Day 2 panel 2 alerte community mz 108034

1. ALERT COMMUNITY TO PREPARED HOSPITAL
MOZAMBIQUE
CELSO BELO, RON SIEMENS

2. IMCHA Project Overview
Research question
• In Natikiri District, Nampula Province, Mozambique: Can a
local community and health system strategy that has
determined and prioritized appropriate, acceptable and
cost-effective maternal child health interventions, in
partnership with government, health professionals and
other stakeholders (an Alert Community Prepared Hospital
Care Continuum), lead to decreases in maternal and
neonatal mortality when implemented in a sustainable
manner?

3. IMCHA Project Overview
Project General Objectives:
•Contribute to decreasing maternal and neonatal
mortality rates in Natikiri District as measured
over the 3.5 years of project implementation.

4. IMCHA Project Overview
• STRATEGY #1: Support knowledge and practice of sexual and reproductive health
(SRH), with a focus on rights, family planning (FP), and contraception, education
and adolescent sexual health.
• STRATEGY #2: Teach emergency obstetrical care guidelines and “Helping Babies
Breathe” and “Helping Babies Survive” to maternity staff.
• STRATEGY #3: Develop a community based transport system for pregnant women
and newborns to attend prenatal visits and receive timely urgent care.
• STRATEGY #4: Develop prenatal care that women, men and their families in the
community see as important, acceptable and useful and allows the birth care
team to make recommendations for a safe delivery.

5. IMCHA Project Overview
• STRATEGY #5: Fully Integrate of Marrere General Hospital into Nampula City
Maternal Health Services.
• STRATEGY #6: Support and enable the Mozambican government’s anti-bribery
campaign in hospitals.
• STRATEGY #7: Increase administrative capacity of Marrere General Hospital to
respond to increases in service demand.

6. IMCHA Project Implementation
Results to Date:
1. 1 year of in-depth context analysis and stakeholder
mapping
2. Delegation of teams for 7 strategies/Regular Skype
meetings
3. Development of Mozambican Motorcycle
Ambulance trailer business
4. Beginning of Community and Hospital Engagement

7. IMCHA Project Implementation
Key Lessons Learned:
1. Connection with National Health System is vital for
success
2. Connection with traditional community and political
leadership essential

8. IMCHA Project Implementation
Challenges in Implementation and Mitigation
Strategies:
1. Carving out time from busy schedules
2. Developing plans that meet both community needs
and funding obligations

9. IMCHA Project Implementation
Next Steps (Plan for 2017) and Areas for Collaboration:
In 2017
1. First EmOC training sessions
2. First Helping Babies Breath training session
3. Beginning of Champions program
4. Meetings with Education departments
5. Building of the Motorcycle Ambulance Trailer
prototype

10. IMCHA Project Implementation
Next Steps (Plan for 2017) and Areas for Collaboration:
In 2017
6. In-depth review of Prenatal visits
7. OR Equipment and Ultrasound pricing and purchasing
8. Ongoing Community engagement to discuss process and
progress
9. Discussion with community and hospital: illicit charges and
strategies to mitigate