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www.ifrc.org Saving lives, changing minds. Towards Healthy and Safe Living Maternal, Newborn and Child Health
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Maternal, Newborn and Child H ealth

Dec 31, 2015

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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 Presentation
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Page 1: Maternal, Newborn and Child  H ealth

www.ifrc.orgSaving lives, changing minds.

Towards Healthy and Safe Living Maternal, Newborn and Child Health

Page 2: Maternal, Newborn and Child  H ealth

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

Page 3: Maternal, Newborn and Child  H ealth

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 activities

eg. 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

Page 4: Maternal, Newborn and Child  H ealth

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

Page 5: Maternal, Newborn and Child  H ealth

www.ifrc.orgSaving lives, changing minds.

Towards Healthy and Safe Living

Page 6: Maternal, Newborn and Child  H ealth

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.

Page 7: Maternal, Newborn and Child  H ealth

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

Page 8: Maternal, Newborn and Child  H ealth

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

Page 9: Maternal, Newborn and Child  H ealth

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

Page 10: Maternal, Newborn and Child  H ealth

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

Page 11: Maternal, Newborn and Child  H ealth

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

providers

Key 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.

Page 12: Maternal, Newborn and Child  H ealth

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.

Page 13: Maternal, Newborn and Child  H ealth

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.

Page 14: Maternal, Newborn and Child  H ealth

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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Page 15: Maternal, Newborn and Child  H ealth

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,

Page 16: Maternal, Newborn and Child  H ealth

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

Page 17: Maternal, Newborn and Child  H ealth

www.ifrc.orgSaving lives, changing minds.

Towards Healthy and Safe Living

Health Personnel

Men 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

Page 18: Maternal, Newborn and Child  H ealth

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.

Page 19: Maternal, Newborn and Child  H ealth

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

Page 20: Maternal, Newborn and Child  H ealth

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)