Date post: | 07-May-2015 |
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Maternal and Child Health Integrated Program – MCHIP
Courtesy: HIP
Programs rolled into MCHIP
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MCHIP Results Framework
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GOAL: Reductions in under-five and maternal mortality and morbidity/
accelerated progress toward reaching MDGs 4 & 5
Strategic Objective:Increased use/coverage of high impact MNCH interventions
Sub-Objective 1:Increased availability and use of appropriate high
impact MNCH interventions, including
supportive family planning interventions
Sub-Objective 2:Global leadership in
MNCH, including further development and
promotion of improved approaches
Sub-Objective 3:Innovative, effective & scalable community
oriented strategies that deliver integrated high impact interventions to vulnerable populations designed, implemented
and evaluated by PVOs/NGOs
MCHIP goals
Contribute to reduction in maternal and under-five mortality
Improve equity Improve coverage and
scale up of high impact MNCH/FP interventions
Develop and disseminate program learning, tools and approaches
4Courtesy: HIP
MCHIP Platform:Household to hospital continuum of care
MCHIP works with health providers, community groups, and leaders
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MNCH Platform: Pre-pregnancy to under 5
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SO2: Global Leadership
SO1: TAKING HIGH-IMPACT MNCH INTERVENTIONS TO SCALE
RESEARCH AND PROGRAM LEARNING
SO3: PVO/NGO Support
Global & LocalPartnerships
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Partner Roles
Technical and programmatic leadership for high-impact MNCH interventions
Technical and programmatic leadership
for high-impact MNCH interventions
Collaborating Organizations
and Technical Advisors (Various)
Collaborating Organizations
and Technical Advisors (Various)
Jhpiego Strategic Leadership and Management
Maternal Health, RH/FP, PMTCT, MIP, M&E Jhpiego
Strategic Leadership and Management Maternal Health, RH/FP, PMTCT, MIP, M&E
SC Newborn health,
Community MNCH,
Community mobilization
Spec
ializ
ed
tech
nica
l sup
port
Spec
ializ
ed
tech
nica
l sup
port
JHU/IIP Research and
analysis
Broad Branch Associates
HSS and P4P
PSI Social
marketing
JSI Child health,
Immunization, Pediatric HIV
PATH Infant/child nutrition,
New technologies,
BCC
Macro PVO/NGO capacity building,
Knowledge management
Strong Team
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PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGE PREVENTION AND MANAGEMENT AT SCALE
Global ActionsNational Strategic Choices
Program ImplementationSustainability /
InstitutionalizationIntroduction Early Mature
Global advocacy and partnerships: Global action to support work on reduction of PPH
Global clinical and program approaches:
Evidence-based interventions for prevention and management of
PPH demonstrated
PPH policy: AMTSL/misoprostol use; Expanded job
descriptions for skilled birth
attendant cadres managing PPH; PPH
service delivery guidelines
Health system governance:
Proactive financing of maternal health
services
Drugs & equipment:
Oxytocin/ misoprostol procurement,
logistics, distribution
Service delivery capacity at sites:
Reliable infrastructure, personnel, and
systems to deliver services
Health workers training systems: For PPH prevention and management
Community mobilization:
Awareness raising of PPH;
Birth preparedness
Pilot programs:Phase 1
implementation of misoprostol and/or
AMTSL for all skilled birth
attendant cadres
Program initiatives in obstetric and postpartum
management: Quality of care; Clinical training;
Supervision
Pharmaceutical systems:
Uterotonics on Essential Drug List
and in Drug Registration; Supply chain management
National advocacy:
Expansion of national program
and highlight work of champions
Standardization: Quality of care approaches;
Government led training expansion
Programmatic growth:
Adding districts, partners, financing
Training programs: Government
budgeted training programs on PPH; PPH competencies in pre-service and
in-service curricula
Clinical coverage:
High coverage use of a uterotonic;
Public and private implementation
Drug & equipment availability:
Drugs and supplies in
government routine
procurement mechanisms
REDUCTION OF PPH
AND IMPROVE
D MATERNAL HEALTH STATUS
M&EReadiness
assessmentPilot project
dataSurvey data
Indicators in HMIS
Routine monitoring
INTRODUCING INNOVATION MOVING TOWARDS SUSTAINABLE IMPACT AT SCALE
Coverage of uterotonic in third stage of labour
0% 25% 50% 75% 100%
MCHIP/USAID active programsOther partners active programsAddressed previously, not activeNo programs
Integration
Recognizing opportunities for smart integration
Greater degree of interaction FP & Immunization Infant Young Child feeding & FP Obstetric practice and newborn outcome
Influencing country level program
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offspring
woman
Labor, delivery, immediate care
Antenatal Pre-schoolPP/NN Infancy
Immzn team,supported by:•FP•Nutrition•Health systems•M&E•PVO support
MH, FP & NB teams,supported by:•Nutrition•Immunization•Child health•Health systems•M&E•PVO support
CH team,supported by:•FP•Malaria•Nutrition•Health systems•M&E•PVO support
* where “supported by”, this also refers to important functional linkages
Pre-preg
FP teamsupported by*:•Nutrition•HIV•Immzn•Health sys•M&E•PVO support
MH team,supported by*:•FP•Nutrition•HIV•Immunization•Malaria•Health systems•M&E•PVO support
MH & NB teams,supported by:•FP•HIV•Immunization•Health systems•M&E•PVO support
Adolescent
HIV/MC team,supported by:•Health systems
Global Leadership
Internationally recognized senior technical staff
Multi-partner, technical teams reaching across partners
How we contribute globally: technical advisory bodies, global/ regional conferences & meetings, publications
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PVO/NGO Support Team
USAID Bureau for Global Health
USAID CSHGP
MCHIP
PVO/NGO
SupportCore
Group
•39 projects•24 countries•28 PVOs
•Grantee Support •CSHGP Support•Program learning•MCHIP Synergies
•Strategic Diffusion•Program Learning•MCHIP Synergies
PMI MCP
•20 projects•12 PMI countries• Some local NGOs
1515
What do we see at the end of the tunnel?
Reductions in maternal, newborn and under 5 mortality
Improved coverage and equity of high impact MNCH interventions
Program learning, tools and approaches disseminated and applied
Cross country and global learning
www.mchip.net
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THANK YOU!