smp health links forum 28th october 2014

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Partnership Principles




Planning and implementing togetherAppropriatenessRespect, trust and mutual understandingTransparency and AccountabilityNo one left behindEffectivenessReciprocitySustainability

Do no Harm

InterconnectivityParity (equality)



• Which partnership principle/s do you feel confident about in your link?

• Which partnership principle/s do you feel you’d like to work on in your link?

VSO health partnershipsin MalawiPresentation to SMP Health Forum28 October 2014

VSO: bringing people together to fight poverty through the lasting power of

volunteering

• World-leading independent development organisation working for change through volunteers

• Programmes in 35 countries in Africa and Asia, supporting over 660 partners working in health, HIV and Aids, education, participation and governance, and secure livelihoods

• Range of volunteering approaches - international, national, community volunteers and youth volunteers, placed with partners including national and local government, NGOs and local partners

GoalTo contribute to the reduction of maternal and neonatal mortality and morbidity rates in Ntcheu district by 2015.

Ntcheu Integrated Maternal Health (NIMH) Project – Scottish Government funded 2012-2015

Objectives:•To improve the skills of clinical staff – specifically midwives – to promote maternal services

•To improve knowledge and health seeking behaviour of communities in Ntcheu (Ganya and Njolomole Traditional Authorities)

•Mentorship program providing on job training to nurse-midwives in 10 rural health facilities, linked to introduction of national CPD programme•Partner - CPD team of Ntcheu District Hospital

Continuous Professional Development (CPD) for nurse/midwives

Establishment of 80 Safe Motherhood taskforcesPartners – Parent and Child Health Initiative (PACHI and Perinatal Care Project (PCP)Monthly SMT meetings to –•Identify, prioritise MNH problems•Design, Implement and evaluate strategies

Community health promotion

AppropriatenessGood fit with local and governmental priorities •Ministry of Health initiated CPD programme regulated by Nurses Midwives Council of Malawi•Safe Motherhood Taskforce – President Banda initiative

Successes

Effectiveness:Embedded monitoring and evaluation – enabled us to be responsive to community needs to learn, to develop the project and the partnership .For example, mobilisation of cadre of health promoter volunteers to support local volunteers to provide 1:1 support especially to young mothers who tend not to go to SMTs

Planning and implementing togetherNew partners – PCP and PACHI Staff turnover – lack of continuity from planning to implementation – leading to confused expectations of roles Unreliable MoH Maternal mortality stats used in baseline

Challenges

-Respect, trust and mutual understanding-Disagreements between partners about roles and responsibilities-Time taken to re-negotiate project implementation plan-Creation of additional VSO project management role to provide closer supervision

Findings and recommendations from mid term evaluation

• Significant increases in antenatal/postnatal care facility delivery

• Improvement in MNH knowledge• Organise forums where community members and service

providers come together to discuss ways of improving delivery of MNH services

• Build stronger links between Village Health committees and Safe Motherhood groups to implement and sustain local strategies for MNH

No one left behindSMT members need more information about maternal & neonatal complications so they can carry out awareness campaigns

Young women receive information from health volunteers, rather than participation in SMTs

Recommendations from mid term evaluation, continued

Results – mid term evaluation

Antenatal clinic attendance in first trimester increased from 16.3% to 28.7%

Increase in % women attending 4 ANC visits from 44.8% to 49.8%.

Increase in % of recently delivered women receiving post natal care within 24 hours after delivery from 80% to 92%.

Facility delivery births increased from 92.9% to 96.3% Percentage of births attended by a skilled birth attendant

increased from 80.6% to 93.5%.Neonatal mortality fallen from 14 per1000 births to 9 per1000

live births

Zikomo



• Which partnership principle do you feel confident about?

• Which partnership principle do you feel you’d like to work on?

NHS ScotlandHealth Links


Health UpdatesFrom Malawi


• MDGS II Health Priority areas and Health SWAP

• Govt of Malawi/SG priority areas 2015-2018

• Health Strand Meetings in Malawi

• National Cancer Centre approved

Health UpdatesFrom Malawi


• Malawi and the MDGs – • Infant mortality (per 1000 live births): Reduction from 86

(00-04), 60 (05-09) to 53 (10-14) = 38% decrease• Under 5 mortality (per 1000 live births): Reduction from

146 (00-04), 100 (05-09) to 85 (10-14) = 42% decrease

• BBC article “ Infant mortality: surviving childhood in Malawi!”

Funding


• Scottish Government Small Grants Round – deadline 26th November 2014

• UK Aid Direct – deadline for concept notes 21st November

• DFID Funding Finder

Practical Support and Resources


• THET: “A toolkit for medical equipment donations to low resource settings”:

• SMP “Practical Advice and Support on per diems”:

• SMP Updated “Practical Guide for Visiting Malawi”

• SMP “Common Challenges, Shared Learning”

Practical Support and Resources


• Support for Visa Applications- contact SMP office for advice and support

UpcomingEvents


• SMP Film screening: “B’ella” 4th November 2014, Glasgow

• CPG on Malawi, 19th November, 1.30-3pm, Scottish Parliament

• THET event: “Health Workers Together” 9th December 2014, Edinburgh

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smp health links forum 28th october 2014

Health & Medicine

health priority areas

health updatesfrom malawi

health strand meetings

community volunteers

per1000 births

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percentage of births

partnership principles