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Nigerian midwife demonstrates to midwifery students how to teach mothers to express breast milk
Koki Agarwal
Koki Agarwal

Dear friends,

There is value in experience. After five years and across 52 programs, MCSP knows what countries need to institutionalize – and accelerate – progress.
Close collaboration with nations, communities, and regional partners. Country commitments to adequate resources and the capacity of frontline health workers. Continual efforts to mitigate inequalities and innovate products & services.

All of this must be done with an eye on promoting country self-reliance and ensuring health system accountability.
We don’t believe in the “unreachable.” We do believe in measuring progress and collecting data to foster continuous learning. And in 32 countries, this approach made a difference: I can proudly say that MCSP worked to improve health services in communities with a population totaling over 200 million people!
Almost everywhere, fewer children are dying,” we read. This is tremendously good news. But too often – for the most vulnerable, marginalized and remote – survival is still a game of chance.

In some of the most challenging areas for health, MCSP and partners evened this playing field by scaling up proven interventions and institutionalizing our progress. These efforts will continue to expand access to high-quality care long after project end.  
In this Thanksgiving season, I feel acutely aware of all of those who made these achievements possible. Our collective commitment is adding up to a brighter future for all women and children.

To the countries, providers, community health workers, and volunteers who made this lifesaving work possible: thank you! Without you, MCSP would not exist. You are the Program.

With sincere gratitude, I wish you a joyful start to the holiday season!

Koki Agarwal, MD, MPH, DrPH

pakistani women
Across three Pakistani provinces, MCSP is leaving behind 430+ trainers for the provision of client-centered, high-quality family planning services. This cohort has enhanced the skills of more than 400 providers at over 170 facilities, strengthening the public sector’s health system and delivery. In MCSP-supported districts, an expanded contraceptive method mix and improved quality of care – thanks in part to post-training follow up and support – has led to a 12% increase in couple years of protection.
Visit Our Pakistan Country Page
woman sitting with a baby in her lap
In Egypt, MCSP developed a national community health worker (CHW) strategy and strengthened the skills & knowledge of 10,000+ CHWs in 23 of the country’s 27 governorates. These CHWs now provide high-quality services to families in a catchment area of 4,873 primary health care units. MCSP also launched a digital health information system to capture CHW program data, reducing the burdens of a paper-based system and giving CHWs more time for direct patient care.
Visit Our Egypt Country Page
woman with baby
As Zika virus spread, MCSP proved adept at responding to the emerging threat. In five countries – Barbados, Grenada, Guyana, Saint Lucia, and Trinidad & Tobago – we met with ministries of health and regional partners to rapidly assess needs. Our feedback informed workplans that are improving postnatal care services and early childhood development. Collaborating with host governments, regional professional associations, local nongovernmental nonprofits, and research organizations, we exposed gaps in health systems and strengthened provider capacity to care for Zika-affected families.
Read Our Zika Report
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Photo Credits

Karen Kasmauski/MCSP
Ali Khurshid/Jhpiego
Sarah El Sweify/MCSP
Goldy Mazia/MCSP/PATH

This content is 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 content is the responsibility of the Maternal and Child Survival Program and do not necessarily reflect the views of USAID or the United States Government.

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