This document discusses sustainability in global grant projects focused on maternal and child health. It provides examples of sustainable single interventions like providing mosquito nets or vitamin supplements. It also describes a more comprehensive sustainable approach that includes introducing quality assurance in obstetrics along with satellite projects to provide things like water/solar power, delivery kits, and family planning education. This comprehensive approach measures outcomes like reduced maternal and infant mortality rates and aims to ultimately include project services into the local health system to ensure long-term sustainability.

1. 2014 ROTARY INTERNATIONAL CONVENTION
Sustainable Global Grant
Projects in the area of
‘Maternal and Child Health’

2. Sustainability
— The Precondition for Global Grants —
Examples of Sustainable MCH projects
JOIN LEADERS, EXCHANGE IDEAS, TAKE ACTION

3. Sustainability in development aid
• Development aid projects often not sustainable
• Beneficiaries‘ needs / involvement are by-passed
• Synergies with other stakeholders are not used
• Results are not measurable (ad hoc / long-term)
• Projects are not “owned” by the beneficiaries
► Scaling up = proof for sustainability
► Continuous scaling up = can be included in system

5. Sustainability in Global Grants
• Community needs ?
• How were these needs identified? Provide data
• How was local community involved in planning?
• Does project align with current/ongoing local initiatives?
• Describe training, outreach, or educational programs
• How will you measure your impact?
(Indicators, monitoring and evaluation)
• Local participation
• Continuity of services / maintenance / local funding

6. MCH and Sustainability
• Improvement of women's health incl. family planning
services
= very cost-efficient, profitable investment for
improvement of overall living conditions
• Immediate social, ecological and health benefits
• Savings education/health outlasting one generation
• MCH Improvement contributes to all MDGs

7. Access to FP
could save the
lives of 80,000
mothers and
600,000
newborns p.a.
Sustainable
savings for health
systems
Fewer 'drop-
outs'‚ lower
fertility, improved
education
opportunities
Empowerment of
women
Less poverty and
hunger
Source: UNFPA
Sustainable impacts of MCH

8. Sustainable Single Interventions
Provision of mosquito nets (LLIN):
• Threefold effect:
1. Prevention of malaria
2. Motivation for polio vaccination
3. Promotion of antenatal care
• LLIN remain effective for several years, low-
maintenance
• Easy documentation, measurable results /
indicators

9. Sustainable Single Interventions
Provision of vitamin sachets:
• Reduction of infant/child morbidity + mortality
• Long-term impact on risk of lifetime illness
• Best linked with community awareness and
provider training
• Documentation in health facilities

10. Sustainable Comprehensive Approach
• Core project:
introduction of quality assurance in obstetrics +
awareness
• Satellite projects / single interventions:
– Mosquito nets
– Solar power + water supply
– Magnesium sulfate, PMTCT
– Birth kits, anti-shock garments
– Fistula surgeries, micro credits
– IUDs, FP provider training

11. training of health
staff/audit
Maternal
Mortality
Ratio
(MMR)
- 60%
Contraceptive Prevalence Rate
(CPR)
10% 20%
equipment of obstetrical
departments
prenatal care and
postnatal care
quality of process
Stakeholder satellite project:
Preventing Mother-to-Child
Transmission of HIV
(PMTCT)
Rotary/stakeholder satellite project:
24,000 mosquito nets
(protection from malaria)
For more information about the project visit www.maternal-health.org
quality of structure
Quality Assurance
in obstetrics
Project contributes to our
new Area of Focus
‘Maternal & Child Health’
and to all UN Millennium
Development Goals
(MDGs)
close collaboration
with governments &
traditional/religious
leaders
Rotary/stakeholder satellite project:
water/solar power supply
for hospitals
Stakeholder satellite project:
delivery kits, magnesium
sulfate, anti-shock garments
attended births
information
about
child spacing
1.500 patients
repaired & rehabilitated
35% >50%
awareness
campaigns,
community
dialogues
MDG
access to
family planning
(no abortion)
reduction of
morbidity
e.g. fistula
quality of outcome
Rotary satellite project:
micro credits

12. Sustainable Comprehensive Approach
• Measurable indicators:
- Reduction of MMR, PMR
- No. of conducted community dialogues
- No. of attended deliveries in hospitals
- Training of health personnel/community health workers
• Regular documentation / evaluation during and after
project implementation
• Clear set of milestones and goals
• Overall goal: inclusion in health system
“Sustainability of the sustainability” (TRF)