Integrated approach to deliver MNCH-FP-Nutrition services: MCHIP-MaMoni case study from Bangladesh CORE meeting – Baltimor...
Context <ul><li>In Bangladesh MOH&FW delivers services through a bifurcated system –  </li></ul><ul><ul><li>DG Health Serv...
Why MaMoni in Sylhet.. 11% 18%  Skilled attendance at birth Home: 91%  Home: 85%  Place of delivery  47% 60% At least one ...
MaMoni overview and strategies <ul><li>MaMoni is an Integrated Safe Motherhood, Newborn Care and Family Planning Project (...
MaMoni results framework Project purposes Improved maternal and neonatal health outcomes <ul><li>Practice high impact MNH ...
1 2 3 4 5 6 7 8 9 p1 p2 p3 p4 p5 p6 D IFA Supplementation ANC1 TT ANC2 ANC4 TT ANC3 Pregnancy identification Misoprostol C...
Highlights of MaMoni approach <ul><li>MOH&FW is the key service provider </li></ul><ul><li>Partner NGOs will play a suppor...
Integration in MaMoni WHAT? Program integration Maternal Integration of Interventions Neonatal Child Family planning Nutri...
Why Integration? benefits Cost efficient Better coverage Better quality Sustainable Better manageable- <ul><li>Planning </...
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Practical FP Integration_Mwebesa_5.12.11

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Practical FP Integration_Mwebesa_5.12.11

  1. 1. Integrated approach to deliver MNCH-FP-Nutrition services: MCHIP-MaMoni case study from Bangladesh CORE meeting – Baltimore May 12, 2011 Winnie Mwebesa
  2. 2. Context <ul><li>In Bangladesh MOH&FW delivers services through a bifurcated system – </li></ul><ul><ul><li>DG Health Services and, </li></ul></ul><ul><ul><li>DG Family Planning </li></ul></ul><ul><li>DGHS has 21000 field workers mostly doing EPI services, 31 bed hospitals at sub-district level and 200 bed district hospitals </li></ul><ul><li>DGFP has 23500 field workers doing family planning service delivery, about 4500 paramedics doing ANC and clinical contraceptives, 3400 primary health care centers (UH&FWC). </li></ul>
  3. 3. Why MaMoni in Sylhet.. 11% 18% Skilled attendance at birth Home: 91% Home: 85% Place of delivery 47% 60% At least one ANC attendance with trained provider 26% 18% Unmet need for family planning 32% 56% CPR 3.7 2.7 Total fertility rate 53/1000 63/1000 (2004) 37/1000 41/1000 ( 2004) Neonatal mortality rate Sylhet National Indicators (BDHS 2007)
  4. 4. MaMoni overview and strategies <ul><li>MaMoni is an Integrated Safe Motherhood, Newborn Care and Family Planning Project (ISMNC-FP) under the leader award, Maternal and Child Health Integrated Program (MCHIP). </li></ul><ul><li>The prime is JHPIEGO and local partners are </li></ul><ul><ul><li>MOH&FW </li></ul></ul><ul><ul><li>Save the children, USA </li></ul></ul><ul><ul><li>FIVDB </li></ul></ul><ul><ul><li>Shimantik </li></ul></ul>
  5. 5. MaMoni results framework Project purposes Improved maternal and neonatal health outcomes <ul><li>Practice high impact MNH behaviors </li></ul><ul><li>Use high impact services </li></ul>Increase knowledge, skill, practice at home Increase utilization of services Increase family planning acceptance and understanding Systems strengthening Mobilize community to support demand Stakeholder leadership, commitment and action National goal
  6. 6. 1 2 3 4 5 6 7 8 9 p1 p2 p3 p4 p5 p6 D IFA Supplementation ANC1 TT ANC2 ANC4 TT ANC3 Pregnancy identification Misoprostol Clean delivery and immediate newborn care PP maternal care, Vit A and management of complications Essential newborn care/KMC Management of newborn complications Immunization Postnatal session promoting LAM, spacing, PoP, FP, transition Supply of PoP, transition to modern method, Supply of FP methods and referral for LAPM Integrated safe motherhood-newborn-family planning: MaMoni package Birth preparedness HW counseling AMTSL & referral for EmOC Exclusive breastfeeding and promotion of LAM/PPFP
  7. 7. Highlights of MaMoni approach <ul><li>MOH&FW is the key service provider </li></ul><ul><li>Partner NGOs will play a supportive and facilitative role </li></ul><ul><li>Active role of the community </li></ul><ul><li>An integrated package </li></ul><ul><li>District wide approach </li></ul><ul><li>MOH&FW and community capacity enhanced to ensure sustainability </li></ul>
  8. 8. Integration in MaMoni WHAT? Program integration Maternal Integration of Interventions Neonatal Child Family planning Nutrition Integration at Provider level Integration at Delivery level Skill Strategy Integration at Management level Planning Supervision & QA Monitoring Functional integration between structures DGHS MO Local Govt. Community GO DGFP MOH&FW Formal health systems NGO To make effective and sustainable, we need
  9. 9. Why Integration? benefits Cost efficient Better coverage Better quality Sustainable Better manageable- <ul><li>Planning </li></ul><ul><li>Monitoring </li></ul>

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