mchip update_leo_5.12.11

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

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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

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THANK YOU!