Closing the Gap by Design: Setting up a Maternal Newborn Health Program as if People Mattered. The Peoples Institution Model Alan Talens, MD, MPH Nancy TenBroek, MA Will Story , MPH EmdadHoque , MD, MPH CORE Group Spring Meeting Baltimore MD May 12,2011
STRATEGIC THEMES Of CRWRC Constituent Engagement Relief and Development under Justice Umbrella Building Country Capacity
Sub district performance assessed by using the “Proportions of births attended by skilled birth personnel” indicator.
Goal of Project to reduce mortality and improve health status among the most marginalized mothers and newborns Study Questions: Does the PImodel lead to more equitable outcomes in MNH compared to the status quo? How does the Peoples Institution model reach the poor and marginalized women and children in their community?
Qualitative Multi-case Study Analysis Esytablishes the HOW Figure 1. Level of social Capital Level of community mobilization Closeness of household to health provider Lay providers are involved in care and referral
Conclusion 1.Active Community Mobilization and C-IMCI appear to be an Effective combination for an Equity Strategy 2.Include equity in the design from the beginning 3. Incorporating Equity in our programs in the right thing to , a moral obligation . Community Mobilization/ Governance and C-IMCI as Equity Strategies