Services: Technical Assistance, Monitoring, Evaluation, and Research, Program Development, Training, Quality Assurance and Improvement, Capacity Development
Technical Expertise: Newborn and Child Health , Family Planning & Reproductive Health, Health Systems Strengthening, Immunization, Nutrition
The newly-formed Democratic Republic of Timor-Leste is emerging from years of conflict. Centuries of Portuguese control followed by 25 years of Indonesian rule have limited the professional, managerial and entrepreneurial classes and exacerbated obstacles to nation building in all sectors, including health.
While there were some health gains since 2003—under-five mortality rate fell notably between 2003 and 2009, declining from 107/1000 live births to 64 and the contraceptive prevalence rate (CPR) rose from 10% to 22% during the same period—several measures of health and nutrition have not shown adequate improvement, including maternal mortality, use of skilled birth attendants, and nutritional status of under-five children.
The Timor-Leste Integrated Health Assistance (TAIS) activity was USAID/Timor-Leste's largest bilateral investment in health between 2009-2011. JSI’s approaches and strategies implemented through TAIS changed over time in response to the changing needs articulated by the Ministry of Health (MOH) and the socio-political climate. TAIS contributed significantly to shaping national child health policy and worked with the MOH to support the rollout of the Basic Services Package (BSP), particularly the child health interventions.
The overall purpose of this activity was to improve the effectiveness, quality, and accessibility of child health services through the development and implementation of high-impact interventions. Working in coordination with the MOH's BSP, the project prevented and reduced illness, mortality and malnutrition among children under the age of five in Timor-Leste.
The project contributed significantly to shaping national child health policy, and JSI, through the Partnerships for Child Health, provided technical support to the MOH on child health - including immunizations, IMCI, C-IMCI malaria, newborn care, nutrition, and child spacing through leadership in appropriate technical working groups and through direct support to the MOH staff.