Kruger: Synthesis of Successful District Models for Behavior Change

7/28/2019 Kruger: Synthesis of Successful District Models for Behavior Change

1/24

NEWBORN 2013:

GLOBAL NEWBORNHEALTH CONFERENCE

Session:Synthesis of SuccessfulModels for BehaviorChangePart I: CORE Group Newborn

Health Survey Results

Part II: Around the WorldMarketplace


2/24

C A R O L Y N K R U G E R , P h . D .S R . A D V I S O R M N C HP C I

C O R E G R O U P C O - C H A I R : S A F EM O T H E R H O O D & R E P R O D U C T I V EH E A L T H W O R K I N G G R O U P

Part I:

CORE GroupNewborn Health Survey Results


3/24

USAID PRIORITY COUNTRIES:

SUPPORTING NEWBORN CARE

Belize

Dominican Republic

Guatemala

Mexico

Nicaragua

ColombiaEcuador

Peru

Ethiopia

Kenya

Senegal

South Sudan

Mali

India


4/24

NEWBORN HEALTH AREAS SUPPORTED(18 ORGANIZATIONS)

Number of organizations

16

16

15

15

12

12

12

11

10

10

9

9

8

7

6

5

3

2

2

1


5/24

CROSS-CUTTING APPROACHES

CHW capacity building - 100%

Behavior change/communication - 78%

Community mobilization - 70%

Community health system strengthening - 70%

Care groups - 50%

mHealth approaches - 48%

Mass communication - 42%

C-IMCI/CCM - 38%


6/24

INNOVATIVE STRATEGIES

CHW capacity to recognize danger signs

Mobile job aids - counseling messages mHealth reminders on assessment of mothers andnewborns

Newborn screening on birth

defects Preconception care


7/24

Casa Materna birthing home model Community Kangaroo Mother CAre Involving fathers during pregnancy, delivery

and PP care

EBF among adolescent mothers using textmessaging and support groups

INNOVATIVE STRATEGIES (CONTINUED)


8/24

HELPING BABIES BREATHE (HBB)

7 responded-involved in GDA: Helping Babies Breathe

15 involved in HBB

Involvement includes: master and staff training,

service delivery, and equipment

Advocacy - 4 countries

Research - 1 country
http://www.google.com/imgres?q=kangaroo+method+baby&start=97&hl=en&sa=X&biw=1024&bih=642&tbm=isch&prmd=imvns&tbnid=3Ygroz5extMPpM:&imgrefurl=http://unicef.tumblr.com/post/24128569281&docid=preUeCrTGaQAuM&imgurl=http://25.media.tumblr.com/tumblr_m4w4oydtTp1qbnugoo1_500.jpg&w=500&h=750&ei=73boT6_PC-e10QGKlN2_CQ&zoom=1&iact=hc&vpx=91&vpy=234&dur=105&hovh=275&hovw=183&tx=64&ty=168&sig=111489111412425655687&page=6&tbnh=138&tbnw=88&ndsp=20&ved=1t:429,r:10,s:97,i:37


9/24

WHERE ARE THE GAPS & OPPORTUNITIES?

Husband and fathers involvement in newborn and child care

Soothing a crying baby

Hygiene and skin care

Birth defects and perinatal impairments

CCM for newborns

Scale-up HBB

Integrating ECD into ENC and C-IMCI


10/24

NEXT STEPS: SUPPORTING WIDER TOOL DISSEMINATION &

COUNTRY LEVEL COORDINATION AND SCALE-UP


11/24

Part II:

AROUND THE WORLD

MARKETPLACE

(POSTERS)

PVO/NGO Innovative Models

USAID REDUCINGMATERNAL AND

NEWBORN MORTALITY


12/24

NGO/PVO Community Interventions

Build on Maternal, Newborn, Child Health platforms- promotebehavior change at the community and household levels Focus on most vulnerable groups

Local problem solving and solutions Creating community behavior change agents Strengthening community- district clinical relationships Strengthen community to health facility referral systems

Community emergency transport systems; mobile phonereferrals Peer support groups- Care Groups- father and grandmother Gender considerations- increase male involvement


13/24

WORLD VISION Mozambique/Afghanistan

Pregnancy, post-partum and newborn mPhone assessment

tools by CHWs Birth preparation-early recognition of danger signs and

rapid referral

Key results: Increase in ANC (20%)

High association betweenbirth preparation anddanger sign recognition andreferral completion

Use of mobile phones to improve maternal and

newborn health


14/24

FUTURE GENERATIONS Peru

Organization of community committees for obstetric

and neonatal emergencies

High quality training materials

Empowerment of CHWs and community leadership to

take action to protect health and nutrition of newborns

Key result: 21 communities establishedemergency committees

Household monitoring of pregnant women, newborns

and infants 0-2 years old


15/24

CURAMERICAS Guatemala

Established community emergency

response plansKey Result: Neonatal mortality at 46

compared to surrounding

communities with 66-81/1000

Increased access to clean delivery and culturallyacceptable environment with immediate available

support Mothers and newborns remain 48 hours at the center to

monitor maternal and newborn care /complications

Community-owned Casa Materna maternity andbirthing center


16/24

CHILD FUND Honduras

Cost analysis study to determine service delivery costs and

out-of-pocket expenses Cost comparison of community TBA and health facility

deliveries

IMR reduced from 20-16/1,000

Key Result: 20% out-of pocket saving and $66,000government annual savings due to diseaseprevention

Community-based health units that provide MOH

Outreach -integrated maternal and newborn services


17/24

PLAN Nepal

Pregnant women groupapproach better outcomes forneonates

CHWs taught pregnant womenapplication of CHX and served asprimary channel for distribution

Key Results: 82% coverage rate; 66% rightapplication; CHWs excellent point of distribution

Chlorhexidrine (CHX) coverage and compliance study


18/24

WORLD RENEW Jharkland, India

Antenatal and newborn care delivery by trained ANMS

and traditional providers Keeping newborns healthy household timed

counseling, growth monitoring and nutrition by CHWs

Key Results: Increased skilled

birth attendant by 10% and

health facility indicators

improved by 10-15%

Public/Private partnerships to improve community-

based maternal and newborn care practices


19/24

PCI Guatemala

TBA post-partum home assessments ofmother and newborn

Low birth weight assessments atdelivery

Immediate KMC positioning andwrapping; referral

Recognition, early managment, referral

of breathing difficulties andcomplications

Key Results: Early response and referral for LBW

infants; family and community support for KMC

Community Kangaroo Mother Care


20/24

SAVE THE CHILDREN Zambia

Testing a teaming approach to cover skilled care

delivery and services for postnatal 24 hr visits Referrals for mothers, newborns and children

Train neighborhood health committees to mobilizecommunities to support the teams

Key Results: 75% of TBA registered newbornsreceived a 24hr PP visit and a 1/3 increase inhealth facility deliveries

Innovative teaming approach to increase health care

coverage of children 0-59 months


21/24

WORLD VISION Senegal

A consortium of six NGOS implemented a network of

community health huts (health posts) to increaseaccess to care community health program that reached9,000 people and 5,200 newborns

CHWs made early home visits to assess newborns,provide essential newborn care and make referrals

Key Result: Infant mortalitydropped by 49 pointsbetween 2005-2011

Accelerating scale-up of newborn health interventions

through community health huts


22/24

WORLD VISION South Sudan

OR study: Assessing the feasibility of integrating

newborn interventions into a CCM approach in acomplex emergency environment

Integrated CCM PLUS: Adaptation of IMCI, HBLSS andHelping Babies Breathe

Key Result: Content appropriate in training ofilliterate community-based staff with no healthbackground

Integrating newborn interventions into Community Case

Management


23/24

NGO/PVO Contributions

Promising practices- operations research

Community-based Models Behavior Change Agents

-Community emergency transport systems

-Family birth preparation- Front-line worker referral/follow-up systems

- Task-shifting- 24 hr PN maternal and newbornassessments

-Home-based care- KMC, 24 hr assessments- Community Baby-friendly Initiatives

- Mobile phone methodologies


24/24

Thank You!

Date post:	03-Apr-2018
Category:	Documents
Upload:	newborn2013
View:	216 times
Download:	0 times

Kruger: Synthesis of Successful District Models for Behavior Change

Documents