Contain Patients Move Value: COPMOV
Implemented in Afar, Amhara and Oromia regions (2022-2025)
10 Coach Hospitals
30 Hub Health Centers
167 Spoke Facilities
Being Implemented in South Ethiopia, Central Ethiopia and South West Ethiopia regions (2025)
15 Coach Hospitals
75 Hub Health Centers
150 Spoke Facilities
The COPMOV (Contain Patients Move Values) approach is a rights-based holistic transformation of primary care aimed at accelerating improvements in the quality of sexual and reproductive health (SRH) services. In tertiary health facilities, there is a high number of health professionals and patients. To address this, COPMOV focuses on moving the burden and values from tertiary facilities to primary health centers, effectively containing patients at the primary level. This approach also enables experts to transfer their knowledge to mid and low-level health professionals.
The Three Pillars of the COPMOV Project
Pillar 1: Enhancing Timeliness of Acute Care: Institutions providing healthcare often witness delays in delivering the right care, leading to preventable deaths and disabilities. The COPMOV project addresses this challenge by enhancing adherence to evidence-based protocols, redesigning task distribution, and improving the skills of healthcare professionals.
Pillar 2: Implementing Person-Centered Care: By adopting a person-centered care model, COPMOV aims to meet the unique needs of women, girls, and their families. Ambulatory sexual and reproductive health, antenatal care, family planning, and other outpatient visits will be redesigned based on this model. Additionally, the project will establish contact centers for decision support, ensuring professionals and patients have access to reliable information and guidance.
Pillar 3: Empowering Women through Literacy and Co-production: By promoting co-production and ownership, the project seeks to involve women and girls in the delivery and monitoring of healthcare services. Through literacy and graduation programs, the knowledge base of women and adolescent girls will be strengthened. Initiatives such as the Co-production: By Mothers for Mothers (CoMoM) and woman health marketing shops will provide platforms for regular audits and economic empowerment.
1: Initiate learning collaborative and care mentorship, review and coaching platform
We establish a continuous learning and mentorship platform connecting frontline providers across facilities to share best practices, review cases and receive coaching on acute SRH and maternal emergencies. The platform uses blended (in-person and virtual) sessions to accelerate quality improvement and peer-to-peer learning.
2. Enhance skill of health professionals on acute SRH conditions
We deliver targeted, competency-based training and simulation sessions focused on timely diagnosis, stabilization and management of acute SRH and obstetric conditions such as PPH, eclampsia and sepsis. We also design continuous mentorship which reinforces practical application.
3. Redesign triage, emergency, labor ward and operative delivery process flow
We map and re-engineer patient flow in key service areas to reduce delays from arrival to intervention. We also support the implementation of clear triage protocols, rapid response checklists and visual flowcharts to standardize care and minimize bottlenecks.
4. Improve efficiency and effectiveness of SRH emergency care process
We implement real-time monitoring tools and data dashboards to track waiting times, case response intervals and outcomes. We use weekly reviews to identify system inefficiencies and rapidly test corrective actions through Plan-Do-Study-Act (PDSA) cycles.
1. Redesigning ambulatory SRH service
We restructure outpatient SRH service delivery to ensure continuity, privacy and respectful care. We support integration of family planning, antenatal and postnatal services in a single coordinated pathway that emphasizes convenience and patient experience.
2. Develop ViTALS (Virtual Triage, Appointment and Literacy support and Surveillance) contact centers for decision support
Establish a digital and phone-based support system where trained personnel provide triage guidance, appointment scheduling and health literacy information for women seeking SRH and maternal services. The ViTALS platform enhances early decision-making and reduces unnecessary facility congestion.
1. Implement women’s literacy graduation program
We are implementing a structured and contextualized health literacy initiative enabling women to understand key aspects of their reproductive, maternal and newborn health. Graduates will not only gain practical knowledge on self-care, birth preparedness, danger signs and healthcare navigation but also serve as advocates within their community.
2. Establish community health marketing shop for girls and women
We support set up of community-based hubs offering affordable health-related products (e.g., sanitary materials, contraceptives, maternal kits) alongside health education and peer engagement activities. These shops will act as entry points for community dialogue, economic empowerment and sustained engagement with local health services.