MOMENTUM Tools for Primary Impact
MOMENTUM supports Primary Impact, USAID’s effort to advance integrated and well-coordinated primary health care (PHC) services that enable delivery of whole-person care across the lifespan and optimize systems where PHC services are delivered. Our work—in partnership with local stakeholders, providers, and facilities—aligns with Primary Impact’s attention to health system functions that enable greater service access, continuity, and comprehensiveness of care. Through this focus, Primary Impact aims to support health system recovery from the COVID-19 pandemic, and to restore health service coverage and decrease preventable mortality to pre-pandemic levels.
Learn more about Primary Impact here.
USAID’s investments in accelerating PHC are supported by the Primary Impact Measurement for Action (M4A) Framework, developed in partnership with MOMENTUM Knowledge Accelerator. The M4A Framework and associated resources build on the WHO/UNICEF Primary Health Care Measurement Framework and Indicators and a review of the global PHC measurement landscape. The Framework aims to adapt existing state-of-the-art knowledge to focus on USAID’s programmatic linkages, to elevate community engagement and partnership, to highlight the foundational role of the health workforce, and to orient towards improved service quality and equity. As a guide for USAID’s work, the Framework should be further adapted at the country level based on existing data, processes, and needs to better contribute to the evidence base for country-led learning, wider implementation, and scale of efforts to improve PHC delivery.
The Primary Impact M4A Framework focuses on monitoring critical PHC inputs, processes, and outputs at the subnational and facility levels that can be strengthened for timely change. It also includes indicators that can be measured for longer-term outcomes.
Tools for Primary Impact
M4A Framework
The Measurement for Action (M4A) Framework builds on global measurement work and prioritizes actionable areas for change with indicators that reflect integration, quality, and equity.
Presentation to USAID Missions on PHC
This recent presentation to USAID Missions serves as an overview of the Measurement for Action (M4A) Framework, outlining the need to strengthen primary health care (PHC), the state of global PHC measurement, and the need for subnational PHC measurement, and introducing the Primary Impact M4A Framework.
Performance Indicator Reference Sheets (PIRS)
The Performance Indicator Reference Sheets provide the rationale for and precise definitions of each indicator found in the Primary Impact Measurement for Action (M4A) Framework as well as guidance on adaptations, disaggregation, sources, and methods of data collection and construction. Two documents are included: the indicators prioritized for USAID's Primary Impact Initiative, and the full set of indicators included in the Primary Impact M4A Framework.
The Primary Impact Measurement for Action Framework and associated resources were developed in partnership with MOMENTUM Knowledge Accelerator, which is implemented by Population Reference Bureau (PRB) with partners JSI Research and Training Institute, Inc. (JSI) and Ariadne Labs under USAID cooperative agreement #7200AA20CA00003.