maternal, newborn and child h ealth
DESCRIPTION
Maternal, Newborn and Child H ealth. IFRC . Membership organisation of Red Cross and Red Crescent National Societies Network of 187, over 3 million volunteers Auxillary role to national authorities Secretariat, serves to provide technical guidance for national societies . RCRC and MNCH. - PowerPoint PPT PresentationTRANSCRIPT
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living Maternal, Newborn and Child Health
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living IFRC
Membership organisation of Red Cross and Red Crescent National Societies
Network of 187, over 3 million volunteers Auxillary role to national authorities Secretariat, serves to provide technical guidance
for national societies
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living RCRC and MNCH
Implementing programmes over 20 years through RCRC network and strategic alliances
Programmes range from comprehensive to community based activitieseg. Serve to filling gaps in service delivery Afghanistan Red Crescent supports network of clinics
-part of the Government’s Basic Package of Health Service Pakistan RC run mobile health units & programmes re-orientation
of TBAs and immunisation eg.Advancing national health agenda – India RC significant
contribution to implementation of National Family Welfare Programme
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living RCRC MNCH FRAMEWORK
The framework provides guidance and direction to National Societies in the planning, design and implementation of programs and interventions In MNCH
Identifies MNCH Continuum of Care as the operational context for health programming
The Framework presents strategic objectives, cross-cutting principles and a structured approach to guide the efforts of the National Societies
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living Focus as RCRC and Added Value
The principal focus of NS in the MNCH activities is on interventions that can be delivered at the community/home level and the first /outreach or primary level
The main delivery channel is a network of trained RC/RC volunteers
The interventions must be context-specific and linked with the formal healthcare system, and they must have back-up support from facility-based services.
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Considerations for MNCH programming in the Red Cross Red Crescent Select interventions
That are evidence-based Can be delivered by volunteers with training in
coordination with primary health care Are consistent with national/regional health
priorities/health plans Address identified gaps in coverage of key
interventions across the continuum/improve the quality of their delivery
Incorporate gender and equity issues in design and implementation
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living Considerations for interventions that..
Promote adoption of healthy behaviours, skilled care seeking
Empower communities to demand and access quality, skilled care through mobilisation of community resources
Consider balance of supply of services to match increase in demand
Encourage male involvement and responsibilities Improve linkages between communities and their
health facilities and strengthen referral systems
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
MNCH interventions suitable for delivery at the community/home level
Continuum of Care Intervention
Adolescents and pre-pregnancy
family planning, prevent and manage STI, MTCT, folic acid
Pregnancy promotion of ANC & skilled birth attendance, nutrition
Childbirth prophylactic uterotonics, management of PPH
Postnatal (maternal)Postnatal (newborn)
family planning, PNCimmediate thermal care, initiation of exclusive breastfeeding, hygienic cord and skin care
Childhood exclusive/continued breastfeeding, prevention/case management of childhood malaria, Vitamin A supplmentation, routine immunisation, case management of pnemonia and diarrhoea
Cross cutting home visits for women and children across the continuum of care
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Examples of MNCH in Community based health programming
Promotion of ANC/skilled birth attendance in Afghanistan – women to women volunteers linking vulnerable women in urban settings in
Bangladesh to MCH centres. Childhood continuum of care
promoting of vaccination through campaigns to routine immunisation and access to wider child health services in Pakistan
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Community and Health systems strengthening for MNCH in Honduras
Honduran RC implemented integrated program focused on Maternal Child Health and strengthened community resilience. by developing extensive partnerships working with both the centralized and decentralized health
providersKey elements: community mobilization and empowerment advocacy for strengthened community health resources at
the local level promotion of gender equality within family health improved access to institutional health services both in terms
of coverage and quality.
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
MNCH and Honduras Red Cross: Redes project
The project aimed to i) improve maternal-child health; ii) improve the quality and coverage of local health services; and iii) strengthen capacity and coordination among local health actors.
The project targeted 80,000 beneficiaries in 229 communities in northwestern Honduras, in the Departments of Copan and Santa Barbara.
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Gender equality, Engaging men in maternal and child health, 3 delays
Intervention increased community awareness of the roles of
women and men increased participation of men in maternal child
health family & community organisation to address 3
delays increased capacity of municipal governments and
partner institutions to promote gender equality.
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Why Engage Men in MNCH?
To reduce delays in decision making through promotion of shared responsibility
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www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Community-Based Volunteers
Redes created and trained “Networks of Influential Leaders” (both male and female)
to have conversations and model behaviours with neighbours and friends on:
• how men can participate during pregnancy, birth and post-partum,
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Power of One
Local Change Agent: Nurse Ana
Began with her husband’s soccer team friends, talking to them about reproductive health and how to participate during pregnancy, birth and post-partum
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Health PersonnelMen were not allowed in the health centre during the prenatal control, birth or post-natal control
Health Centre space was considered “female”
Redes trained medical personnel using the gender-based manuals:• Invited men to accompany their
wives to prenatal visits,• Prepared a birthing plan together, • Promoted an institutional birth,• Supported post-natal visits
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Impact on Maternal and Child health through Redes
improvement of mother and child health and increased access to local health services was demonstrated throughout the continuum of care eg. Newborn deaths decreased from 40% to 29% Attendance at ANC increased from 61% to 81% Breastfeeding until 2 years increased from 47% to 71%
The project also built a solid platform for engagement on MNCH policy and programming between key national actors and partners committed to MNCH programming in Honduras.
Honduran Red Cross strengthened its capacity to deliver interventions across the continuum of care.
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Challenges to implementing MNCH programmes in RCRC
Weak link to country/local health systems Implementation of community programmes to
scale Volunteer skills
www.ifrc.orgSaving lives, changing minds.
Towards Healthy and Safe Living
Going to scale, addressing volunteer skills and health system link
RCRC Priorities moving forward Taskshifting Integrated community case management
(iCCM) eg.Kenya home management of malaria
expands to management of pneumonia and diarrhoea and
Mobile technology/ICT to facilitate going to scale
Use of standardised indicators for monitoring and reporting impact (ref CoIA)