The Maternal and Child Survival Program (MCSP) is USAID's flagship $500 million, 5-year program aimed at ending preventable child and maternal deaths in 24 priority countries. MCSP works across the continuum of care from household to hospital on technical areas like maternal and newborn health, child health and immunization, family planning, nutrition, and more. It focuses on cross-cutting issues like quality, innovation, gender, and health systems strengthening. The program's goal is to support countries in increasing coverage of reproductive, maternal, newborn and child health interventions and closing innovation gaps to improve health outcomes for vulnerable populations.

1. The Maternal and Child
Survival Program
Acting to End Preventable Maternal Mortality
CORE Group Global Health Practitioner Conference
April 16, 2015
www.mcsprogram.org

2. Vision Statement
Self-reliant countries equipped with
the analytical tools and effective
systems enabling them to be on track
to end preventable child and maternal
deaths
USAID’s flagship
Maternal and Child
Survival Program

3. Awarded: Launched June 2014
Length: 5Years
Funding Ceiling: 500 Million
AOR: Nahed Matta
Alternates: Malia Boggs; Megan Rhodes
Technical Advisors: Karen Fogg; Kerry Ross
Program Basics

4.  Maternal & Newborn
Health
 Child Health &
Immunization
 Family Planning
 Nutrition
 Malaria
 Water, Sanitation, &
Hygiene (WASH)
 HIV/TB
Technical Areas

5. Cross-Cutting Issues
 Quality
 Innovation
 Partnerships (private sector, civil society, etc.)
 Gender
 Equity
 Measurement and Analytics
 Behavior Change Communication
 e/mHealth
 Community Approaches
 WASH
 Health Systems Strengthening

6. Partners

7. Evolution since MCHIP
Reflects changing global RMNCH landscape and
shifts in USAID priorities
 Greater emphasis on cross-cutting issues such as quality,
equity, and gender
 Focuses on sustainable scale up, such as strengthening
health systems, that will deliver high impact technical
interventions
 20% of MCSP funds are required to be spent “through
local institutions”

8. Household to Hospital Continuum of Care
Household
Clinics/Hospitals
Community
Referral

9. Strategic Objectives
 Support countries to increase
coverage and utilization of
evidence-based, high-quality
reproductive, maternal,
newborn and child health
(RMNCH) interventions at the
household, community and
health facility levels;
 Close innovation gaps to
improve health outcomes
among high-burden and
vulnerable populations through
engagement with a broad range
of partners; and
 Foster effective policy, program
learning and accountability for
improved RMNCH outcomes
across the continuum of care

10. IntegratedThemes
Scaling up RMNCH coverage in 24 priority countries
 Maximize potential for public and private sector—including
civil society
 Addressing equity through a community health strengthening
approach
 Strengthening integrated community health platforms
Integrating services across the continuum of care
 Better care on the Day of Birth
 Maternal newborn health and infectious disease
Rigorous focus on monitoring, evaluation, and learning

11. 24 Priority USAID Countries
Other countries where MCSP works:
Burma, Egypt, Guinea, Namibia, South Africa
Countries
where MCSP
works
 Afghanistan
 Bangladesh
 Democratic
Republic of
Congo
 Ethiopia
 Ghana
 Haiti
 India
 Indonesia
 Kenya
 Liberia
 Madagascar
 Malawi
 Mali
 Mozambique
 Nepal
 Nigeria
 Pakistan
 Rwanda
 Senegal
 South Sudan
 Tanzania
 Uganda
 Yemen
 Zambia

13. Translating theVision into Action
• Enabling and Mobilizing Individuals and Communities
• Improve behaviors and norms, equity
• Advancing Quality, Respectful Care
• Integration of maternal health and family planning
• Scale up quality maternal health care
• Address indirect causes of maternal mortality, poor birth
outcomes
• Increase focus on maternal morbidity and disability
• Respectful Maternity Care and improving work environment
• Strengthening Health Systems and Continuous
Learning
• Health systems strengthening, data use, innovation and research

14. Enabling and Mobilizing Individuals and
Communities
• Improve individual, household, and
community behaviors and norms
• Community engagement, advocacy
• Strengthening community-based counseling and
empowerment of community health workers
• Improve equity of access to and use of
services by the most vulnerable
• Reaching rural populations with uterotonics for
prevention of postpartum hemorrhage

15. Integrated Community Health Platforms
 A flexible system for
integrated RMNCH service
delivery in the community,
spanning common gaps in the
continuum of care from
household to health facilities
CHW Workforce
and Community
Infrastructure
Information for
Equity, Learning
and Adaptation
Institutionalization,
Coordination
and Partnerships
Intervention
Package:
Preventative,
Promotive &
Curative Services
Support Services
and Functions
(commodities, supervision,
information processes…)
National
Policy and
Support
 Includes health
promotion,
disease
prevention,
care seeking
and treatment
 Not a one-
size-fits-all
blueprint

16. Advancing Quality, Respectful Care
• Integration of maternal services & family planning
• Postpartum family planning as essential component of
both antenatal and postnatal care
• Scale up quality care
• Comprehensive approach to prevention of
postpartum hemorrhage
• Address indirect causes of maternal mortality and
poor birth outcomes
• Infectious disease management as critical component
of antenatal care

17. Advancing Quality, Respectful Care
• Averting and addressing maternal morbidity and
disability
• Prevention and management of obstetric fistula
• Advance choice and respectful maternity care (RMC)
• RMC: Bangladesh, Mozambique, South Sudan,Tanzania,
Rwanda, Kenya, Ethiopia, Haiti, Indonesia, Madagascar,
Burma, Nigeria
• Alternative birth positions: Ethiopia, Mozambique, Burma,
Pakistan, Rwanda, South Sudan,Tanzania

18. Address Gender Issues
• Antenatal care (ANC)
• Engagement of men in counseling & birth planning
• Gender-based violence (GBV): identification, safety planning
& harm reduction, counseling re effects on MCH outcomes
• Labor and birth
• Respectful and gender-sensitive care during birth
• Deploying female skilled birth attendants (SBA)
• Making services affordable to women
• Bringing SBA to women who lack mobility or transport
• Participatory women’s groups to foster social support for
maternal and neonatal health problems

19. Strengthening Health Systems and
Continuous Learning
• Systems to track stock-outs of life-saving
drugs
• Human resources for health
• Clinical governance and focus on
measurement as driver for improving quality
and coverage of services
• Strengthen maternal death surveillance
• Operations research and learning agenda

20. Multidimensional Management
Antenatal
Care
DISTRICT
FACILITY
COMMUNITY HEALTH STRATEGIES
COMMUNITY
/HOUSEHOLD
Intrapartum
Care and
Emergencies
Postpartum
and Newborn
Care
CLINICAL GOVERNANCE
BETTER CARE
ONTHE
DAY OF BIRTH
including CEmONC
STRENGTHENED
ANTENATAL
CARE
including infectious
disease (ID)
STRENGTHENED
POSTNATAL
CARE
including FP,
nutrition, ID

21. Strengthen Maternal Death Surveillance
and Response
• Technical assistance for capacity-building of
key elements of MDSR in 10 countries
• Kenya, Ethiopia, Tanzania, Yemen, Nigeria, Malawi,
Zambia, Rwanda, Uganda, and Egypt
• Engage with global stakeholders developing
and integrating MDSR/PDSR Systems
• Collaboration with the USAID Africa Bureau and
WHO-AFRO

22. Support & Study Scale-Up
 Four high impact
technical
interventions, each in
multiple countries (e.g.,
misoprostol)
 Monitor clear
outcomes on ongoing
basis
 Use clear
implementation
strategies
 Standardized process
documentation
 Active Community of
Practice
Supporting countries to eliminate preventable deaths:
Implementation Research to drive better practice in “real time”
Sustainable
impact at scale
Service expansion / increased coverage
Institutionalizationinhealthsystems
Short cycle learning to improve
practice & achieve scale
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Adapted from: Institute for Reproductive Health (IRH)

24. ThankYou
Learn more at:
www.mcsprogram.org
Twitter.com/MCSPglobal
Facebook.com/MCSPglobal

25. Acknowledgements
• Ali Abdelmegeid
• Kate Brickson
• Myra Betron
• Stephanie Suhowatsky
• CicelyThomas

26. For more information, please visit
www.mcsprogram.org
This presentation was made possible by the generous support of the American people through the
United States Agency for International Development (USAID), under the terms of the Cooperative
Agreement AID-OAA-A-14-00028. The contents are the responsibility of the authors and do not
necessarily reflect the views of USAID or the United States Government.
facebook.com/MCSPglobal twitter.com/MCSPglobal

27. Extra Slides

28. Pregnancy Labor & Delivery Newborn Child
TECHNICAL APPROACHES ACROSS LIFE CYCLE
HEALTHSYSTEMLEVELS
CommunityDistrictFacility
ACTION-ORIENTED
LEARNINGCENTEREDON
SYSTEMATICSUPPORT
&STUDYOFSCALEUP
Integrated Community Platforms
Whole Market District Approach
ANC/PNC and Day
of Birth Integrated
Interventions
Integrated Child
Health Interventions
(incl. prevention,
immun., nutri.)
“PRACTICE – LEARNING FEEDBACK LOOP”
Helping Countries Eliminate Preventable Child & Maternal Death,
by Achieving Impact at Scale for Women and Children

29. What is MDSR?
MDSR is a continuous-
action cycle to provide
real-time, actionable data
on MM levels, causes of
death, and contributing
factors, with focus on
using findings to prevent
future maternal deaths.