Maternal Anemia within Child Survival Grants Program: Lessons Learned and a Way Forward? - A Selected Review

Maternal Anemia within Child Survival Grants Program: Lessons Learned and a Way Forward? - A Selected Review - SilvanaFaillace, A2Z Project April 26, 2010 Baltimore, United States

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[object Object],[object Object],PVO Country Program Project end date Finished Projects HKI Niger YALLANDO KLEYA Child Survival Project 9/30/2009 HKI Mali Synergy and Action for Nutrition 9/30/2009 CPI India Jeevan Daan Maternal and Child Survival Cost Extension program 9/30/2009 On-going Projects Hope Worldwide India Chotton Ki Asha Child Survival Program 9/29/2010 Goal Ethiopia Sidama Child Survival Program 9/29/2011 INMED Peru Healthy Babies Project 9/30/2010 MIHV Tanzania Tanzania Child Survival Project 9/29/2011 Plan International Nepal Local Innovation for Better Outcomes for Neonates Project 9/29/2011 Relief International Niger Healthy Start Child Survival Program 9/30/2011 The Salvation Army World Service Office (SAWSO) Zambia Chikankata Child Survival Project 9/29/2010

Maternal anemia programs and effectiveness at scale

[object Object],Effectiveness IFA Supplement supply Delivery system Compliance Supplements taken Iron status improves Anemia and other iron-related health outcomes improve Efficacy Adapted from Ekstrom 2002 Malaria Control: Bednets, IPTl Deworming Motivation

[object Object],Percentage Hb<12 g/dL Source: SIVIN 2004 ,[object Object],[object Object],[object Object]

[object Object],Source: Routine MOH data based on women receiving ANC at health facilities ,[object Object],[object Object],[object Object]

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[object Object],MOST, USAID Micronutrient Program. 2004. A Strategic Approach to Anemia Control Programs. Arlington, Virginia, USA KPC Baselines, BEHAVE Framework, Focus Groups, Key Informants Target groups Health services and providers focus of trainings and program activities Areas where capacity building, health systems strengthening and program monitoring , can be tailored and strengthened to ensure maternal nutrition and anemia objectives are being achieved. CSGP

[object Object],[object Object],Program Components - Good Practices and Benchmarks Number of Programs Programs conducted initial formative research, qualitative research on attitudes and behaviors related to anemia and iron-folic acid (IFA) supplementation, e.g KPCs, BEHAVE, etc. 10 Programs with communications strategy designed to develop and deliver effective messages to overcome consumer resistance and ensure compliance in taking IFA supplements 7 Programs with increase in ANC attendance as an outcome 7 Programs reviewed with reduction of maternal anemia as an outcome 3 Programs reviewed with integrated anemia reduction approach ANC, IPT, IFA, De-worming, nutrition counseling 5 Programs explicitly working on improving supply and logistics systems for IFA, IPT or anti-helminths, e.g. stock outs 3 Programs with IFA receipt as outcome 6 Programs training health workers at all levels 10 Programs collaborating with community, district and national level decision makers 10

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[object Object],[object Object],- Given that CSHGP projects already program and invest in activities to improve maternal nutrition, such as IFA, de-worming, ANC service provision/counseling, nutrition counseling, would be beneficial to improve in the design, implementation and monitoring of these activities e.g. - Measure receipt and compliance of IFA tablets by pregnant women - Assess quality of ANC services and HW knowledge on anemia and its prevention activities offered - Use RHFA to report of health service content and quality Discussion - What is do-able within the Child Survival Grants Program? - What are the overall limitations that PVO see in having more integrated anemia control programs?

[object Object],NazoKureshy, Stacey Maslowsky and Emily Wainwright - USAID Leo Ryan and David Cantor - Macro International Rolf Klemm - A2Z Project and Johns Hopkins University Jennifer Burns - Johns Hopkins University Elizabeth Deal - A2Z Project

[object Object],This presentation is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of Cooperative Agreement No. GHS-A-00-05-00012-00 . The contents are the responsibility of the Academy for Educational Development and do not necessarily reflect the view of USAID or the United States Government.

Maternal Anemia within Child Survival Grants Program: Lessons Learned and a Way Forward? - A Selected Review

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Maternal Anemia within Child Survival Grants Program: Lessons Learned and a Way Forward? - A Selected Review

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