This document summarizes a health program in rural Ghana that aimed to improve maternal and child survival practices. Key points:
- The program was a partnership between CRS Ghana and the Ghana Health Service to encourage positive maternal/newborn health practices in East Mamprusi District.
- Baseline data showed high rates of maternal mortality, infant mortality, and low uptake of health services. The program deployed strategies like model mothers, community education sessions, and transportation improvements to increase access to and quality of care.
- Outcomes included significant reductions in mortality rates, increased usage of antenatal care, skilled birth attendance and postnatal care. Nutrition and malaria indicators also improved.
- The partnership strengthened
Divya Nair - Training of district officials on using data for decision-makingPOSHAN
Presentation by Divya Nair on "Training of district officials on using data for decision-making" at Developing a nutrition training roadmap to support India’s nutrition progress (17-18 Dec 2019)
Divya Nair - Training of district officials on using data for decision-makingPOSHAN
Presentation by Divya Nair on "Training of district officials on using data for decision-making" at Developing a nutrition training roadmap to support India’s nutrition progress (17-18 Dec 2019)
Using the health system to deliver nutrition interventions in BangladeshTransform Nutrition
This presentation by Masum Billah, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Common vision child undernutrition march 29 2019POSHAN
Child Undernutrition group presentation - workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
HIV Index Testing: The USAID DISCOVER-Health Project Experience in Zambia JSI
This was presented by Kalasa Mwansa during the Index Testing & Partner Notification for HIV Epidemic Control webinar on April 11th, 2019. The USAID DISCOVER- Health Project Experience aims to increase the use of high quality, integrated health services in specific target groups, and to provide integrated health products and services in a sustainable manner. In addition, it aims to contribute to HIV epidemic control and provides HIV index testing at every ART site.
Baseline findings from two impact evaluations using self-help group platforms...POSHAN
This presentation was made by Dr. Kalyani Raghunathan (IFPRI) in the session on ‘A new platform for delivering nutrition impacts: Emerging research on self-help groups and rural livelihood programs’ at the POSHAN conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Using the government health system to deliver nutrition interventions in Bang...Transform Nutrition
This presentation by Masum Billah, icddr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Dr. Zulfiqar A Bhutta, Emily Keats & Team
POLICY SEMINAR
Tackling child undernutrition at scale: Insights from national and subnational success cases
Co-Organized by IFPRI and Exemplars in Global Health
APR 1, 2021 - 09:30 AM TO 11:00 AM EDT
Stuart Gillespie
POLICY SEMINAR
Tackling child undernutrition at scale: Insights from national and subnational success cases
Co-Organized by IFPRI and Exemplars in Global Health
APR 1, 2021 - 09:30 AM TO 11:00 AM EDT
Linking social protection and nutrition in Bangladesh: results from the Trans...Transform Nutrition
This presentation by Akhter Ahmed, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Odisha's progress in nutrition: multiple drivers of changeTransform Nutrition
This presentation by Neha Kohli, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Common vision mn def march 29 2019 sam scottPOSHAN
Micronutrient Deficiencies group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Integrating nutrition into health systems: opportunities and challengesTransform Nutrition
This presentation by Shams El Arifeen, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Using the health system to deliver nutrition interventions in BangladeshTransform Nutrition
This presentation by Masum Billah, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Common vision child undernutrition march 29 2019POSHAN
Child Undernutrition group presentation - workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
HIV Index Testing: The USAID DISCOVER-Health Project Experience in Zambia JSI
This was presented by Kalasa Mwansa during the Index Testing & Partner Notification for HIV Epidemic Control webinar on April 11th, 2019. The USAID DISCOVER- Health Project Experience aims to increase the use of high quality, integrated health services in specific target groups, and to provide integrated health products and services in a sustainable manner. In addition, it aims to contribute to HIV epidemic control and provides HIV index testing at every ART site.
Baseline findings from two impact evaluations using self-help group platforms...POSHAN
This presentation was made by Dr. Kalyani Raghunathan (IFPRI) in the session on ‘A new platform for delivering nutrition impacts: Emerging research on self-help groups and rural livelihood programs’ at the POSHAN conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Using the government health system to deliver nutrition interventions in Bang...Transform Nutrition
This presentation by Masum Billah, icddr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Dr. Zulfiqar A Bhutta, Emily Keats & Team
POLICY SEMINAR
Tackling child undernutrition at scale: Insights from national and subnational success cases
Co-Organized by IFPRI and Exemplars in Global Health
APR 1, 2021 - 09:30 AM TO 11:00 AM EDT
Stuart Gillespie
POLICY SEMINAR
Tackling child undernutrition at scale: Insights from national and subnational success cases
Co-Organized by IFPRI and Exemplars in Global Health
APR 1, 2021 - 09:30 AM TO 11:00 AM EDT
Linking social protection and nutrition in Bangladesh: results from the Trans...Transform Nutrition
This presentation by Akhter Ahmed, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Odisha's progress in nutrition: multiple drivers of changeTransform Nutrition
This presentation by Neha Kohli, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Common vision mn def march 29 2019 sam scottPOSHAN
Micronutrient Deficiencies group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Integrating nutrition into health systems: opportunities and challengesTransform Nutrition
This presentation by Shams El Arifeen, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
With consumer preferences changing as quickly as technology, it's a challenge for financial institutions to keep up. Digital Insight and Cornerstone Advisors shared valuable takeaways aimed at guiding CEOs, CFOs and CIOs in approaching new channels and optimizing existing strategies to provide increased returns now and into the future.
Discover how to create relationships. build advocacy and improve loyalty in your customer base using IBM Cognos Consumer Insight for social media analytics.
SAP BusinessOjects Roambi Solution Relief - Mobile Data VisualizationChristian Kelly
Data is the lifeblood of your business. That’s why you’ve spent so much time and effort creating data resources to help people make better decisions. Now to throw another curve into the picture, how do I access this critical data on my mobile device?
Webinar: Today’s digital economy demands real-time insight into corporate performance. Companies faced with the ongoing challenge of disparate systems require a single analytics platform that not only integrates multiple sources of information but also provides executive analytics in real-time. The SAP Digital Boardroom provides executives and decision makers with the real-time insight required to manage today’s organizations. Join us as we demonstrate the capabilities of the SAP Digital Boardroom, a component of the BusinessObjects Clouds advanced analytics solution. We will focus on the following:
• Introduction to the SAP Digital Boardroom and BusinessObjects Cloud
• Overview of key capabilities and business cases that support moving to a digital analytics platform
• System demonstration emulating a real board meeting complete with data interaction
• Understanding the value of improved decision making and insight provided by the Digital Boardroom
Fast Cycle, Multi-Terabyte Data Analysis with Amazon Redshift and ClearStory ...ClearStory Data
Organizations storing large volumes of data in Amazon Redshift rely on faster cycle analysis to quickly uncover actionable insights. Their challenge when data volumes grow in Redshift is finding an analysis solution that removes the headaches of tedious ETL, data wrangling and allows scalable, visual data analysis. These slides shared during the webinar demonstrates ClearStory Data’s solution for scalable, fast-cycle, visual data analysis, that is used by CPG, Retail, Consumer Internet companies on Redshift.
To watch the on-demand webinar, visit:
From the 2014 Strata Conference + Hadoop World in New York City, Sharmila Mulligan's keynote, "Data & The New Era of Interactive Storytelling." Data is an evolving story. It’s not a static snapshot of a point in time insight. With data from internal and external sources constantly updating, we are evolving from rear-view mirror dashboard views into an era of interactive Storytelling. Data Storytelling is both a visual art and a method of interpreting analytic results. Data Stories shed insights every minute, every hour, everyday, every week. This keynote will discuss how data dashboards are no longer adequate and how companies are using Interactive Storytelling to discover faster insights across many disparate data sources.
To view keynote presentation, visit:
http://www.clearstorydata.com/videos/data-new-era-interactive-storytelling/
Driving Predictive Roadway Analytics with the Power of Neo4jNeo4j
This talk will present how a small start-up (Waveonics) with no prior graphical database experience employed the simplicity, versatility and flexibility of Neo4j to handle the complex and dynamic roadway conditions found in crowdsourced street map data. We map the route taken to transit from a relational to graphical data model in support of the next generation roadside service applications for an established leader in the roadside service industry (Agero). We will show how Waveonics and Agero used Neo4j to detect and understand changing roadway conditions in order to identify emerging trends and thereby improve driver safety and the driving experience.
Recent advances in mobile device sensors, GPS location services, communication technology, crowdsourced data acquisition, affordable cloud storage, machine learning and data analytics, has opened the door to an exciting world of new services. Capitalizing on these opportunities requires providers continually organize, store, manage, access and update terabytes of information efficiently. They need databases that are powerful enough to model the complexities of the business environment and easy to modify as the environment evolves - without sacrificing the performance demanded by data analytics. Waveonics is working with Agero Mobile to explore and validate the use of graphical databases (Neo4j) to drive Agero’s mission of delivering a “holistic approach [which] helps anticipate and meet customers’ needs in a way that forms lasting connections with them.” Agero is building on Neo4j to further its leadership position in the automotive, insurance, finance and roadside service industries.
Waveonics will outline best practices used to convert 175 GB of XML relational US street map data obtained from the Open Street Map (OSM) project into a Neo4j graph database in order to successfully enable predictive roadway analytics for Agero. Attendees will learn how Neo4j’s graph data model and Cypher query language effortlessly supported an elegant representation of street map data, continually updated from customer mobile sensors, to reflect evolving road conditions.
Deploying Massive Scale Graphs for Realtime InsightsNeo4j
Graph databases have been at the forefront of helping organizations manage and generate insights from data relationships, and applying those insights in real-time to drive competitive advantage. As organizations gain value in deploying graph databases, the data volumes managed are growing exponentially pushing the limits of large-scale in-memory graph processing. Neo4j and IBM Power Systems combined forces to deliver a market leading scalable graph database platform capable of affordably storing and processing graphs of extremely large size and offering real-time insights, using flash and FPGA accelerators. In this session we will cover the use cases driving the need for this extremely scalable platform and how this platform offers an easy to deploy model for extreme scale graph databases.
Practicum presentation on Safe Motherhood Program (SMP) and Maternal and Peri...Mohammad Aslam Shaiekh
Practicum presentation on Safe Motherhood Program (SMP) and Maternal and Perinatal Death Surveillance and Response (MPDSR) Program in MNH Section of Family Welfare Division
Do cash + interventions enable greater resilience and dietary diversity than ...IFPRIMaSSP
IFPRI Malawi virtual brown bag presentation by Esther Mweso, Program Manager, United Purpose;Luciano Msunga, MEAL Manager, United Purpose, and Carlota Rego, Program Manager for Social Protection & Resilience at the EU Delegation to Malawi; November 12, 2020
as part of the IFPRI-Egypt Seminar Series- funded by the United States Agency for International Development (USAID) project called “Evaluating Impact and Building Capacity” (EIBC) that is implemented by IFPRI.
3. Introduction
3
• Title: Encouraging Positive
Practices for Improving Child
Survival (EPPICS)
• Goal: To contribute to sustainable
maternal/newborn
morbidity/mortality reduction by
2015
• Partner: Ghana Health Services
• Location: East Mamprusi District
• Targets: 27,000 Women of
Reproductive Age and 24,000
Children under 5 years of age
East
Mamprusi
4. The Problem Analysis
4
Baseline MCH Indicators
District, Region and National- 2010/11
East
Mamprusi
Northern
Region
Ghana
Antenatal
visits (1st
trimester)
30 49 55
Antenatal
visits(4+)
46 58 78
Supervised
deliveries
43 38 46
IPT2+
51 33 44
ITN use 36 45
Institutional
MMR
275 95 68
Under 5
Mortality
Rate
138 137 80
Poor uptake of MCH
services → High Maternal
and Child morbidity and
mortality
Low Government capacity
→poor service delivery
Poor community
engagement→ low
patronage of services
5. 5
Strategies Deployed
.
• 15 -25 mothers CU2 or PW
• Behavior change educational
sessions
• Facilitated by Model Mothers
• Bi-monthly Meetings
• Home visits
• 5 -7 leaders custodians of
traditions and culture
• Repositioned as Council of
Champions for MCH
• Worked to modify pervasive social
norms
• Engaged to influence Household
Decision Makers
5
Council of Champions
Community Pregnancy
Surveillance & Education Sessions
6. 6
Strategies to improvereferrals/access
Modified Motor-Tricycle (MMTs)
MMT improved access to MCH services
Established 7 management Committee
Trained and provided logistics to MMT
drivers
Repositioning TBAs as Link Providers
Active TBAs identified/repositioned
Referred pregnant women to health
facilities
Conducted home visits
Supported transport emergency cases
to health facilities
7. 7
Strategiesto improvequality
.
Motorbikes/fuel for outreach
Basic medical equipment
Supplies
Mobile phones
• 12 Health Facilities
• Quality Improvement Cycles
• Emergency Obstetric Care
• Essential Newborn Care
• Lactation Management
7
Training/Mentoring/Coaching
Provision of Equipment and Supplies
10. CRS Partnership with Government – the Process
•Joint:
•Design
•Planning
•Implementation
•Monitoring and Supportive
Supervision
Collaborative
•Technical Capacity
•Transferring Funds
•Materials &Equipment
Supportive
•Implementation
•Monitoring, Evaluation and
Learning sessions
•Shadowing
•Mentoring/Coaching
Accompaniment
10
11. Timelines for Transfer of Responsibility to MoH
Project Year
• MoH/GHS
Role
• CRS Role
• Milestone
1
• Train
Health
Staff on
MCNH
topics
• Technical
Expert
• Capacity
strengthen
ing
2
• Mentee
• Mentor
• Skilled
Health
staff lead
stepdown
trainings
3
• Practitioner
• Supportive
supervisor
• Incremental
transferring
of
responsibility
4
• Provides
technical
support to
other districts
• Consultant
• Complete
transfer of
responsibility
11
13. Partnership between CRS and MoH: the QuicksGains
• Communities collaborating with health
facilities
• Community Emergency Transport
Committees established/strengthened
• Healthy Mothers and Newborn Care
Committees established & functioning
240
• Traditional Birth Attendants Repositioned
as Link Providers
• Model Mothers delivering MCH messages
to households members
480
• Quality Improvement teams functioning in
all health facilities
• Health facilities enhanced supply of basic
maternal and child medical equipment
12
13
14. Key Outcomes-Maternal& NewbornCare -60% LOE
• Baseline/End line Key indicators:
• Use of ANC within 1st Trimester ↑ from 50% to
74% (p<0.001)
• Four Plus ANC uptake ↑ from 63.9% to 82%
(p<0.001)
• Skilled Assisted Deliveries ↑ from 43% to 77%
(p <0.058)
• Clean Cord Care ↑ from 22% to 73% (p <0.001)
• Postnatal Care within 48hrs ↑ from 32% to 84%
(p<0.001)
•Source: EPICs KPC, 2015
109% Reduction in
Institutional Maternal
Mortality Ratio
131%↓ in infant Mortality
Ratio
80% Reduction in Neonatal
Mortality Ratio
Source: GHS - 2015 Annual Health Performance
review report for East Mamprusi
14
15. Key Outcomes– NutritionandMalaria-40% LOE
• Early Initiation of breastfeeding/30mins ↑
from 50% to 75% (p<0.001)
• Exclusive breastfeeding/6mo ↑ from 47% to
70% (p<0.005)
• Minimum of appropriate feeding practices(6-
23mo ↑ from 55% to 78% (p <0.001)
• Possession of LLINs ↑ from 45% to 71%
(p<0.001)
• Sleeping under LLINs ↑ from 42% to 71%)
(p<0.001)
•Source: EPICs KPC, 2015
Stunting- 2SD ↓ from
29% to 8% (p <0.001)
Underweight –2SD↓
from 43% to 11%
(p<0.001)
Source: EPICs KPC, 2015
15
16. Partnership success with MoH: the reasons
Trust/relationship built over time
Track record cultivated over time
Shared goal/objectives including theory of
change
Support with technical capacity- Country
Program, Regional and HQ
Appreciates roles/responsibilities – including
strengths and weaknesses
16
17. Mechanisms for sustainability and scale
Sustainability
MoH led- right from the design stage
Transfer of knowledge and skills – ripple effect
Existing Systems and structures strengthened
Tools and guidelines developed to guide replication
Scale
Already scaled up into five additional districts
MoH sourcing funds to replicate in 5 to 10 regions of
Ghana
17
18. Challenges Encountered
Health worker attrition- transfers
Delayed Government subventions
Influx of patients/clients from adjourning districts
Conflict in the project area
18
19. Conclusions
Partnership is key to achieving results in resource poor settings
Partnership is a game changer in the success of community-
based MCH interventions
Modified Motor Tricycles, Link Providers, Community Giants
scoreboard and Council of Champions are promising
community based strategies
19
1. Collaborative- consultative - (assessments/design)
Identify core, immediate and underlying causes
Formulate goals and strategies
2. Supportive/Facilitative - Technical, Resources funds/logistics)
Training of Trainers – stepdown for CHOs &CBAs, MEAL/IQAT
Fuel, motorbikes, tools including equipment
3. Accompaniment (Implementation & MEAL)
Joint implementation with GHS as lead
Joint monitoring and evaluation