Center for Health Market Innovations (CHMI)

Programs

SERVIR

last updated Sep 27, 2011

Overview

Implementation Partner(s): 
National and Local goverments, Municipalities, USAID
Legal Status: 
Private (not-for-profit)
Year Launched: 
1991
Stage: 
No longer active
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government
Funders: 
USAID

Scale

Personnel Employed: 
10-49
Number of Clients Served: 
5.171 direct users (people with tuberculosis) and 5.784 health controls
Summary: 

SERVIR is a private nonprofit institution which began its work in 1991 and whose staff form part of a professionals’ association. Since 1996 it has focused its activities on tuberculosis cases in the tropical regions of La Paz.

Key program components: 

Within the programming of SERVIR is the project “Regional Micro Plan for the Fight against Tuberculosis,” which acts along two lines: behavior change and mobile diagnostic and treatment services for rural populations.

  • In regards to their mobile services: one important aspect of this work is their ability to reach communities that are otherwise difficult to access, due to a lack of good routes, with equipment, lab materials, and personnel specialized to diagnose, treat, and follow-up with cases of tuberculosis. Through this program SERVIR supports the government’s infectious disease programs.

  • In regards to their behavior change programming: SERVIR seeks to provide access to information, education, and communication to difficult to reach areas through the use of local or community health promoters. In this way, solidarity self-help groups are created for tuberculosis patients and their families. The educative component is that which requires the most input for the preparation, diffusion, and follow-up of its application. They develop their own material which is highly contextualized and adapted to the regions they work with. Charts and educational cards are utilized for school groups, and workshops are provided to municipality staff, community leaders, local health promoters, schools and local health providers in order to update their knowledge and skills. Educational training videos and interactive games have also been developed. In addition, informative radio commercials (or “clips”) and are included in a variety of interprovincial media forms, including radio broadcasts and soup operas, and other spoken forms of media, in order to reach population with low levels of literacy.

SERVIR operates in coordination with the regional SEDES, as well as with programming provided by the Ministry of Health and external organizations (their main source of financing is USAID). Between 2001 and 2004 the programs directly benefitted 5,171 users with tuberculosis, has achieved the complete recovery of 1,566 patients in a high-incidence region, monthly follow-up of 5,171 cases and 5,784 family members of infected patients received follow-up. The average rate of recovery is more than 85% of the annual goal.

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