The Pelumbra Global Health team works to support health systems and health development partners as they tackle the complex issues on which service delivery depends, on the ground every day in every facility. The best technical solutions depend on a complex interplay of information management systems, clinical protocols, team dynamics, competing organisational priorities, funding and policy support - all of which ultimately require productive working relationships. The Pelumbra Global Health Team includes people with front-line experience and multi-disciplinary perspectives.
• Strengthening health service delivery in both developed and developing countries through an expert team in Participatory Action Research, Organization Development, Quality Improvement and Global Health. The team has worked with: NHS UK, MoHCC Zimbabwe, MoH Eswatini; MoH Namibia; and team members have wider experience in the Mekong region, South Asia, South America and across Africa.
• Specific infectious disease program technical support including malaria control and elimination, HIV and sexually transmitted infections through world renowned academics and public health specialists in the team
• Evidence generation and dissemination through provision of technical assistance with study design, analysis, manuscript writing and writing retreats
We have a long-standing interest in how good leadership contributes to the continuity of care, quality-improvement and innovation in typically stressed health systems. (Actually the term 'system' probably tells only half the story: health care is as much a 'life world' in which people generously patch together solutions. The 'system' is often a fortunate and hard-won appearance!). This focus on leadership includes organising and delivering accredited programmes partnership with appropriate universities and other professional bodies.
Amongst our current engagements in health are:
A 2-year Masters programme offered by McGill University in Montreal, Canada, for health-sector leaders from around the world. One of our team currently runs the ‘leadership exchange’ module, and the learning design of the whole programme is based on our work on 5 managerial mindsets: Reflective, analytic, worldly, collaborative and action-oriented.
Post Graduate Certificate in Change Leadership
An advanced training in OD facilitation for health-service professionals, this programme enables pole who take part in service and quality improvement processes to adapt and continue the work after external interventions have reduced or ended. This certificate is delivered in the field as an integrated part of some of our projects, accredited by the University of the West of England and the Women’s University of Africa.
We are keen to collaborate with local health organisations and public well-being campaigns on the delivery of these and related modules - please get in touch if you would like to be involved.
Operational and quality improvements to malaria elimination programmes in southern Africa.
Working with staff at all levels (from village health workers through lab technicians and provincial administrators to Ministry officials) we design and support team-based work to identify, analyse and solve operational challenges to malaria elimination. Currently working mainly in Zimbabwe and Namibia with expert facilitators in those countries, we also help to run the post-graduate facilitator training certificate course described above. This project overall is directed by Amanda Chung of the Malaria Elimination Initiative of the University of Southern California, though delivered and much adapted by Precious Chitapi, Joe Murungu and their colleagues in Zimbabwe. This project draws largely on the methods and approach of the 'RoundTables' programme described elsewhere on this site.
Operational and quality improvements in HIV prevention, especially Voluntary Medical Male Circumcision (VMMC)
Although focusing on service delivery, the wider issue has been how to integrate aspects of this service that have so far been delivered as a ‘vertical’ programme funded and managed as a stand-alone specialist intervention. Integrating this and similar ‘vertical’ programmes into national health services is an important but complex move affecting people at all levels of a health system. Our approach here has been taken up by the Ministry of Health and Child-Care for wider application. The initial project was managed by Amanda Chung of UCSF, and is now delivered by Precious Chitapi and Joe Murungu.
LEAD Ubuntu Global Foundation
A new Non-Profit Company established to further develop and apply these approaches. Head-quartered in South Africa and Zimbabwe, this new entity will be a focus for much of our upcoming work.
Participative evaluation of a social services project in a UK city.
People with multiple disadvantages and complex needs often face a myriad of specialist services, encountering many officials as they pass through homelessness, hospitals, police, prison and others. Combining these into a client-centred team approach has obvious advantages but is fiendishly difficulty to do on a sustained basis. Even if established, evaluating the outcomes presents many challenges because of the fragility of any progress, attributing outcomes to specific causality is impossible, and cost-oriented evaluations can only refer to counterfactuals - what might have happened if the service wasn’t here. But participative evaluation by the professionals and clients involved offers clear advantages, and our approaches - adapted from African health settings - are making valuable contributions. We would be happy to talk to others interested similar challenges.