Malaria in Pregnancy-Strengthening Health Systems to Improve Outcomes for MIP_Dickerson_5.2.12
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Malaria in Pregnancy-Strengthening Health Systems to Improve Outcomes for MIP_Dickerson_5.2.12 Presentation Transcript

  • 1. Health Systems Strengthening to ImproveMalaria in Pregnancy Service DeliveryBill Brieger, Aimee Dickerson and ElaineRomanMalaria Core Team, JhpiegoMay 2, 2012
  • 2. Session Objectives: By the end of the session participants will Describe how a comprehensive MIP program strengthens the health system Outline the 9 core elements of MIP programming including successes and common challenges Review how strengthened systems leads to improved MIP outcomes Describe the opportunities and challenges with health systems strengthening for improved MIP programming 2
  • 3. Presentations Overview: Strengthening Health Systems through MIP Programming Expansion of a Comprehensive MIP Program in Post-conflict South Sudan Pharmaceutical Management for MIP Control Engaging Men to Prevent MIP Monitoring and Evaluation of MIP Programs 3
  • 4. The Threat Malaria poses a major health risk to pregnant women and their unborn babies in endemic areas For the Woman  Increased anemia and greater threats of pre- eclampsia, post-partum hemorrhage and mortality For the Child  Fetal growth retardation, miscarriage, still birth, low birth weight, perinatal/infant mortality 4
  • 5. The Interventions MIP interventions are not one-shot actions WHO promotes a three-pronged approach  Intermittent preventive treatment (IPTp)  Insecticide treated nets (ITNs)  Appropriate case management with – Prompt diagnosis using rapid diagnostic tests (RDTs) – Treatment with Artemisinin-Based Combination Therapy (ACT) Must be delivered as part of comprehensive focused antenatal care (FANC) 5
  • 6. The SituationMost Recent IPTp2 Coverage Data From surveys (DHS, MIS, MICS) or NHIS 6
  • 7. Similarly LLIN Coverage is Low From most recent available data: DHS, MIS, MICS, NHIS 7
  • 8. The System: Core Components of MIP Implementation1. Health Policy/Guidelines  Harmonized: malaria, reproductive health, HIV/AIDS  Simple and clear dissemination to health workers2. Integration/Coordination  Collaboration among reproductive health, malaria and HIV/AIDS for effective planning  Coordination of implementation efforts3. Human Resource Capacity  In-service training  Pre-service education 8
  • 9. Core Components of MIP Implementation4. Procurement/Commodities  Availability of ITNs, SP and RDTs at ANC5. Community Involvement  Bridging the link between communities and facilities  Promotion of ANC, ITN use, IPTp uptake6. Quality Assurance  Performance standards in place based on national guidelines  Linked with supervision support 9
  • 10. Core Components of MIP Implementation7. Governance  Leadership: coordinating partners to support on national policy/strategy  Accountability8. Adequate Financing  Advocacy for MIP funding based on fact that pregnant women are most vulnerable9. Monitoring and Evaluation  MIP data incorporated into malaria and overall health management information systems 10
  • 11. For more information… Malaria in Pregnancy Resource Package  http://www.jhpiego.org/files/malarialrp/index.htm MIP Program Implementation Guide  http://www.jhpiego.org/files/malarialrp/english/progra mResources/files/Malaria_ImpGuide_web.pdf Three country MIP case studies  http://www.mchip.net/Documentation_and_Dissemina tion 11