Innovation is a process that transforms current health practices to improve maternal and child health. Some innovations discussed include Mama-toto to improve access, embedding community needs into district planning, and task shifting for emergency obstetric and neonatal care. The document also discusses using mHealth strategies, e-learning, and mobile phones to improve training, data collection, and distribution of key materials. It plans biannual meetings and a presentation to share lessons learned and propose resulting innovations and action plans to policymakers.

1. Innovation
• Innovation is a process that transforms current health practices to
improve maternal and child health

2. Innovations
• Mama-toto: improving access at community & facility levels
• Embedding needs of the community into district planning
• Annual district comprehensive health plan now occurring
• Government has moved down to the facility plans and needs
• Create demand from the community by empowering health workers to bring needs forward
• SOPETAR: scan, orient, plan, equip, train, act, reflect
• Improving access to QOC for mother and children (REACH-Iringa)
• Engaging and mobilizing communities through Women Groups and linking
communities to the health system and thereby reaching the policy makers at all
levels of the health system
• ASDIT: requirements for CEMONC scale-up in HCs
• Task shifting for CEMONC (nurse-midwives: 3 month program + emphasis on
mentorship & post-training education

3. Innovations
• mHealth Strategy for Reduction of PE/PPH
• E-learning/e-health as a new strategy for training health staff
• mobile phone platform
• E-HIS
• Roryamara: building CHW roles in MNCH
• Increased resp. of CHWs to educ. Popn in collab. Village leaders
• Collect data using m-health
• Engage distn of key mater( e.g., birth kits with misoprostil)

4. QUADS: QI at the community facility levels
• Jto encourage comm. Fac. & dist level team to identify contextual challenge
and soclutions for improving access & del of quality health care services
• To facilitate cross-level discussions
• To be proactive in identifying problems before they occur
• Iringa

5. Plan
• Biannual IMCHA team meetings, 1st one before 8 May
• Craft brief statement that
• Identifies lessons learned & resulting innovations
• Turn above into proposed action plans for policy makers
• Anna Nswilla will present overview of IMCHA projects to joint meeting of
MHSW & President’s office on 8 May

6. What is the innovation?

7. How do we measure innovation?

8. Innovation is disruptive: how to manage?

9. Mechanism for scale-up