Services: Technical Assistance, Assessment, Program Development, Training, Capacity Development
Technical Expertise: Newborn and Child Health , Health Systems Strengthening, Health Supply Chain Management, HIV , Human Resources Management, Maternal Health, Nutrition
In Bolivia, as in many developing countries, there are troubling differences between rural and urban areas in most key health indicators, including fertility, neonatal mortality, immunization, and chronic malnutrition rates. In certain regions, many indigenous people depend on coca cultivation, both legal and illegal, for their livelihood. Rural poverty, high unemployment, and the ease and profitability of coca cultivation complicate law enforcement in these hard-to-reach regions.
In 2005, JSI was awarded a contract for the Health Management and Quality Project (Gestion y Calidad en Salud/GCS) to provide health services to marginalized populations in rural areas, including those with coca production, with limited or no access to health services. GCS’s interventions focused on improving outcomes in nutrition and child health, maternal and neonatal health, infectious disease, and coverage extension. JSI’s approach to program implementation was complemented by cross-cutting interventions such as health management and information systems, operations research, continuous quality improvement, municipal matching funds, and health commodities logistics.
JSI implemented this 6-year project in partnership with the Population Council and CARE/Bolivia. Other partners included the Bolivia Ministry of Health and Sports, and regional and local health departments.