mchip update_leo_5.12.11
TRANSCRIPT
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Maternal and Child Health Integrated Program – MCHIP
Courtesy: HIP
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Programs rolled into MCHIP
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Travelphoto.net
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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
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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
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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
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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
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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
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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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