Date post: | 24-May-2015 |
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2014 ROTARY INTERNATIONAL CONVENTION
Sustainable Global Grant Projects in the area of
‘Maternal and Child Health’
Sustainability— The Precondition for Global Grants —
Examples of Sustainable MCH projects
JOIN LEADERS, EXCHANGE IDEAS, TAKE ACTION
Sustainability in development aid
• Development aid projects often not sustainable
• Beneficiaries‘ needs / involvement are by-passed
• Synergies with other stakeholders are not used
• Results are not measurable (ad hoc / long-term)
• Projects are not “owned” by the beneficiaries
► Scaling up = proof for sustainability► Continuous scaling up = can be included in system
Sustainability in Global Grants
• Community needs ?
• How were these needs identified? Provide data
• How was local community involved in planning?
• Does project align with current/ongoing local initiatives?
• Describe training, outreach, or educational programs
• How will you measure your impact?(Indicators, monitoring and evaluation)
• Local participation
• Continuity of services / maintenance / local funding
MCH and Sustainability
• Improvement of women's health incl. family planning services= very cost-efficient, profitable investment for improvement of overall living conditions
• Immediate social, ecological and health benefits
• Savings education/health outlasting one generation
• MCH Improvement contributes to all MDGs
Access to FP could save the lives of 80,000 mothers and 600,000 newborns p.a.
Sustainable savings for health systems
Fewer 'drop-outs'‚ lower fertility, improved education opportunities
Empowerment of women
Less poverty and hunger
Source: UNFPA
Sustainable impacts of MCH
Sustainable Single Interventions
Provision of mosquito nets (LLIN):• Threefold effect:
1. Prevention of malaria2. Motivation for polio vaccination3. Promotion of antenatal care
• LLIN remain effective for several years, low-maintenance
• Easy documentation, measurable results / indicators
Sustainable Single Interventions
Provision of vitamin sachets:
• Reduction of infant/child morbidity + mortality
• Long-term impact on risk of lifetime illness
• Best linked with community awareness and provider training
• Documentation in health facilities
Sustainable Comprehensive Approach
• Core project:introduction of quality assurance in obstetrics + awareness
• Satellite projects / single interventions:– Mosquito nets– Solar power + water supply– Magnesium sulfate, PMTCT– Birth kits, anti-shock garments– Fistula surgeries, micro credits– IUDs, FP provider training
training of health staff/audit
Maternal Mortality
Ratio (MMR) - 60%
Contraceptive Prevalence Rate
(CPR)10% 20%
equipment of obstetrical departments
prenatal care and postnatal care
quality of process
Stakeholder satellite project: Preventing Mother-to-Child
Transmission of HIV
(PMTCT)
Rotary/stakeholder satellite project:
24,000 mosquito nets (protection from malaria)
For more information about the project visit www.maternal-health.org
quality of structure
Quality Assurancein obstetrics
Project contributes to our new Area of Focus
‘Maternal & Child Health’ and to all UN Millennium
Development Goals (MDGs)
close collaboration with governments & traditional/religious
leaders
Rotary/stakeholder satellite project:
water/solar power supply for hospitals
Stakeholder satellite project:
delivery kits, magnesium sulfate, anti-shock garments
attended births
information about
child spacing
1.500 patientsrepaired & rehabilitated
35% >50%
awareness campaigns,community dialogues
MDG
access to family planning (no abortion)
reduction of morbidity e.g. fistula
quality of outcome
Rotary satellite project:
micro credits
Sustainable Comprehensive Approach
• Measurable indicators:- Reduction of MMR, PMR- No. of conducted community dialogues- No. of attended deliveries in hospitals- Training of health personnel/community health workers
• Regular documentation / evaluation during and after project implementation
• Clear set of milestones and goals
• Overall goal: inclusion in health system “Sustainability of the sustainability”
(TRF)