Papers

NIGERHEALTH SERVICEOPERATIONAL RESEARCHHIV / AIDSMOTHER AND CHILD HEALTH

Author(s) : A. Madec, D. Germanaud, V. Moya-Alvarez, W. Alkassoum, A. Issa, M. Amadou, S. Tchiombiano, C. Pizzocolo, F. Huber, S. Diallo, R. Abdoulaye-Mamadou Journal : PLOS ONE - Volume 6 - Issue 7 - e22787

  Download resources

International Aids Society – Vienna, july 2010

2010 |  Posters

NIGERHEALTH SERVICEOPERATIONAL RESEARCHHIV / AIDSMOTHER AND CHILD HEALTH

HIV prevalence and renutrition in children hospitalised for severe malnutrition in Niamey (Niger) Autor(s) : R. Maiga-Mamadou, W. Alkassoum, M. Hamadou, A. Abdou, C. Pizzocolo, S. Diallo, C. Dezé, V. Moya-Alvarez, F. Huber, Y. Madec

  Download resources

Analyse de la situation de la santé maternelle et infantile dans les centres de santé pour l’introduction de la PTME en Guinée

2009 |  Research papers

GUINEACAPACITY BUILDINGHEALTH SERVICEOPERATIONAL RESEARCHHIV / AIDSMOTHER AND CHILD HEALTH

Author : G. Cissé Tutors : Dr. Freddy Perez, ISPED - University Bordeaux 2 and Dr. Louis Pizarro, Solthis Partners : ISPED

  Download resources

Les perdus de vue dans la file active de la région de Ségou

2008 |  Research papers

MALIHEALTH SERVICEOPERATIONAL RESEARCHHEALTH INFORMATION SYSTEMHIV / AIDS

Author : G. Lurton Partners : Sciences Po

  Download resources

Les personnels de santé face au Sida et à la prise en charge des PVVIH à Niamey. Transformation ou reproduction des représentations et pratiques habituelles ?

2008 |  Research papers

NIGERHEALTH SERVICEOPERATIONAL RESEARCHHEALTH WORKFORCEHIV / AIDS

Authors : A. Diarra, A. Moumouni - préface : JP. Olivier de Sardan Research assistants : M. Moha, O. Issaka Partners : LASDEL

  Download resources

Get Updates

Subscribe to our newsletter

SUBSCRIBE

Our projects

gifSolthisGB-300x300

RSS Feed | Site map  | © Solthis 2018 - All rights reserved | By 6tem9