Health Systems Strengthening

Health system strengthening is a key thematic research area at the Biomedical Research and Training Institute (BRTI) and is led by the Centre for International Health and Policy (CIHP). Such research evolves around health systems to generate evidence that contributes to policies and initiatives for strengthening and improving health system performance for low and middle income countries (LMIC). In the past 8 years research on health financing, human resources and gender responsive health systems has been conducted and proposals for follow up research are being developed. Research conducted which contributes to health system strengthening so far include;

Current Projects

The Healthcare Associated Tuberculosis Infection Prevention Project in Zimbabwe (HATIPP-ZIM)

Its purpose is to support the Ministry of Health and Child Care (MOHCC) in preventing healthcare associated tuberculosis infection in Zimbabwe.

Strategy 1Strengthen existing IPC programmes & extending them to all HCF & into the community   with  a focus on TBIC

Strategy 2 Develop a National HCW TB screening policy  and strengthen HCW TB screening activities linked to the National wellness programme

Strategy 3 –  Strengthen pre-service awareness of risks of TB transmission among HCWs students during their training

Past Projects

ReBUILD: Research for building pro-poor health systems during the recovery from crisis: An investigation into Health Financing, Incentives for Health Workers and Rural Deployment and Posting of Human Resources for Health in Zimbabwe. 


Sub-study 1 The Impact of user fees on health care seeking behaviour and financial    protection during the crisis period in Zimbabwe.

Sub-study 2 The incentive environments for Human Resources for Health in Zimbabwe.

Sub-study 3 Rural Posting/Deployment of Human Resources for Health in Zimbabwe

Sub study 4 Gender mainstreaming in rural posting and deployment systems in the    health sector in Zimbabwe

Zimbabwe Infection Prevention and Control Project (ZIPCOP)

Project Goals and Objectives

The overall goal of ZIPCOP was to reduce morbidity and mortality from infectious diseases in Zimbabwe. The purpose of the project was to support the MOHCC in improving infection prevention and control practices in health care facilities nationwide to prevent the transmission of infectious diseases, including TB, among patients and staff.

The specific objectives of ZIPCOP were:

Objective 1: To support the MOHCC in the development and dissemination of a national IPC policy, strategic plan and monitoring and evaluation (M&E) tools for infection control by the end of year 1

Objective 2: To support the implementation of a national training program on IPC at the in-service and pre-service level to strengthen the implementation of IPC activities at the facility level.

Objective 3: To provide technical support to health care facilities in the development and implementation of IPC plans.

Objective 4: To: Support renovations of selected central, provincial, or district hospitals to ensure appropriate environmental conditions for improved infection prevention and control.

Objective 5: To provide post exposure prophylaxis (PEP) to 100% of health care workers exposed to HIV in the 100 facilities that are supported in the development of IPC plans by the end of the project period

Objective 6: To support the procurement and appropriate use of Personal Protective Equipment (PPE) for the 100 targeted facilities