289 Resources Found


2016 WHO Antenatal Care Guidelines Malaria in Pregnancy Frequently Asked Questions (FAQ)

In 2016, the World Health Organization (WHO) published Recommendations on Antenatal Care for a Positive Pregnancy Experience (WHO 2016), which outlines a new set of evidence-based global guidelines on recommended content and scheduling for antenatal care (ANC). These recommendations are the first set of ANC guidelines created under WHO’s current approved process for development of […]

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A causal loop analysis of the sustainability of integrated community case management in Rwanda

This MCSP co-authored article in the journal Social Science and Medicine examines the expansion of community health services in Rwanda that has come with the national scale up of integrated Community Case Management (iCCM) of malaria, pneumonia and diarrhea. The authors used a sustainability assessment framework as part of a large-scale project evaluation to identify […]

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A common monitoring framework for ending preventable maternal mortality, 2015–2030: phase I of a multi-step process

This open access, MCSP co-authored article, published in the journal BMC Pregnancy and Childbirth, examines how best to track progress toward the overall global maternal mortality target. […]

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A facility birth can be the time to start family planning: Postpartum intrauterine device experiences from six countries

This MCSP co-authored article in the International Journal of Gynecology and Obstetrics looks at postpartum family planning and postpartum intrauterine device services integrated into maternal care in six low- and middle-income countries: Ethiopia, Guinea, India, Pakistan, Philippines and Rwanda. To read the open access article, click here. […]

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A Rapid Assessment of Oral Rehydration Therapy Corners in Bondo, Igembe North, and Igembe Central Subcounties, Kenya

In July – August 2015, MCSP conducted a rapid assessment of 16 health facilities in Bondo and Igembe, Kenya, to provide the Program with information to develop research questions related to the effectiveness and quality of Oral Rehydration Therapy Corners. […]

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A Regional Assessment of Facility-Level Maternal and Perinatal Death Surveillance and Response Systems in Four Sub-Saharan African Countries

From 2016–2017, MCSP conducted an assessment on maternal and perinatal death surveillance and response (MPDSR) implementation in four sub-Saharan African countries: Nigeria, Rwanda, Tanzania, and Zimbabwe. The objectives of the assessment were to 1) assess implementation status of MPDSR processes at subnational and facility levels, and 2) describe facilitators and barriers to sustainable subnational MPDSR […]

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A Review of the Maternal and Newborn Health Content of National Health Management Information Systems in 13 Countries in Sub-Saharan Africa and South Asia

This report summarizes the results and recommendations from a review of health management information system data collection forms and reporting formats in 13 MCHIP countries: Bangladesh, Ethiopia, India, Kenya, Malawi, Mali, Mozambique, Nepal, Nigeria, Rwanda, Tanzania, Uganda and Zimbabwe. […]

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Accelerating Harmonization in Digital Health

This MCSP co-authored article – published in the journal World Health & Population – explores the current state of efforts undertaken to move away from single-purpose applications of digital health towards integrated systems and solutions that align with national strategies. Through examples from health information systems, data and health worker training, the authors demonstrate how governments and stakeholders are […]

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Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications

Despite numerous global initiatives on breast-feeding, trend data show exclusive breast-feeding (EBF) rates have stagnated over the last two decades. The purpose of this systematic review was to determine barriers to exclusive breast-feeding in twenty-five low- and middle-income countries and discuss implications for programmes. To read the full, open access article in Public Health Nutrition, click here. […]

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Addressing Barriers to Exclusive Breastfeeding: Evidence and Program Considerations for Low- and Middle-Income Countries

This nutrition brief summarizes findings from an MCSP-led review identifying key barriers that impede exclusive breastfeeding during the first six months of life. The brief presents Demographic and Health Survey analyses of three key breastfeeding problems and a compilation of country policies that address exclusive breastfeeding. It also provides key considerations for implementers of infant […]

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Addressing barriers to maternal nutrition in low‐ and middle-income countries: A review of the evidence and programme implications

Adequate maternal nutrition during the “first 1,000 days” window is critical from conception through the first 6 months of life to improve nutritional status and reduce the risk of poor birth outcomes, such as low birthweight and preterm birth. Unfortunately, many programmes have targeted implementation and monitoring of nutrition interventions to infants and young children, […]

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Addressing Barriers to Maternal Nutrition: Evidence and Program Considerations

This brief presents a summary of a MCSP-led literature review of  barriers to maternal nutrition and weight gain during pregnancy in low- and middle-income countries. The brief presents a compilation of country policies that address maternal diet and weight gain during pregnancy, and provides key considerations for inclusion of maternal nutrition and weight gain during […]

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Adolescent Age & Life-Stage Assessment Tools and Counseling Cards

The Adolescent Age and Life-Stage Assessment and Counseling tools aim to support health provider efforts to seize teachable moments while talking with adolescents on a one-on-one basis at the health facility. These tools and cards help providers target their counseling based on an adolescent’s age and life-stage in order to provide them with sound, practical […]

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Advancing the application of systems thinking in health: sustainability evaluation as learning and sense-making in a complex urban health system in Northern Bangladesh

Starting in 1999, Concern Worldwide Inc. (Concern) worked with two Bangladeshi municipal health departments to support delivery of maternal and child health preventive services. A mid-term evaluation identified sustainability challenges. Concern relied on systems thinking implicitly to re-prioritize sustainability, but stakeholders also required a method, an explicit set of processes, to guide their decisions and […]

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Africa Regional Workshop on Improving Routine Data for Child Health in National Health Information Systems

This workshop report covers the highlights of the September 2017 Africa Regional Workshop on Improving Routine Data for Child Health in National Health Information Systems. The workshop aimed to advance the availability, accessibility, quality, and use of child health and nutrition data within national health information systems. More than 90 participants from 15 countries gathered […]

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Alternative Birth Positions training materials

A key component of implementing respectful maternity care is protecting a woman’s right to assume the position of her choice during labor and birth, which has benefits for the woman, the baby, and the health system. This package of training materials for alternative birth positions can be used in three ways: 1) as a stand-alone training; […]

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An Approach to Increase Coverage and Equity by Adapting and Using Revised Reaching Every District: MCSP Experiences Adapting the RED Guide in Malawi and Kenya

This document provides a summary of MCSP and John Snow, Inc.’s experience in the adaptation of the regional Reaching Every District (RED) guideline to country-specific contexts in order to inform other countries undertaking the process. […]

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Annex: Mapping of Global Leadership in Child Health (Sub-Saharan Africa Perspective)

MCSP conducted the study “Mapping of Global Leadership in Child Health” from November 2015 to April 2016 to better understand the evolution of child health as a global health issue since 2000 and to understand its complex network of stakeholders and leaders. Based on reviewed published literature and over 30 in-depth interviews with child health […]

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Applying the Care Group model to tuberculosis control: findings from a community-based project in Mozambique

This journal article describes the effectiveness of an innovative community-based social mobilization approach called Care Groups to improve the effectiveness of the national tuberculosis (TB) program by increasing TB testing and improving treatment outcomes in six districts of rural Mozambique. To read the full, open-access article in The International Journal of Tuberculosis and Lung Disease, click here. […]

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Are We Reaching the Worst-Off? How the Myanmar Census Helped to Answer This Question

Many programs and projects are designed with the goal to benefit the worst-off, but how often do they live up to this commendable goal? Unfortunately, few have reliable data to answer that question. This brief draws upon existing censuses and household surveys using an asset index as a measure of socioeconomic position (SEP). It explains […]

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Assessing Knowledge, Practice, and Coverage of Newborn Care Services in Ethiopia

This brief presents findings from the baseline of the Newborns in Ethiopia Gaining Attention (NEGA) project. This project conducted a baseline household survey of recently delivered women in the four regions to provide baseline measures for key maternal and newborn health indicators of knowledge, practice, and service coverage. Results of the survey provided valuable information to design project activities to meet […]

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Assessing the Socioeconomic Profile of the Beneficiaries of an Intervention: A Step-by-Step Guide

This document describes a simple and low-cost method for assessing the socioeconomic profile of the beneficiaries of an intervention and to determine whether the intervention is pro-poor. It provides details on each step of the analysis. […]

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Assessment of Maternal and Perinatal Death Surveillance and Response (MPDSR) Implementation in Kagera and Mara Region, Tanzania

There is global consensus that accurate information about causes of death through mortality audits is needed to help inform efforts to end preventable maternal and perinatal deaths. Tanzania’s Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) and MCSP aimed to document experiences to date in implementing maternal death review, perinatal death review, and/or […]

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Assessment of Maternal and Perinatal Death Surveillance and Response Implementation in Ebonyi and Kogi States, Nigeria

MCSP and Save the Children, together with several Nigerian professional associations, set out to document experiences to date in implementing maternal death review, perinatal death review, and/or integrated maternal and perinatal death surveillance and response (MPDSR) processes in Nigeria. The study sought to identify factors that have facilitated or inhibited the uptake and sustainability of […]

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Assessment of Maternal and Perinatal Death Surveillance and Response Implementation in Rwanda

The Rwandan Ministry of Health (MOH) and USAID’s MCSP aimed to document experiences in implementing maternal death review, perinatal death review, and/or integrated maternal and perinatal death surveillance and response (MPDSR) processes in Rwanda. Rwanda was one of four countries selected as part of a multi-country assessment of MPDSR processes at the district level. The […]

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Assessment of Maternal and Perinatal Death Surveillance and Response Implementation in Zimbabwe

Zimbabwe’s Ministry of Health and Child Care (MOHCC), supported by the United States Agency for International Development’s Maternal and Child Survival Program (MCSP) operating locally in Zimbabwe as the Maternal and Child Health Integrated Program (MCHIP), set out to document experiences in implementing maternal death review, perinatal death review, and/or integrated maternal and perinatal death surveillance and response (MPDSR) […]

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Association of Volunteer Communication Mobilizers’ Polio-Related Knowledge and Job-Related Characteristics With Health Message Delivery Performance in Kano District of Nigeria

Volunteer communication mobilizers (VCMs) were deployed in Nigeria to increase community awareness for polio vaccination. To understand whether VCMs’ knowledge and job-related characteristics were associated with performance, the authors conducted a cross-sectional survey in the Nassarawa and Ungogo Local Governance Areas (LGAs). They asked VCMs about the consequences of polio, preventive strategies, and health communication […]

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Beyond causes of death: The social determinants of mortality among children aged 1-59 months in Nigeria from 2009 to 2013

The 2014 Verbal and Social Autopsy Study was conducted based on a nationally representative sample of 3,254 deaths that occurred in children under the age of five and were reported on the birth history component of the 2013 Nigerian Demographic and Health Survey. Published in PLOS ONE, this is a descriptive analysis of the preventive and […]

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Beyond new vaccine introduction: the uptake of pneumococcal conjugate vaccine in the African Region

The number of vaccines available to low-income countries has increased dramatically over the last decade. Overall infant immunization coverage in the WHO African region has stagnated in the past few years while countries’ ability to maintain high immunization coverage rates following introduction of new vaccines has been uneven. This case study examines post-introduction coverage among […]

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Bondo iCCM Study: Key Findings and Recommendations

In 2013, in collaboration with the Kenya Ministry of Health (MOH), USAID’s predecessor Maternal and Child Health Integrated Program (MCHIP) initiated an implementation research study to inform the MOH and its partners about the feasibility of, factors for success in, and challenges of implementing integrated community case management (iCCM). The study was completed by MCHIP’s […]

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Case Studies of Large-Scale Community Health Worker Programs

This overview of large-scale community health worker (CHW) programs from 13 countries — Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe — aims to inform policymakers and program implementers in designing, implementing, scaling up, and strengthening large-scale CHW programs. CHW programs, by their very nature, are a product of the local […]

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Case Studies of Large-Scale Community Health Worker Programs

This condensed version of the case studies includes examples from Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Pakistan, Rwanda, Zambia and Zimbabwe. For the full version of this document, click here. […]

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Case Study: Experience Applying and Tracking a Quality Improvement Approach for Maternal and Newborn Health Services in Sub-Saharan Africa

The Standards-Based Management and Recognition (SBM-R®) approach to quality improvement was applied to maternal and newborn health services in Guinea, Mozambique, Nigeria and Zimbabwe. In every country, the quality of service delivery, as measured by clinical performance standards, improved following the intervention. The performance of evidence-based service delivery practices, as measured through service statistics, also […]

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Case Study: Improving Quality of Care and Outcomes for Child Health Using the Standards-Based Management and Recognition Approach in Zimbabwe

This case study aims to document the application of Standards-Based Management and Recognition (SBM-R) as a quality improvement approach to the case management of childhood illness in Zimbabwe through USAID’s predecessor flagship Maternal and Child Health Program. The lessons learned about the implementation process, success factors, and challenges will illumine the adoption of SBM-R to […]

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Case Study: Primary Healthcare Clinical Placements during Nursing and Midwifery Education in Lesotho

In Lesotho, primary healthcare is the main access point for health services. While nurses and midwives provide most of the care at this level, assessments of the clinical education programs have highlighted gaps in primary healthcare experiences for nursing and midwifery students. This case study examines placement of nursing and midwifery students in primary health […]

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Civil Society Engagement Strategy: 2016 – 2019

This document describes a strategy for MCSP to strengthen engagement with civil society in order to accelerate progress of the Ending Preventable Child and Maternal Deaths project, including strengthening multi-stakeholder partnerships in support of Every Woman Ever Child’s Global Strategy 2.0. This shared engagement strategy provides a unique opportunity to align action, voice and resources […]

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Clean Clinic Approach Brief

Unsafe water, sanitation and hygiene (WASH) conditions and practices discourage people from seeking care at health facilities. This two-page brief explains MCSP’s Clean Clinic Approach, a programmatic tool that encourages health facilities to establish WASH goals and make incremental improvements towards the end goal of achieving “Clean Clinic” status, as defined with the national Ministry […]

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Clean Clinic Approach One-Pager

Unsafe water, sanitation and hygiene (WASH) conditions and practices discourage people from seeking care at health facilities. This one-pager visually explains MCSP’s Clean Clinic Approach, a programmatic tool that encourages health facilities to establish WASH goals and make incremental improvements towards the end goal of achieving “Clean Clinic” status, as defined with the national Ministry […]

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Community Engagement, Routine Immunization, and the Polio Legacy in Northern Nigeria

The Partnership for Reviving Routine Immunization in Northern Nigeria; Maternal, Newborn, and Child Health Initiative (PRRINN-MNCH) was a project funded by the UK Department of International Development and the Norwegian government that used an integrated approach to strengthen health services and increase community demand for and access to quality health care. Baseline and endline population-based […]

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Community Health Systems as Complex Adaptive Systems: Ontology and Praxis Lessons from an Urban Health Experience with Demonstrated Sustainability

The global health and development field, which has been reasonably dominated by linear models of planning, is witnessing increased interest in complexity, non-linear processes, and systems thinking. This welcome interest is challenged by both language and ability to discern whether complex development phenomena are discussed from the perspective of the nature of particular health systems […]

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Community-Based Distribution of Iron-Folic Acid Supplementation: Evidence and Program Implications

This MCSP nutrition brief summarizes findings from an MCSP-led review identifying key strengths of community-based distribution (CBD) of iron-folic acid (IFA) supplementation and some barriers that may impede its roll-out. The brief presents evidence for improved IFA supplementation coverage and anemia reduction among women, a compilation of country policies that address barriers to CBD of […]

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Community-based distribution of iron–folic acid supplementation in low- and middle-income countries: a review of evidence and programme implications

This literature review aimed to review the evidence for community-based distribution (CBD) of iron–folic acid (IFA) supplementation as a feasible approach to improve anaemia rates in low- and middle-income countries. CBD programmes had moderate success with midwives and community health workers (CHW) who counselled on health benefits and compliance with IFA supplementation. CHW were more […]

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Community-Based HIV Testing and Counseling in the Health Extension Program

MCSP is currently implementing a multifaceted project to support the Ministry of Health and Social Services (MoHSS) in delivering community-based HIV testing and counseling through the national Health Extension Program (HEP). This initiative is aimed at capacitating the MoHSS with regard to community-based HTS by reducing its reliance on partners. This report is an evaluation […]

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Community-Based Newborn Health Promotion in Pastoralist Ethiopia: The Social Mobilization and Demand Creation Project

The Ethiopian government’s commitment and resources have contributed to considerable progress in improving child health during the past 15 years. To further reduce newborn deaths (those in the first 28 days of life), Ethiopia has implemented a policy framework to support newborn health, reflecting the Every Newborn Action Plan approved by the World Health Assembly […]

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Comprehensive Approach to Health Systems Management Resource Compendium

This resource aims to review existing approaches, programs and materials to inform MCSP’s design of the Comprehensive Approach to Health Systems Management, and identify applicable resources that may be useful to the implementation of the approach in countries. […]

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Controlling maternal anemia and malaria: ensuring pregnant women receive effective interventions to prevent malaria and anemia: what program managers and policymakers should know

This brief describes World Health Organization recommendations for IPTp to prevent malaria in pregnancy and iron-folic acid supplementation to prevent iron deficiency anemia in sub-Saharan Africa countries, with an emphasis on giving the correct dose of folic acid to maximize the effectiveness of interventions to prevent malaria. The brief is for program managers of health […]

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Core Concepts for Clinical Preceptors & Faculty

This document contains selected content from the Johns Hopkins School of Nursing preceptor training mobile application reproduced as notecards. It includes modules on: Foundations of Precepting; Evaluation; Educator Challenges; Culture of Caring; Communication; and Clinical Reasoning. […]

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Cost Analysis for Scale-Up of Postpartum Family Planning in Rwanda

Brief on cost analysis for scaling up postpartum family planning in Rwanda. […]

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Cost Analysis for Scaling Up a Practice Improvement Package for HBB/ENC in Rwanda

Brief on cost analysis for scaling up a practice improvement package for Helping Babies Breathe / essential newborn care in Rwanda. […]

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Costs and Cost-Effectiveness of Community Health Investments in Reproductive, Maternal, Neonatal, and Child Health

This brief aims to broadly summarize existing information on the costs and cost-effectiveness of community-delivered reproductive, maternal, neonatal, and child health interventions, including large-scale community health worker programs, to provide health decision-makers and planners with a baseline understanding of the types of costs associated with providing these services. To support efforts to advocate for and […]

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Count every newborn; a measurement improvement roadmap for coverage data

This open access, MCSP co-authored article in the journal BMC Pregnancy and Childbirth examines the Every Newborn Action Plan (ENAP), launched in 2014 to address preventable newborn deaths and stillbirths. The authors detail, in a multistage process, a matrix of 70 indicators were assessed by the Every Newborn steering group. Indicators were graded based on their availability […]

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Coverage, compliance, acceptability and feasibility of a program to prevent pre-eclampsia and eclampsia through calcium supplementation for pregnant women in one district of Nepal

Calcium supplementation during pregnancy has been shown to reduce the incidence of pre-eclampsia/eclampsia among women with low calcium intake. This MCSP co-authored article, published in the journal BMC Pregnancy and Childbirth, evaluated coverage, compliance, acceptability and feasibility of the intervention after universal, free calcium supplementation through government antenatal care services was piloted in the Dailekh […]

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Cross-sectional observational assessment of quality of newborn care immediately after birth in health facilities across six sub-Saharan African countries

Published in BMJ Open, this article presents information on the quality of newborn care services and health facility readiness to provide newborn care in six African countries, and advocates for the improvement of providers’ essential newborn care knowledge and skills. To read the full, open access article in the journal BMJ Open, click here. […]

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Developing and Strengthening Community Health Worker Programs at Scale

This condensed version of the reference guide focuses on making large-scale, public sector, community health worker (CHW) programs as effective as possible. It is a practical guide for policymakers and program managers wishing to develop or strengthen a CHW program, drawing lessons from other countries that have implemented such programs at scale. For the full […]

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Development and Validation of an Index to Measure the Quality of Facility-Based Labor and Delivery Care Processes in Sub-Saharan Africa

This open access, MCSP co-authored article in PLOS ONE examines intrapartum and immediate postpartum care in facility deliveries and explains a related quality assessment measure. […]

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Direct estimates of cause-specific mortality fractions and rates of under-five deaths in the northern and southern regions of Nigeria by verbal autopsy interview

Published in PLOS ONE, this study was conducted by national and international bodies that collaborated in this study to provide the first ever direct estimates of the causes of under-five mortality in Nigeria. The findings support that there is an epidemiological transition ongoing in southern Nigeria, suggest the way forward to a similar transition in the […]

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Documentation of REC in Malawi

In October 2016, MCSP began its third year of activities in Malawi, with immunization work focusing on collaboration with the Ministry of Health/Expanded Program on Immunization (MOH/EPI) and partners at the national level; and provision of intensive support for implementing the Reaching Every Child (REC) approach in two low-coverage districts, which were selected from among seven districts in […]

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Early Childhood Development 0–3 Program in Ghana

Early childhood development (ECD) supports young children’s holistic development across physical, cognitive, language and socio-emotional domains spanning the prenatal stage to early grades. The early years form the foundation for lifelong learning. This brief discusses the MCSP Ghana ECD 0-3 program’s strategic objectives and key accomplishments. […]

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Early Childhood Development: An integral part of Zika response programs

This brief discusses why, when it comes to Zika response programs, the early years of childhood development matter most. Early childhood development (ECD) programs are holistic, engaging multiple sectors in integrated services to bring about improved child development outcomes, better use of financial and human resources, and more children and families receiving services. This brief […]

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Effect of Volunteer Household Counseling in Improving Knowledge of Birth Preparedness and Complication Readiness of Pregnant Women in Northwest Nigeria

After implementing a maternal and newborn health project between 2006 and 2010 in Kano and Zamfara States, Nigeria, the project is being evaluated with an objective to characterize the effects of volunteer household counselors (VHCs) upon improving knowledge of birth preparedness and complication readiness (BPCR) among pregnant women. To read the abstract and full article (subscription […]

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Engaging Communities With a Simple Tool to Help Increase Immunization Coverage

This MCSP co-authored article in the journal Global Health: Science and Practice highlights the use of a simple, publicly placed tool to monitor vaccination coverage in a community. The “My Village Is My Home” tool proved to broaden program coverage by keeping both the community and the health system informed about every infant’s vaccination status. […]

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Equity Fact Sheet

Features key facts and Program work in equity. […]

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Essential Care for Every Baby Africa Regional Workshop

The Essential Care for Every Baby (ECEB) Africa Regional Workshop provided an opportunity for dialogue with select countries implementing Helping Babies Breathe at scale on the potential use of the ECEB learning materials to strengthen current newborn health programs and to develop a larger regional pool of ECEB master trainers and champions. In total, 85 […]

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Estimating Gestational Age and Counseling Antenatal Care Clients in the Context of Zika: Using the MCSP Zika Pregnancy Wheel

Estimating gestational age (GA) and expected date of delivery (EDD) are critical components of care for all antenatal care (ANC) and intrapartum care clients. The safe and effective delivery of time-dependent interventions in pregnancy depends on having a correct understanding of a pregnancy’s GA. Pregnancy wheels can help health providers and their clients understand how […]

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Estimating Gestational Age and Counseling Antenatal Care Clients in the Context of Zika: Using the MCSP Zika Pregnancy Wheel

This brief — available in both English and Spanish — explains how to estimate gestational age and counsel antenatal care clients in the context of Zika using the MCSP Zika pregnancy wheel. […]

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Evaluation de la disponibilité des personnels qualifiés en santé maternelle et néonatale à Madagascar

This article, published in French in the African Evaluation Journal, highlights the findings of a cross-sectional survey of 52 health public facilities in 15 of the 22 regions of Madagascar. […]

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Evaluation Formative Rapide sur l’Engagement des hommes dans la Planification Familiale et l’extension des services pour la Vasectomie sans bistouri au Togo: Rapport Finale

MCSP worked in collaboration with l’Association Togolaise Pour Le Bien-Etre Familial and the DSMI/PF to conduct a rapid formative assessment on male engagement in family planning (FP) in Togo. The goal of this assessment was to explore men’s real perceptions about male methods of FP, and both providers’ and the health system’s views on offering […]

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Evaluation of the availability of the personnel qualified in maternal and neonatal health in Madagascar

This MCSP co-authored article — translated to “Evaluation de la disponibilité des personnels qualifiés en santé maternelle et néonatale à Madagascar” — was published in the African Evaluation Journal. In Madagascar, the position of maternal and neonatal health is worrying with a maternal mortality ratio of 478 per 100,000 live births and a neonatal and […]

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Evaluation of the Helping Babies Breathe (HBB) Initiative Scale-Up in Malawi

The primary aim of this evaluation was to assess the quality of care and coverage of the Helping Babies Breathe newborn resuscitation intervention at the facility level in Malawi. The results will help to inform and guide the ongoing scale-up of this program in Malawi and in other countries. […]

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Evaluation of the Initiative to Strengthen Nurses’ Expanded Programme on Immunization Pre-Service Training in Kenya

In 2008, the Kenya Ministry of Health (MOH) embarked on a process to strengthen pre-service training for the Expanded Programme on Immunization (EPI) using WHO’s prototype curriculum. Partnering with the WHO, UNICEF and USAID’s Maternal and Child Health Integrated Program (later became USAID’s MCSP), the MOH developed an immunization manual for medical and nursing students, […]

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Evidence-Based Engagement of the Somali Pastoralists of the Horn of Africa in Polio Immunization: Overview of Tracking, Cross-Border, Operations, and Communication Strategies

Building on the experience of the 2013–2014 wild poliovirus outbreak in the Horn of Africa, this study examines applied strategies that helped to engage pastoralists of the Somali cluster (Somalia, Somali Region of Ethiopia, and North-East Kenya) in supplementary immunization activities. Aimed at being applicable to other public health interventions, the study synthesizes knowledge about […]

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Exploratory study of the role of knowledge brokers in translating knowledge to action following global maternal and newborn health technical meetings

This paper reports on an exploratory study of knowledge translation interventions conducted with participants of global health meetings held in Bangladesh in 2012 and in South Africa in 2013. The authors measured stakeholders’ uptake of evidence-based knowledge in terms of their translation of this knowledge into actions around public health policy and practice. The research […]

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Exploring why junk foods are ‘essential’ foods and how culturally tailored recommendations improved feeding in Egyptian children

This open access, MCSP co-authored article in the journal Maternal & Child Nutrition focuses on Egypt, where the double burden of malnutrition and rising overweight and obesity in adults mirrors the transition to westernized diets and a growing reliance on energy-dense, low-nutrient foods. This study utilized the trials of improved practices (TIPs) methodology to gain an understanding of the […]

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Facility-based active management of the third stage of labour: assessment of quality in six countries in sub-Saharan Africa

This MCSP co-authored World Health Organization bulletin assesses the quality of facility-based active management of the third stage of labor (AMTSL) in Ethiopia, Kenya, Madagascar, Mozambique, Rwanda and Tanzania. The authors found the quality and coverage of AMTSL were high. However, to improve active management, there needs to be more research on optimizing the timing of uterotonic administration. […]

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Factors associated with early growth in Egyptian infants: implications for addressing the dual burden of malnutrition

This MCSP co-authored article in the journal Maternal and Child Nutrition examined the rise in stunting in Lower Egypt from 2005 to 2008. A study, which followed a longitudinal cohort of infants from birth to 1 year of age within the context of a USAID-funded maternal and child health integrated program,sought to determine if growth […]

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Factors Associated with Growth in the First Year of Life in Egyptian Children: Implications for the Double Burden of Malnutrition

The primary objective of this study was to determine whether there were differences between Lower Egypt and Upper Egypt in growth patterns and factors related to growth. The secondary objective was to examine the relationship between weight and length to ascertain if weight loss in any two-month interval contributes to stunting at 12 months of […]

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Factors impacting use of health services by first-time/young parents: A formative research toolkit

Despite the fact that 13 million births occur to adolescents each year and that early pregnancy increases the risk of adverse health outcomes for mothers and their children, most programs that engage adolescents do not aim to meet the needs of those who have already begun childbearing. First-time/young parents (FT/YPs) are an under-served population with […]

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Family Planning and Immunization Integration: Formative Report

A formative research study was conducted in Kagera Region, Tanzania, to understand current service delivery practices, perceptions of family planning and immunization services, and barriers and opportunities for service integration to inform the development of an integrated service delivery approach for FP and immunization. […]

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Family Planning and Maternal, Infant, and Young Child Nutrition: Formative Study

This report presents findings from a formative study conducted in two selected regions of Tanzania’s Lake Zone: Kagera and Mara. The study aimed to explore sociocultural and environmental cues to birth spacing and maternal, infant and young child nutrition (MIYCN) practices and identify barriers and facilitating factors for optimal family planning and MIYCN practices. […]

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Family Planning Needs during the First Two Years Postpartum in Burkina Faso

This analysis is based on the 2010 Demographic and Health Survey data from Burkina Faso. It summarizes key findings related to birth and pregnancy spacing, fertility return, unmet need for and use of family planning, and contact with key services for women during the period from the last birth through two years postpartum. […]

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Family Planning Needs during the First Two Years Postpartum in Ghana

This analysis is based on the 2008 Demographic and Health Survey data from Ghana. It summarizes key findings related to birth and pregnancy spacing, fertility return, unmet need for and use of family planning, and contact with key services for women during the period from the last birth through two years postpartum. […]

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Family Planning Needs during the First Two Years Postpartum in Madagascar

This analysis is based on the 2008-09 Demographic and Health Survey data from Madagascar. It summarizes key findings related to birth and pregnancy spacing, fertility return, unmet need for and use of family planning, and contact with key services for women during the period from the last birth through two years postpartum. […]

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Family Planning Needs during the First Two Years Postpartum in Mozambique

This analysis is based on the 2011 Demographic and Health Survey data from Mozambique. It summarizes key findings related to birth and pregnancy spacing, fertility return, unmet need for and use of family planning, and contact with key services for women during the period from the last birth through two years postpartum. […]

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Family Planning Needs during the First Two Years Postpartum in Nigeria

This analysis is based on the 2013 Demographic and Health Survey data from Nigeria. It summarizes key findings related to birth and pregnancy spacing, fertility return, unmet need for and use of family planning, and contact with key services for women during the period from the last birth through two years postpartum. […]

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Family Planning Needs during the First Two Years Postpartum in Tanzania

This analysis is based on the 2010 Demographic and Health Survey data from Tanzania. It summarizes key findings related to birth and pregnancy spacing, fertility return, unmet need for and use of family planning, and contact with key services for women during the period from the last birth through two years postpartum. […]

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Family Planning Needs during the First Two Years Postpartum in Uganda

This analysis is based on the 2011 Demographic and Health Survey data from Uganda. It summarizes key findings related to birth and pregnancy spacing, fertility return, unmet need for and use of family planning, and contact with key services for women during the period from the last birth through two years postpartum. […]

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Fathers Contribute to Healthy Families

This handbill provides information on how men can support their wives/partners during: Pre-pregnancy Pregnancy Labor and delivery Postnatal care Infancy and childhood   […]

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Feasibility and acceptability of oral cholera vaccine mass vaccination campaign in response to an outbreak and floods in Malawi

This MCSP co-authored article, published in the Pan African Medical Journal, highlights the burden of the 2014-15 cholera outbreak in Malawi, and successes and challenges of the country’s oral cholera vaccine campaign conducted in March and April 2015. To read the open access article, click here. […]

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Feasibility Study of the Implementation of iCCM in Bondo Sub-County: Leveraging Existing Systems

In 2013, the Kenya Ministry of Health (MOH) and USAID’s predecessor Maternal and Child Health Integrated Program (MCHIP) initiated an implementation research study to inform the MOH and its partners about the feasibility, success factors, and challenges of implementing integrated community case management. This endline assessment report was completed under MCSP together with the MOH. […]

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Feasibility Study of the Implementation of Integrated Community Case Management in Bondo: Leveraging Existing Systems

This midline assessment report analyzes the effectiveness of integrated community case management (iCCM) in reducing the infant mortality rate in Bondo, Kenya. Community health volunteers delivered iCCM in addition to the care services already in place. The authors make suggestions for how best to improve iCCM and further reduce infant mortality going forward. […]

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Findings from the use of a narrative story and leaflet to influence shifts along the behavior change continuum toward postpartum contraceptive uptake in Sylhet District, Bangladesh

This study, published in the journal Patient Education and Counseling, explored the use of behavior change communication to address perceptions of postpartum return to fecundity and contraceptive adoption. […]

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Findings of the Child Health Task Force Survey

The purpose of this report is to inform the next steps in the consultation process for the development of terms of reference for the proposed Child Health Task Force (CHTF). The findings from the CHTF survey were interpreted in the context of recent reports and ongoing discussions among global child health stakeholders about what the […]

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Focused Review of Successful Quality Improvement Initiatives Aimed at Compliance With Evidence-Based Practice Guidelines for Child Illness Care

This review of peer-reviewed and grey literature focuses on health worker compliance with evidence-based protocols, one of the eight domains of the Quality of Care framework developed by the World Health Organization. Despite the adoption of Integrated Management of Childhood Illness in 100 countries and the rapid uptake of integrated community case management, there is […]

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Formative Research to Identify Factors that Impact the Use of Sexual and Reproductive Health Services by First-Time/Young Parents in Two Regions of Madagascar

In Madagascar, MCSP is developing and testing an intervention to increase access to and use of essential antenatal care, maternal and newborn care, and family planning services that will create enabling environments and strengthen youth assets, so first-time parents and parents-to-be understand their sexual and reproductive health (SRH) choices and access services that are responsive […]

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Geographic information system for improving maternal and newborn health: recommendations for policy and programs

This MCSP co-authored article, published in the journal BMC Pregnancy and Childbirth, offers recommendations for how mapping and Geographic Information System applied to maternal and neonatal health data could potentially be used as part of the broader efforts for ending preventable maternal and newborn mortality. To read the full, open access article, click here. […]

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Global Call to Action to scale-up coverage of intermittent preventive treatment of malaria in pregnancy: seminar report

This open access, MCSP co-authored article in Malaria Journal focuses on the Global Call to Action to scale up preventative treatment of malaria during pregnancy. It summarizes the key points and presentations from the 63rd Annual Meeting of the American Society of Tropical Medicine and Hygiene in 2014. […]

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Global Call to Action: maximize the public health impact of intermittent preventive treatment of malaria in pregnancy in sub-Saharan Africa

This open access, MCSP co-authored Malaria Journal article highlights the Global Call to Action to maximize the impact of preventative treatment of malaria during pregnancy in sub-Saharan Africa. It focuses on the benefits of this treatment, analyses its costs and benefits, and looks at the outcomes of affected newborns and mothers to assess the ability […]

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Goulots d’étranglement et avancées: Leçons apprises de l’introduction de nouveaux vaccins dans des pays à faibles revenues, 2008 à 2013

Over the past several years, the development of new vaccines, along with global efforts to make them more available and affordable, has resulted in the introduction of lifesaving vaccines in low-resource countries around the world. From 2008 to 2013, USAID’s predecessor Maternal and Child Health Integrated Program (MCHIP) provided in-depth technical assistance on the operational […]

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Graphic: Strong Systems Sustain RMNCH Outcomes

To support MCSP’s reproductive, maternal, newborn, and child health mandate, the Program’s approach to health systems strengthening focuses on addressing barriers most connected to service delivery to scale-up and sustain high-impact interventions. This graphic illustrates how MCSP moves beyond providing system inputs to driving system performance improvements by purposely managing interactions between different parts of […]

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Haiti Fact Sheet

Key MCSP achievements in Haiti during the Program’s first year. […]

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Health Management Information Systems (HMIS) Review

This review examines the availability of data elements related to key lifesaving interventions and health outcomes, especially data elements that can be used to calculate globally recommended indicators included in national Health Management Information Systems (HMIS) recording and reporting forms. This brief presents findings from the survey on the availability of key maternal, newborn and […]

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HelloMama Brief for Engagement with Mobile Network Operators in Nigeria

HelloMama is an initiative that aims to improve maternal, newborn, and child health behaviors and outcomes in Nigeria through a demand generation mobile health program that delivers age- and stage-based messages to pregnant women, mothers, and household decision-makers. This brief discusses challenges and recommendations of working with different technology platforms and mobile network operators in Nigeria. […]

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HelloMama Project Brief

HelloMama is an initiative that aims to improve maternal, newborn, and child health behaviors and outcomes in Nigeria through a demand generation mobile health program that delivers age- and stage-based messages to pregnant women, mothers, and household decision-makers. This brief is an overview of the HelloMama project, as well as an overview of the level of […]

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Helping Babies Breathe Country Case Study: Colombia

This case study details the successful national scale-up of Helping Babies Breathe in Colombia, where the neonatal mortality rate has been stable, but remains slightly higher than the average rate in Latin America and the Caribbean.   […]

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Helping Babies Breathe Country Case Study: Dominican Republic

This case study documents scale-up of Helping Babies Breathe in the Dominican Republic, which has the third highest neonatal mortality rate in Latin America and the Caribbean. […]

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Helping Babies Survive Asia Regional Workshop: Meeting Report

The Helping Babies Survive Asia Regional Workshop was held in Dhaka, Bangladesh, on April 8-13, 2015. The workshop brought together representatives from Ministries of Health, as well as clinicians, national maternal and newborn trainers, program managers, and technical advisors from regional and global maternal and newborn health development partners. The workshop’s goals were to: a) introduce […]

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HIV and TB Fact Sheet

Features key facts and Program work in HIV and TB. […]

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Immunization review meetings: “Low Hanging Fruit” for capacity building and data quality improvement?

Although systematic program review meetings are common practice in many health and immunization programs, there is little documentation on their implementation and role. Adult education principles espouse opportunities for peer exchange to build capacity and cross-learning, for which review meetings have been a forum utilized in immunization programs for many years. This study describes the […]

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Implementing Malaria in Pregnancy Programs in the Context of World Health Organization Recommendations on Antenatal Care for a Positive Pregnancy Experience

This technical brief highlights recommendations for the prevention and treatment of malaria in pregnancy (MiP) in the context of the World Health Organization (WHO) Recommendations on Antenatal Care for a Positive Pregnancy Experience, published in 2016. This brief is also available in French and Portuguese. […]

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Improving the Generation, Quality and Use of Routine Immunization Data: Preliminary Learning

MCSP is documenting lessons learned across MCSP-supported countries using different approaches to improve the generation and active use of routine immunization data at levels close to where the data is generated. […]

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Indicators That Describe the Strength of the Routine Immunization System: Preliminary Learning

This brief shares MCSP’s emerging findings from an iterative learning process to understand how certain indicators can benefit the immunization system.   […]

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Infographic: Steps to Ending Malaria in Pregnancy

Infographic illustrating how MCSP is working to end malaria in pregnancy through work at the community, facility, national and global levels. […]

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Inside MCSP: Family Planning Voices with Koki Agarwal and Anne Pfitzer

MCSP Director Dr. Koki Agarwal and MCSP Family Planning Team Lead Anne Pfitzer share their thoughts on the opportunities and challenges that arise when integrating postpartum family planning, its importance, and how to improve existing perceptions about family planning. […]

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Institutionalizing community-focused maternal, newborn, and child health strategies to strengthen health systems: A new framework for the Sustainable Development Goal era

Stronger health systems, with an emphasis on community-based primary health care, are required to help accelerate the pace of ending preventable maternal and child deaths as well as contribute to the achievement of the Sustainable Development Goals (SDGs). The success of the SDGs will require unprecedented coordination across sectors, including partnerships between public, private, and […]

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Institutionalizing early vaccination of newborns delivered at government health facilities: Experiences from India

This MCSP co-authored article in the International Journal of Medical Research and Review highlights work done under the Maternal and Child Health Integrated Program, which was operational in India from 2009 – 2014 and provided technical support to the Universal Immunization Program (UIP) at the national level and in the states of Jharkhand and Uttar […]

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Integrated Community Case Management of Childhood Illness

This postcard directs viewers to CCMCentral.com, a website managed by MCSP, which houses resources and best practices related to planning, implementing, monitoring and scaling-up community case management of childhood illness. […]

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Integrating Maternal, Infant, and Young Child Nutrition and Family Planning Services in Bondo Sub-County, Kenya

This document captures the outcomes of a demonstration program integrating maternal, infant, and young child nutrition, and family planning (FP) services in six health facilities and adjacent community units in Bondo Sub-County, Siaya County, Western Kenya. The main objective of the initiative was to enhance and strengthen the linkages between nutrition and FP interventions in […]

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Investing in Malaria in Pregnancy in Sub-Saharan Africa: Saving Women’s and Children’s Lives

To download the English version of the infographic on malaria in pregnancy dangers, recommendations and messages, click here. The infographic is also available in French and Portuguese. […]

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Kangaroo Mother Care briefs

These briefs were developed as part of the Kangaroo Mother Care (KMC) Acceleration Partnership’s work to document the status of KMC implementation. The briefs include a summary of challenges, lessons learned, future actions, and related resources for the following six countries: Bangladesh Ethiopia India Malawi Nigeria Rwanda   […]

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Kangaroo mother care: a multi-country analysis of health system bottlenecks and potential solutions

This MCSP co-authored article published in the journal BMC Pregnancy & Childbirth aims to: 1) use a 12-country analysis to explore health system bottlenecks affecting the scale-up of kangaroo mother care; (2) propose solutions to the most significant bottlenecks; and (3) outline priority actions for scale-up. The 12 countries reviewed in the article are: Cameroon, […]

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Knowledge, Practice and Coverage Tool

The Knowledge, Practice and Coverage survey tool (KPC) is designed to be used for rapid small population household surveys for integrated programs that are linked to communities. It is a flexible tool that allows for surveys to be tailored to various technical areas and combination of areas, while maintaining standards for collection of information for […]

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Lessons Learned from the Scale-Up Experience of Six High-Impact Interventions in Reproductive, Maternal, Newborn, and Child Health

USAID’s predecessor flagship Maternal and Child Health Integrated Program (MCHIP) worked in more than 50 developing countries in Africa, Asia, Latin America, and the Caribbean to assist in the scale up of high impact interventions in reproductive, maternal, newborn, and child health (RMNCH). This brief summarizes the results of the Program’s scale up experience and […]

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Leveraging Antenatal Care to Increase Uptake of Postpartum Family Planning: A Key Time for Counseling

Prevention of unwanted and closely spaced pregnancies substantially reduces maternal, infant, and child mortality. Postpartum family planning (PPFP) plays an important role in strategies to prevent these pregnancies in the first year after childbirth. The World Health Organization (WHO) recommends the integration of family planning (FP) as an essential component of antenatal care (ANC) and […]

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Leveraging the Global Fund New Funding Model for Integrated Community Case Management: A Synthesis of Lessons from Five Countries

This report reviews the experience of five countries—Ghana, Kenya, Nigeria, Uganda and Zambia—with the Global Fund New Funding Model. Specifically, the report reviews efforts to incorporate integrated Community Case Management (iCCM) into eligible countries’ malaria and health systems strengthening concept notes to leverage resources to scale up iCCM. […]

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Limits of “ Skills And Drills ” Interventions to Improving Obstetric and Newborn Emergency Response: What More Do We Need to Learn?

This article, published in the journal Global Health: Science and Practice, examines a “skills and drills” intervention in four hospitals in Karnataka, India. Results show modest improvement in provider knowledge and skills, but not in actual response to obstetric and newborn emergencies. The author explores possible explanations, which include: 1) the need for a more […]

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Literature Review: Civil Society Engagement to Strengthen National Health Systems to End Preventable Child and Maternal Death

This document summarizes a literature review on civil society engagement to strengthen national health systems to end preventable child and maternal death. The role of civil society in national health system strengthening remains ill-defined as disagreements continue to exist concerning the roles and responsibilities of donors, governments and civil society itself. The authors aim to […]

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Looking Back and Planning Ahead: Examining Global Best Practices in Communication for Inactivated Polio Vaccination Introduction in Rwanda

The global polio community is committed to ensuring that all countries currently using oral polio vaccination (OPV) add at least one dose of inactivated polio vaccination (IPV) to their immunization schedules. Globally, communication efforts have been at the forefront of polio eradication programs for more than 25 years. This article combines research from secondary and […]

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Making Every Baby Count: Audit and Review of Stillbirths and Neonatal Deaths

This four-page document presents the highlights from the World Health Organization’s 2016 Audit Guide. Three important aims of the audit are to: Understand the burden of stillbirths and neonatal deaths by capturing trends over time for all births and deaths; Generate information about causes of death and modifiable factors by examining individual deaths in detail […]

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Making Strides to Prevent and Treat Malaria in Pregnancy (infographic)

From the global to the country level, MCSP via leadership in the Roll Back Malaria Partnership’s Malaria in Pregnancy Working Group has worked alongside country and global partners to help women avoid the dangerous effects of malaria in pregnancy. […]

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Malaria in Pregnancy (MiP) Resources

Each year, malaria in pregnancy (MiP) is responsible for 20% of stillbirths and 11% of newborn deaths in sub-Saharan Africa. MCSP is committed to providing resources and technical assistance to strengthen MIP programs to deliver health impact. In 2016, WHO released Recommendations on Antenatal Care for a Positive Pregnancy Experience. These ANC recommendations should be […]

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Mali: Qualitative Study of the Low Utilization of Essential Community Care

This study — covering four health districts in Mali — employed data collection techniques including focus group discussions, interviews with small groups, and individual one-on-one interviews from November 12-27, 2013. […]

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Managing complications in pregnancy and childbirth: a guide for midwives and doctors

Since the first edition was published in 2000, the Managing complications in pregnancy and childbirth (MCPC) manual has been used widely around the world to guide the care of women and newborns who have complications during pregnancy, childbirth and the immediate postnatal period. The MCPC manual targets midwives and doctors working in district-level hospitals. Selected chapters from […]

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Mapping Global Leadership in Child Health

This study aims to better understand both the evolution of child health as a global health issue since the year 2000, as well as its network of stakeholders and leaders. Building on this understanding, the authors explore how leadership might be strengthened and child health re-positioned by the community to attain better outcomes in the […]

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Mapping Global Leadership in Child Health

This study aims to better understand both the evolution of child health as a global health issue since the year 2000, as well as its network of stakeholders and leaders. Building on this understanding, the authors explore how leadership might be strengthened and child health repositioned by the community to attain better outcomes in the […]

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Maternal and Child Survival Program Engagement in the 2016 Gavi Joint Appraisal: A Summary of Country Experiences

The Gavi Alliance (Gavi) joint appraisal (JA) is an annual, in-country multi-stakeholder review of the implementation progress and performance of Gavi’s support for new and under-used vaccines and health system strengthening support, and of its contribution to improved immunization outcomes. Before the introduction of this process in 2015, in order for countries to renew funding […]

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Maternal and Child Survival Program Engagement in the 2017 Gavi Joint Appraisal and Country Engagement Framework: A Summary of Country Experiences

To assess the implementation progress and performance of Gavi’s support for new and underutilized vaccines and health system strengthening efforts, as well as its contribution to improved immunization coverage and equity, Gavi countries engage in regular review processes — either joint appraisals (JAs) or country engagement framework (CEF) reviews. This report provides an overview of […]

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Maternal and Child Survival Program Equity Toolkit

This guide was developed to give those who design and implement community-oriented health programs a systematic approach to programming that incorporates identifying and addressing health inequities and measuring equity improvements. It is aimed at professionals working in reproductive, maternal, newborn and child health programs, especially those that are part of MCSP country programs. While it […]

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Maternal and Child Survival Program: Zambia

Final report for the MCSP/Zambia program: July 2014 to June 2015. […]

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Maternal and Child Survival Start Up Report

This report covers program Maternal and Child Survival Program start-up activities implemented from March 17, 2014 to September 30, 2014. The startup period involved intensive work on two critical tracks: 1) supporting USAID’s engagement in global technical and policy fora to keep focused momentum on Ending Preventable Child and Maternal Deaths; and 2) startup activities […]

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Maternal Nutrition Programming in the context of the 2016 WHO Antenatal Care Guidelines

This brief operationalizes the revised World Health Organization 2016 antenatal care recommendations, providing guidance on how programs can plan and implement nutrition and anemia interventions for pregnant women. It is intended for program implementers, district- and health facility-level program managers, and policy makers. […]

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Maximizing Opportunities: Family Planning and Maternal, Infant, and Young Child Nutrition Integration in Bondo Sub-County, Kenya

This article shares learning from an innovative demonstration program integrating maternal, infant, and young child nutrition (MIYCN) and family planning (FP) services in western Kenya, providing recommendations for future work to expand MIYCN and FP integration. Description Six health facilities reorganized to integrate MIYCN and FP services and community health volunteers (CHVs) promoted MIYCN and FP in adjacent communities in Bondo Sub-County […]

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MCSP Annual Report: Year One

Report summarizing Program achievements for Year 1 (October 1, 2014 to September 30, 2015). […]

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MCSP Annual Report: Year Two

Report summarizing Program achievements for Year 2 (October 1, 2015 to September 30, 2016). To download the report, click here. […]

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MCSP Child Health Fact Sheet

Features key facts and Program work in child health; also available in French. […]

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MCSP Community Health & Civil Society Engagement Fact Sheet

Features key facts and Program work in community health and civil society engagement; also available in French. […]

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MCSP Fact Sheet

Two-page overview of USAID’s flagship Maternal and Child Survival Program, which is designed to advance the Agency’s goal of ending preventable child and maternal deaths. Available in English, French and Spanish. […]

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MCSP Gender Fact Sheet

Features key facts and Program work in gender. […]

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MCSP Health Systems Strengthening Fact Sheet

Features key facts and Program work in health systems strengthening. […]

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MCSP Immunization Fact Sheet

Features key facts and Program work in immunization; also available in French. […]

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MCSP Innovations Fact Sheet

Features facts and Program work in seven key innovations. […]

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MCSP Liberia: Restoration of Health Services Endline Assessment Findings – In Brief

This brief highlights MCSP work in Liberia through the Restoration of Health Services project, which aimed to improve adherence to infection prevention and control practices and restore quality health services in 77 health facilities across Grand Bassa, Lofa and Nimba counties. […]

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MCSP Madagascar Technical Brief: Postpartum Family Planning

This technical brief describes MCSP’s postpartum family planning support in Madagascar. The project has supported the capacity-building of health facilities in 16 regions by upgrading health worker skills and staffing technical equipment, and discusses the positive results garnered from the work. The brief is also available in French. […]

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MCSP Malaria Fact Sheet

Features key facts and Program work in malaria; also available in French. […]

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MCSP Maternal Health Fact Sheet

Features key facts and Program work in maternal health; also available in French. […]

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MCSP Newborn Health Fact Sheet

Features key facts and Program work in newborn health; also available in French. […]

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MCSP Nutrition Brief

This brief examines junk food consumption as a nutrition problem among infants and young children, and provides related evidence and program consideration for low- and middle-income countries. […]

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MCSP Nutrition Fact Sheet

Features key facts and Program work in nutrition; also available in French. […]

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MCSP Reproductive Health Fact Sheet

Features key facts and Program work in reproductive health; also available in French. […]

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MCSP Social and Behavior Change Communication Fact Sheet

Features facts and Program work in social and behavior change communication. […]

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MCSP Water, Sanitation & Hygiene Fact Sheet

Features key facts and Program work in WASH; also available in French. […]

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MCSP Zika Response: Scoping Visit Assessment Tool

From November 2017 through January 2018, the MCSP Zika Response Team conducted scoping visits to five countries in the English-speaking Caribbean to better understand country health systems, identify priority cross-cutting and technical areas, and discuss potential MCSP approaches to strengthen the Zika virus response, in consultation with ministries of health and other stakeholders. The adaptable […]

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Measurement of Health Program Equity Made Easier: Validation of a Simplified Asset Index Using Program Data From Honduras and Senegal

Piggy-backing on an existing representative household survey that includes an asset index, it is possible to assess the socioeconomic distribution of program beneficiaries at low cost. The typically large number of questions used to construct the asset index, however, deters many implementers from adopting this approach. This Global Health: Science and Practice article highlights a […]

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Mentoring for Human Capacity Development: Implementation Principles and Guidance

Efforts to improve health care provider performance in low- and middle-income countries (LMICs) extend beyond isolated in-service training and traditional supervision methodologies to include additional approaches such as mentoring. This brief presents principles and recommendations for the use of mentoring for human capacity development (HCD) within the MCSP. The guidance stems from a review of […]

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Mini-Laparotomy for Tubal Ligation Under Local Anesthesia

This video of mini-laparotomy for tubal ligation is useful for counselors providing information on this method. […]

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Minilaparotomy under Local Anesthesia: Reference Manual

This approach to minilaparotomy was developed to enable provision of the procedure on a large scale and at minimal cost by non-specialist doctors given specific surgical training. […]

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Missed opportunities for family planning: an analysis of pregnancy risk and contraceptive method use among postpartum women in 21 low- and middle-income countries

This open access, MCSP co-authored article in the journal Contraception analyzes data from recent Demographic and Health Surveys conducted in 21 low- and middle-income countries to examine patterns of interpregnancy intervals, unmet need, pregnancy risk, and family planning method use and method mix among women 0–23 months postpartum. The countries reviewed were: Bangladesh, Burkina Faso, […]

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MMEL Fact Sheet

Features key facts and Program work in measurement, monitoring and evaluation and action-oriented learning. […]

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Mobile Alliance for Maternal Action (MAMA) Lessons Learned

This document highlights key operational lessons learned from four country programs—Bangladesh, South Africa, India and Nigeria—that implemented the Mobile Alliance for Maternal Action (MAMA) approach. The MAMA approach uses age- and stage-based messaging directed toward pregnant women, new mothers and families to foster behavior change and improve maternal and child health outcomes. This report aims […]

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Mobile Alliance for Maternal Action (MAMA) Lessons Learned Brief

This document highlights key operational lessons learned from four country programs—Bangladesh, South Africa, India and Nigeria—that implemented the Mobile Alliance for Maternal Action (MAMA) approach. The MAMA approach uses age- and stage-based messaging directed toward pregnant women, new mothers, and families to foster behavior change and improve maternal and child health outcomes. […]

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Monitoring coverage of fully immunized children

This MCSP co-authored article in the journal Vaccine highlights a mini-survey conducted to assess the status of monitoring coverage of fully immunized children (FIC) in Eastern and Southern African countries. The authors designed and distributed a structured self-administered questionnaire to all 19 national program managers attending a meeting in March 2014 in Harare, Zimbabwe. Responses […]

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Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management

In March 2014, the iCCM Task Force published an Indicator Guide for Monitoring and Evaluating iCCM: a ‘menu’ of recommended indicators with globally agreed definitions and methodology, to guide countries in developing robust iCCM monitoring systems. The Indicator Guide was conceived as an evolving document that would incorporate collective experience and learning as iCCM programs […]

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Monitoring Postpartum Family Planning: A challenge for routine information systems

The purpose of this brief is to share examples of how to capture the number of women who receive family planning before discharge after giving birth in a facility – one important element of postpartum family planning (PPFP). The brief includes examples from four countries. These approaches are used in facilities where the USAID-funded Maternal and Child Survival […]

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Moving Toward Viable, Integrated Community Health Platforms to Institutionalize Community Health in National Strategies to End Preventable Child and Maternal Deaths

This resource defines a Viable, Integrated Community Health Platform, and explains how MCSP introduces and supports high-impact health interventions in 24 USAID priority countries to end preventable child and maternal deaths. […]

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Neglected Value of Small Population-based Surveys: Comparison with Demographic and Health Survey Data

This open access, MCSP co-authored article in Journal of Health, Population and Nutrition compares a knowledge, practice, and coverage (KPC) household survey and Rwanda Demographic and Health Survey (RDHS) carried out in overlapping timeframes. The authors believe that global health practice and evaluation operate with misleading assumptions about lack of reliability of small population-based health […]

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Newborn Health Technical Briefs

This set of briefs presents key highlights from the World Health Organization’s guidelines on basic newborn resuscitation (WHO, 2012), optimal feeding of low-birthweight (LBW) infants in low- and middle-income countries (WHO, 2011), and the audit and review of stillbirths and neonatal deaths (WHO, 2016). Basic Newborn Resuscitation Brief Optimal Feeding of Low-Birthweight Infants in Low- and Middle-Income Countries Brief Making […]

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Obstetric Ultrasound Capacity Assessment in the Context of an Outbreak of Zika Virus Infection

Recognizing the role of quality obstetric ultrasound evaluation in the care of pregnant women living in areas affected by the Zika virus epidemic, USAID called on its implementing partners to perform a rapid, five-country capacity assessment of both ultrasound providers and ultrasound equipment, in collaboration with United States and regional professional societies. The goal of […]

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Operational Guidance for Maternal and Child Survival Country Programs: In-Service Clinical Training

This operational guidance presents evidence-based recommendations for in-service training of health care providers affiliated with MCSP. It also provides illustrative country examples of innovative approaches to address common challenges to clinical training. This guidance can be used in MCSP country programs to strengthen competency-based training to increase knowledge and skills of health care providers, contributing […]

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Operational Guidance for Maternal and Child Survival Country Programs: Pre-Service Education

Pre-service education is the curriculum of studies that prepares a health provider with the competencies required for entry into a health profession. This operational guidance presents evidence-based recommendations for pre-service education of health care providers affiliated with MCSP. This guidance can be used in MCSP country programs to strengthen pre-service education systems. […]

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Optimizing treatment for the prevention of pre-eclampsia/eclampsia in Nepal: is calcium supplementation during pregnancy cost-effective?

Published in Cost Effectiveness and Resource Allocation, this article presents findings from a cost-effectiveness analysis of a pilot project, which provided calcium supplementation through the public sector to pregnant women during antenatal care for PE/E prevention as compared to existing PE/E management in Nepal. To read the full, open access article in the journal Cost […]

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Overview of MCSP Year One Results Summary

Two-page briefer presenting MCSP’s Year One results. […]

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Oxytocin in Uniject Disposable Auto-Disable Injection System versus Standard Use for the Prevention of Postpartum Hemorrhage in Latin America and the Caribbean: A Cost-Effectiveness Analysis

Despite strong evidence showing the efficacy of routine oxytocin in preventing postpartum hemorrhage (PPH), the proportion of women receiving it after delivery is still below 100%. The Uniject injection system prefilled with oxytocin (Uniject) has the potential advantage, due to its ease of use, to increase oxytocin utilization rates. This open access, MCSP co-authored article in PLOS ONE aims to assess its […]

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Pathway of Opportunities for Postpartum Women to Adopt Family Planning

By explaining why postpartum family planning is critical to improving maternal health, this tool was designed to promote knowledge and increase access to family planning through integration within an existing continuum of maternal, newborn, and child health services. […]

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Phase I Report: WASH for Neonatal and Maternal Sepsis Reduction Study

To investigate the current hygiene practices of health care staff, mothers, and other caregivers from the onset of labor through the first two days of life, MCSP commissioned the Improved Hygiene for Maternal and Newborn Sepsis Reduction Study. This study is part of a larger 4-phased activity MCSP is conducting in Eboni and Kogi States, […]

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Plausible role for CHW peer support groups in increasing care-seeking in an integrated community case management project in Rwanda: a mixed methods evaluation

This MCSP co-authored article, published in Global Health: Science and Practice, reveals greater improvements in care-seeking during national scale up of integrated community case management in Rwanda. Success was attributed to an emphasis on routine data review, intensive monitoring, collaborative supervision, community mobilization, and, in particular, CHW peer support groups. […]

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Policy Change to Advance Scale-Up of High-Impact Reproductive, Maternal, Newborn, and Child Health Interventions

This four-page brief focuses on MCSP work in developing or updating reproductive, maternal, newborn and child health policies, and the impact these policies will have in expanding coverage of key interventions globally and within Program countries. […]

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Polio Eradication and Health Systems in Karachi: Vaccine Refusals in Context

Community and health worker engagement will be key to polio eradication in Karachi, Pakistan. In this study, the authors conducted participant observation, interviews, and a document review in SITE Town, Karachi, an area that in recent years has harbored poliovirus. SITE’s diverse population includes large numbers of internally displaced persons who are disproportionately affected by […]

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Polio Immunization Social Norms in Kano State, Nigeria: Implications for Designing Polio Immunization Information and Communication Programs for Routine Immunization Services

This study explored polio immunization social norms in Kano State, Nigeria, one of the last polio endemic regions in the world. The study aimed to answer the following research question: what polio immunization social norms exist in Kano, Nigeria To read the full, open access article in the journal Global Health Communication, click here. […]

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Poster: A Regional Assessment of Facility-Level Maternity and Perinatal Death Surveillance and Response Systems in Four Sub-Saharan Countries

Poster illustrating the assessment, objectives, methods, and results of an assessment of facility-level maternity and perinatal death surveillance and response systems in four sub-Saharan countries: Tanzania, Nigeria, Rwanda and Zimbabwe. Includes nine recommendations. […]

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Posters: Fathers Contribute to Healthy Families

These posters provide information on how men can support their wives/partners during: Pre-pregnancy and pregnancy Labor and delivery; postnatal care; and infancy and childhood […]

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Postnatal Care Bedside Pre-Discharge Poster and Checklists

These pre-discharge resources include: A counseling and care poster displaying criteria to meet before mothers and newborns leave the facility after birth for African and Asian contexts; and Two postnatal care checklists: for African and Asian contexts. […]

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Postnatal Care for Mothers and Newborns

This resource distills highlights from the World Health Organization 2013 guidelines. Available in English, French, Spanish and Portuguese. […]

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Postnatal Care, with a Focus on Home Visitation

Since 2008, considerable attention has been given to testing community-based strategies involving postnatal home visitation (PNHV) in low-income, high newborn-mortality country settings. A number of countries have made efforts to implement such programs at scale and lessons are now accruing on these program experiences. However, also over this period, many countries (including those that have […]

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Postpartum Family Planning Annotated Bibliography: 2008-2014

Beginning in 2006, the ACCESS-FP program compiled an annotated bibliography of postpartum family planning literature to promote documented best practices and serve as a reference for both researchers and program managers. Updates to the original bibliography were made under ACCESS-FP in 2007, 2008 and 2010, and then again by the Maternal and Child Health Integrated […]

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Postpartum Family Planning During Sociopolitical Transition: Findings from an Integrated Community-Based Program in Egypt

To download this MCSP co-authored article, click here. (Note: A subscription is required to view the article in full.) […]

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Postpartum family planning integration with maternal, newborn and child health services: a cross-sectional analysis of client flow patterns in India and Kenya

This MCSP co-authored article – published in BMJ Open journal – illuminates the degree of maternal, newborn and child health (MNCH) – family planning integration, as well as associations between integration, client characteristics, and service delivery factors in facilities that received programmatic postpartum family planning support. Findings suggest importance of focused programmatic support for integration by MNCH service area. Family […]

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Postpartum Hemorrhage Implementation Framework

This updated Postpartum Hemorrhage Implementation Framework is a “living” document to be used by members of the postpartum hemorrhage (PPH) implementation community of practice and other interested program implementers. The framework outlines key elements that PPH program implementers working at scale in low-resource settings should consider. The framework is not intended to be a how-to […]

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Practice of skin-to-skin contact, exclusive breastfeeding and other newborn care interventions in Ethiopia following promotion by facility and community health workers: results from a prospective outcome evaluation

Published in Acta Paediatrica, this article assesses the effects of a facility and community newborn intervention package on coverage of early skin-to-skin contact and exclusive breastfeeding — the therapeutic components of kangaroo mother care. To read the abstract and full article (subscription required), click here. […]

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Preliminary Lessons Learned: Integration of IMNCI Standards in Three Health Centers in Guinea

Since the early 2010s, Guinea has implemented the Standards-Based Management and Recognition (SBM-R™) approach to strengthen the quality of services in emergency obstetric and newborn care (EmONC), family planning (FP), and infection prevention (IP). In the first quarter of 2014, the total number of health facilities implementing SBM-R reached 60. In October 2013, the SBM-R […]

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Preliminary Results of an Analysis of the Maternal and Newborn Content of Routine Information Systems in 24 Countries

This review of routine Health Management Information Systems (HMIS) maternal, newborn and child health (MNCH) content across 24 countries can help country and global stakeholders understand which MNCH indicators can be currently calculated using data available in routine information systems. Data gaps identified by the review can help inform revisions to facility registers (and patient […]

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Presentation: A Positive Pregnancy Experience

Presentation for MCSP country program staff on highlights and considerations from the World Health Organization 2016 recommendations on antenatal care for a positive pregnancy experience. […]

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Prevention and Control of Pneumonia and Diarrhea: Technical Reference Materials

These resources act as guides to help program planners and implementers consider the many elements in a particular technical area of the Child Survival and Health Grants Program. They are not an official policy for practice; rather, they are basic, everyday summaries to be used as field reference documents. They may also be accessed in […]

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Prevention of Zika Virus Infection: Key Points for Counseling Women of Reproductive Age

This brief summarizes key points to include when counseling women of reproductive age on prevention of Zika virus (ZIKV) infection. Institutionalizing counseling practices described here may contribute to a health system that is more resilient to possible future outbreaks of ZIKV infection. While not all guidelines from these sources may be immediately feasible for all […]

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Program considerations for integration of nutrition and family planning: Beliefs around maternal diet and breastfeeding within the context of the nutrition transition in Egypt

This study used in-depth interviews with pregnant women, lactating women, and nonlactating women to gain an understanding of behaviors, perceptions, and cultural beliefs in relation to maternal dietary intake during pregnancy, lactation, and nonlactation; weight gain during pregnancy; birth spacing; and family planning. To read the full, open access article in Maternal and Child Nutrition, click […]

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Promoting Healthy Behaviors among Egyptian Mothers: A Quasi-Experimental Study of a Health Communication Package Delivered by Community Organizations

This MCSP co-authored article, published in the journal PLOS ONE, examines how decisions made at the household level—to seek antenatal care or breastfeed, for example—can have a direct impact on the health of mothers and newborns. The SMART Community-based Initiatives program in Egypt worked with community development associations to encourage better household decision-making by training […]

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Providing antenatal corticosteroids for preterm birth: a quality improvement initiative in Cambodia and the Philippines

This International Journal for Quality in Health Care Advance Access article aims to determine if a simple quality improvement initiative will result in increased use of antenatal corticosteroids among pregnant women at risk of imminent preterm birth. The women delivered at health facilities in the Philippines and Cambodia. To read the full article, click here. […]

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Providing Long-Acting Reversible Contraception (LARC) Learning Resource Package

The purpose of this learning resource package is to provide trainers, facilitators and program staff with a comprehensive resource for high-quality long-acting reversible contraception (LARC) services using a modular, facility-based approach for training, capacity building and mentorship. The integrated learning package consists of an implementation guide and ten modules, including counseling, infection prevention, quality of […]

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Reaching Every Community Using Quality Improvement (REC-QI): Mapping to support routine immunization microplanning in Uganda

The success of immunization depends largely on the ability to reach every child with vaccination services. That, in turn, requires that health facilities have current information on where even the most remote and underserved communities live so that plans to reach them can be prepared. This document describes a process developed by MCSP/Uganda for accurately […]

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Recommendations for Augmentation of Labour

This resources distills the highlights and key messages from the World Health Organization’s 2014 global recommendations. Available in English, French, Spanish and Portuguese. […]

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Redefining Immunization: Not Just a Shot in the Arm

The persistence and periodic resurgence of vaccine-preventable diseases have raised questions about the determinants of poor immunization coverage. In Sub-Saharan Africa, traditional health practitioners (THPs) play a major role in providing health care and health education, particularly in rural areas where Western health care is unavailable. The project, Immunization Advocacy: Saving Lives of Africa’s Children, […]

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Report on MCSP Support for the Polio Switch in April 2016

In April 2016, the largest and fastest globally-coordinated project in the history of immunization was carried out in 155 countries and territories. Known as “the switch,” this activity entailed replacing trivalent oral polio vaccine (tOPV), which protects against all three strains of the poliovirus, with the bivalent form (bOPV) which protects against two strains, types […]

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Reproductive, Maternal, Newborn, and Child Health: Rapid Health Systems Assessment

The Rapid Health Systems Assessment (RHSA) is a qualitative exercise used to: 1) quickly diagnose operations and management challenges at the subnational level that may impact reproductive, maternal, newborn, and child health (RMNCH) services and program activities; 2) prioritize key areas for strengthening; and 3) identify assets and opportunities in the health system. To guide […]

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Research Brief: Findings from formative research with first-time parents in two states of Nigeria

This brief explains MCSP’s implementation of an activity in Kogi and Ebonyi states in Nigeria to address the needs of pregnant and parenting adolescents, with the ultimate objective of increasing use of ANC, safe delivery, and PPFP services to delay a subsequent pregnancy. To inform planning for this intervention, MCSP conducted formative research to understand the SRH needs […]

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Respectful maternal and newborn care: building a common agenda

This MCSP co-authored commentary, published in the journal BMC Reproductive Health, provides examples from literature and other sources of where respectful care for newborns has been lacking, and suggests opportunities for integration of maternal and newborn health care going forward. The authors illustrate the need for respectful treatment and consideration across the continuum of care for mothers, stillbirths, […]

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Respectful maternity care in Ethiopian public health facilities

Disrespect and abuse of women during institutional childbirth services is one of the deterrents to utilization of maternity care services in Ethiopia and other low- and middle-income countries. Published in Reproductive Health, this paper describes the prevalence of respectful maternity care (RMC) and mistreatment of women in hospitals and health centers, and identifies factors associated with […]

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Respectful Maternity Care Workshop: Meeting Report

The respectful maternity care workshop was designed to support progress toward Millennium Development Goal 5 in Tanzania by increasing the percentage of women who give birth in suitable facilities. […]

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Responding to Health System Needs: Findings and Implications from Rapid Health Systems Assessments of Reproductive, Maternal, Newborn, and Child Health Services

The Rapid Health Systems Assessment (RHSA) is a qualitative exercise developed by MCSP to: (1) quickly diagnose operations and management challenges at the subnational level that may affect reproductive, maternal, newborn, and child health (RMNCH) services and program activities; (2) prioritize key areas for strengthening; and (3) identify assets and opportunities in the health system. The […]

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Review of Monitoring of Malaria in Pregnancy through National Health Management Systems: Kenya

This report presents findings from a review of national Health Management Information Systems in Kenya to improve understanding of how the Ministry of Health—both National Malaria Control Programs and Reproductive Health Units—is monitoring and reporting their malaria in pregnancy related program results, and how the data are being used. The report also includes recommendations on […]

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Review of Monitoring of Malaria in Pregnancy through National Health Management Systems: Malawi

This report presents findings from a review of national Health Management Information Systems in Malawi to improve understanding of how the Ministry of Health—both National Malaria Control Programs and Reproductive Health Units—is monitoring and reporting their malaria in pregnancy related program results, and how the data are being used. The report also includes recommendations on […]

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Review of Monitoring of Malaria in Pregnancy through National Health Management Systems: Mali

This report presents findings from a review of national Health Management Information Systems in Mali to improve understanding of how the Ministry of Health—both National Malaria Control Programs and Reproductive Health Units—is monitoring and reporting their malaria in pregnancy related program results, and how the data are being used. The report also includes recommendations on […]

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Review of Monitoring of Malaria in Pregnancy through National Health Management Systems: Mozambique

This report presents findings from a review of national Health Management Information Systems in Mozambique to improve understanding of how the Ministry of Health—both National Malaria Control Programs and Reproductive Health Units—is monitoring and reporting their malaria in pregnancy related program results, and how the data are being used. The report also includes recommendations on […]

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Review of Monitoring of Malaria in Pregnancy through National Health Management Systems: Results from Six Countries in Sub-Saharan Africa

This report presents findings from a review of national Health Management Information Systems in six countries in Sub-Saharan Africa to improve understanding of how Ministries of Health—both National Malaria Control Programs and Reproductive Health Units—are monitoring and reporting their malaria in pregnancy related program results, and how the data are being used. President’s Malaria Initiative countries […]

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Review of Monitoring of Malaria in Pregnancy through National Health Management Systems: Tanzania

This report presents findings from a review of national Health Management Information Systems in Tanzania to improve understanding of how the Ministry of Health—both National Malaria Control Programs and Reproductive Health Units—is monitoring and reporting their malaria in pregnancy related program results, and how the data are being used. The report also includes recommendations on […]

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Review of Monitoring of Malaria in Pregnancy through National Health Management Systems: Uganda

This report presents findings from a review of national Health Management Information Systems in Uganda to improve understanding of how the Ministry of Health—both National Malaria Control Programs and Reproductive Health Units—is monitoring and reporting their malaria in pregnancy related program results, and how the data are being used. The report also includes recommendations on […]

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Review of Neonatal Resuscitation Service Measurements

This review of existing measurement methods for newborn resuscitation services was conducted with the aim of understanding the situation as-is, identifying gaps in delivering high-quality newborn resuscitation services, and supporting measurements that are adaptable in different national contexts. […]

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Review of Newborn Indicators in Maternal and Child Survival Program-Supported Countries

This analysis of all MCSP high-impact newborn interventions aims to: Understanding the similarities and differences across indicators in country performance monitoring plans (PMPs) will inform internal MCSP efforts to promote standardization of indicators across countries; Lessons from country PMPs will shed a light on whether there is a need to propose modifications to the Global […]

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Review of the Maternal and Newborn Health Content of National Health Management Information Systems in 24 Countries

Routine Health Management Information Systems (HMIS) are the backbone of monitoring service delivery programs at the national level in low- and middle-income countries. Several global initiatives, such as Ending Preventable Maternal Mortality, Every Newborn Action Plan, and Every Woman Every Child, have issued recommendations for core maternal and newborn health (MNH) indicators, including some that […]

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SBM-R for child health, a synthesis of initial experiences in Guinea and Zimbabwe

The purpose of this review is to find out how the Standards-Based Management and Recognition (SBM-R®) approach has been applied in two countries, Zimbabwe and Guinea, to improve the quality of care for child health. Since the SBM-R approach is one of many quality improvement approaches, the findings will: (1) inform a process of developing […]

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Scaling Up Chlorhexidine Cord Care for Newborns in Liberia

Brief on scaling up chlorhexidine cord care for newborns in Liberia. […]

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Scaling up chlorhexidine for umbilical cord care in Nigeria

Brief on scaling up chlorhexidine for umbilical cord care in Nigeria to reduce newborn deaths from sepsis. […]

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Scaling Up High-Impact Health Interventions in Complex Adaptive Systems: Lessons from MCHIP

This report grew out of a review of the scale up of six maternal and child health interventions in India, Mali, Bangladesh and Malawi. The objective of the review was to identify effective scale-up strategies. […]

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Scaling Up Immediate Postpartum Family Planning Services in Rwanda

Brief on scaling up postpartum family planning services in Rwanda, where unmet need for family planning was 19% in 2015 among all women and even higher for women in the postpartum period. […]

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Scaling up Integrated Community Case Management for Childhood Illness in the Democratic Republic of the Congo

The leading causes of childhood deaths in the the Democratic Republic of the Congo are attributable to neonatal complications and illnesses — mainly diarrhea, pneumonia and malaria. This brief highlights the benefits of getting services closer to remote communities, and larger efforts to scale up integrated community case management for childhood illness to reduce the country’s child […]

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Scaling up practice improvement for labor management and immediate newborn care in Rwanda

This brief highlights work of the Rwanda Ministry of Health, in close collaboration with MCSP, to reduce newborn deaths due to asphyxia in 10 of the country’s districts with three integrated strategies: enhanced provider capacity building through low-dose, high-frequency training, followed by mentoring and focused quality improvement activities. […]

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Selected Results of an Analysis of the Maternal and Newborn Content of Routine Information Systems in 24 Countries

This review of routine Health Management Information Systems (HMIS) maternal, newborn and child health (MNCH) content across 24 countries can help country and global stakeholders understand which MNCH indicators can be currently calculated using data available in routine information systems. Data gaps identified by the review can help inform revisions to facility registers (and patient […]

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Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar

This MCSP co-authored article, published in the African Journal of Reproductive Health, shares the details and results of the Service Availability and Readiness Assessment survey, which was used to generate information on service availability and readiness of maternal, newborn and child health facilities to provide basic health care interventions for obstetric care, neonatal and child […]

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Situation of Routine Immunization in Urban Poor Areas of Kisumu City, Kenya

In Kenya, according to a 2013 assessment, approximately 353,000 people are unimmunized, and DPT3 coverage in the poorest wealth quintile is 10% lower than in the highest quintile. A situation analysis of routine immunization (RI) in Kisumu City was conducted to assess the immunization status of children, and to understand the challenges and barriers to […]

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Small Nations, Large Impact: The Caribbean Regional Midwives Association

This MCSP co-authored article, published in the International Journal of Childbirth, presents an overview of the emergence of professional midwifery in the Caribbean region, beginning with colonial tradition, and linkages with nursing education and practice. Recent actions taken to strengthen the voice of midwifery as an autonomous profession are then described, including the vision for […]

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Social Accountability Resources and Tools

Civil society organizations (CSOs) are increasingly joining forces with public health personnel at the local and national levels to provide greater scrutiny of programs and budgets. Described as “social accountability,” common themes include: preparation and planning; involvement of marginalized and impoverished populations; identification of barriers for effective participation; interface meetings between civil society and governmental/public […]

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Social and Behavior Change Communication for Postpartum Family Planning e-learning course

Initiated under USAID’s predecessor Maternal and Child Health Integrated Program (MCHIP) and finalized under MCSP, this course provides an orientation on “how to” design and implement social and behavior change communication (SBCC) activities for postpartum family planning (PPFP). Learning steps for strategically designing and implementing SBCC activities for PPFP helps to increase the likelihood of […]

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Stratégie pour le renforcement de l’engagement constructif des hommes dans la santé de leur famille et la planification familiale au Togo

Report (in French) on strengthening male engagement in family health and family planning in Togo. […]

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Strategies to Strengthen Community Maternal, Newborn and Child Health: Findings from a Cohort of Child Survival and Health Grants Ending in 2014

Serving as a progress update on commitments made at the 2012 Child Survival Call to Action, this report focuses primarily on the 24 USAID priority countries. […]

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Strengthening Human Capacity Development to Improve RMNCH Outcomes

This four-page brief illuminates the importance of capturing and sharing lessons learned from MCSP country efforts and global evidence on efforts to strengthen human capacity development. […]

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Strengthening the Routine Immunization System through a Reaching Every Child-Quality Improvement Approach in Uganda

This how-to guide, based on experience and lessons learned from introducing Reaching Every Child-Quality Improvement (REC-QI) in Uganda and Ethiopia, provides guidance on how to carry out REC-QI. It supplements, but does not replace, the current national REC strategy. Staff from the Uganda National Expanded Program on Immunization, hospitals, district health teams, and health sub-districts […]

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Successful Practices to Increase Intermittent Preventive Treatment in Ghana

This brief highlights Ghana’s efforts to combat malaria in pregnancy (MIP) from 2007–2010, specifically its success in dramatically increasing uptake of intermittent preventive treatment (IPTp). The resource targets policymakers, program managers and health care workers as countries work toward increasing IPTp uptake as a core component of MIP control. […]

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Successful Proof of Concept of Family Planning and Immunization Integration in Liberia

This MCSP co-authored, open access article in the journal Global Health: Science and Practice gives evidence that mobilizing vaccinators to provide mothers with key family planning information and referrals to co-located, same-day family planning services was feasible in resource-limited areas of Liberia. It details how these efforts led to substantial increases in contraceptive use. Conversely, […]

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Summary Brief and Technical PPT – Managing complications in pregnancy and childbirth: a guide for midwives and doctors

Since the first edition was published in 2000, the Managing complications in pregnancy and childbirth (MCPC) manual has been used widely around the world to guide the care of women and newborns who have complications during pregnancy, childbirth and the immediate postnatal period. The MCPC manual targets midwives and doctors working in district-level hospitals. Selected chapters […]

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Summary Report of the Community Health Worker Forum

MCSP called this November 2014 meeting to inform its community health workplan activities, focusing on successful and sustainable large-scale community health worker (CHW) efforts, and establish sound coordination and collaboration with other USAID-supported activities. The forum brought together 41 participants from more than 20 organizations involved in CHW programming to contribute their thinking to three […]

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Technical Consultation on Reporting and Mapping Maternal Deaths in Countries with High Maternal Mortality

Knowing better routine data are needed to ensure appropriate monitoring of progress toward maternal mortality reduction targets, MCSP convened  a technical consultation in January 2015 to formulate recommendations and next steps for mapping maternal deaths to track progress toward global targets. Data visualization using mapping and other techniques is a powerful tool that can visually […]

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The Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High HIV/STI Prevalence Settings

The Balanced Counseling Strategy Plus (BCS+) toolkits, products of the Population Council’s FRONTIERS program, provide healthcare providers serving clients in areas with high rates of HIV and STIs with complete, high-quality family planning counseling information and materials. (For more information on these tools, visit the Population Council website.) MCSP supported the French translation of this […]

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The Comprehensive Approach to Health Systems Management

This brief on the Comprehensive Approach to Health Systems Management explains an MCSP-developed process in which subnational managers—typically at the district level—leverage, mobilize, and coordinate local health system resources for increased coverage, utilization, quality, equity, and sustainability of health services. The approach supports local decision-makers in identifying, analyzing, and prioritizing health system challenges that have […]

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The Effect of Integrating Family Planning with a Maternal and Newborn Health Program on Postpartum Contraceptive Use and Optimal Birth Spacing in Rural Bangladesh

This MCSP co-authored article published in the journal Studies in Family Planning highlights the challenges of meeting postpartum contraceptive needs in developing countries, where the majority of women deliver at home. Using a quasi-experimental trial design, the authors examined the effect of integrating family planning (FP) with a community-based maternal and newborn health (MNH) program […]

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The future of routine immunization in the developing world: challenges and opportunities

This MCSP co-authored commentary, published in the journal Global Health: Science and Practice, highlights the increasing costs of vaccines in the developing world, which have grown from US$1/child in 2001 to about $21 for boys and $35 for girls in 2014, as more and costlier vaccines are being introduced into national immunization programs. To address […]

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The Global Fund New Funding Model: Lessons from Ghana on Negotiating the Inclusion of Integrated Community Case Management (iCCM) of Childhood Illness

This case study reviews Ghana’s experience in negotiating the inclusion of integrated community case management (iCCM) into the Global Fund New Funding Model (NFM) concept note for malaria. It explores some of the challenges experienced by and lessons learned from the Ghana experience, and discusses broader issues related to the process of developing the NFM […]

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The Global Fund New Funding Model: Lessons from Ghana on Negotiating the Inclusion of Integrated Community Case Management (iCCM) of Childhood Illness Copy

This case study reviews Ghana’s experience in negotiating the inclusion of integrated community case management (iCCM) into the Global Fund New Funding Model (NFM) concept note for malaria. It explores some of the challenges experienced by and lessons learned from the Ghana experience, and discusses broader issues related to the process of developing the NFM […]

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The Global Fund New Funding Model: Lessons from Kenya on iCCM Integration into the Malaria Concept Note

The report explores the experience of Kenya in considering whether and how to leverage malaria Global Fund money for integrated community case management (iCCM). It reviews the challenges experienced during, and lessons learned from, the discussions between malaria and child health stakeholders. Additionally, it explores the reasons why, in Kenya’s case, during this phase of […]

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The Global Fund New Funding Model: Lessons from Nigeria on Negotiating the Inclusion of Integrated Community Case Management (iCCM) of Childhood Illness

This case study reviews Nigeria’s experience in negotiating the inclusion of integrated community case management (iCCM) into the Global Fund New Funding Model (NFM) concept note for malaria. It explores some of the challenges experienced by and lessons learned from the Nigeria experience, and discusses broader issues related to the process of developing the NFM […]

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The Global Fund New Funding Model: Lessons from Uganda on Integrating the Integrated Community Case Management Model (iCCM)

This case study reviews Uganda’s experience with integrating the integrated community case management (iCCM) into the Global Fund New Funding Model’s (NFM) concept note for malaria. This case study explores some of the challenges experienced by, and lessons learned from, the Uganda experience, and discusses broader issues about developing a Global Fund NFM concept note […]

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The Global Fund New Funding Model: Lessons from Zambia on the Addition of Integrated Community Case managed (iCCM)

This case study reviews Zambia’s experience adding the integrated community case management (iCCM) strategy into the Global Fund New Funding Model (GFNFM) concept note for malaria. This case explores some of the challenges experienced by and lessons learned from the Zambia experience, and discusses broader issues related to the process of GFNFM concept note development […]

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The Integrated Community Case Management (iCCM) of Childhood Illness Task Force: Fact Sheet

This document outlines the four objectives of the iCCM Task Force, an association of 70 multilateral/bilateral agencies, academic institutions, and nongovernmental organizations. MCSP acts as secretariat and provides support to the Task Force. […]

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The Labor and Delivery Quality of Care Short Observational Index: A User Guide

A validated tool for measuring the quality of routine intrapartum and immediate postpartum care was developed using QoC Survey data and tools created under USAID’s predecessor Maternal and Child Health Integrated Program (MCHIP). Attached is a user guide, which provides both versions of the observational checklist as well as information on why and how the […]

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The Polio Communication Network Contribution to the Polio Outbreak Response in Ethiopia’s Somali Region, 2013–2015

Published in Global Health Communication, this article explores the Polio Communication Network’s (PCN) contribution to the polio outbreak response in the Somali Region of Ethiopia from 2013 to 2015. The PCN strategies and innovations include the establishment of a communication network of experts, development of partnerships with locally trusted and influential groups, and capacity building of local structures. To […]

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The Power of Counseling: Changing Maternal, Infant, and Young Child Nutrition and Family Planning Practices in Dhamar, Yemen

This study was conducted in two districts of Dhamar, Yemen, to inform the development of evidence-based programming to address high rates of malnutrition, short inter-pregnancy intervals, and low contraceptive prevalence in the country. The study assessed mothers’ and couples’ ability to adopt recommended nutrition and family planning practices, identifying barriers and facilitating factors for optimal […]

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The rise in stunting in relation to avian influenza and food consumption patterns in Lower Egypt in comparison to Upper Egypt: results from 2005 and 2008 DHS

This open access article, co-authored by MCSP and published in BMC Public Health, examines determinants of stunting between 2006 and 2008 in children 6 to 59 months of age within the context of the avian influenza outbreak. […]

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The three waves in implementation of facility-based kangaroo mother care: a multi-country case study from Asia

This case study examines the institutionalization processes of facility-based kangaroo mother care (KMC) services in three Asian countries (India, Indonesia and the Philippines) as well as the reasons for the slow uptake of KMC in these countries. This paper illustrates the complexities of implementing a new healthcare intervention. Although preterm care is currently in the […]

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Threatened Preterm Birth Care Learning Resource Package

Threatened Preterm Birth Care is part of the Helping Mothers Survive and Helping Babies Survive suite of training modules.  It is a two-day course designed for teams of health workers who provide care for women and newborns.  The content is based on the 2015 WHO recommendations on interventions to improve preterm birth outcomes and focuses […]

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Toolkit to Improve Early and Sustained Uptake of Intermittent Treatment of Malaria in Pregnancy

To promote better understanding of and adherence to the 2012 WHO IPTp-SP recommendations, MCSP developed the Toolkit to Improve Early and Sustained IPTp Uptake. The Toolkit was developed by MCSP’s Maternal Health and Malaria teams, in collaboration with the President’s Malaria Initiative (PMI). It consists of a job aid (poster); a technical summary; a PowerPoint […]

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Toolkit to Improve Early and Sustained Uptake of Intermittent Treatment of Malaria in Pregnancy – Portuguese

To promote better understanding of and adherence to the 2012 WHO IPTp-SP recommendations, MCSP developed the Toolkit to Improve Early and Sustained IPTp Uptake. The Toolkit was developed by MCSP’s Maternal Health and Malaria teams, in collaboration with the President’s Malaria Initiative (PMI). It consists of a job aid (poster); a technical summary; a PowerPoint […]

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Transition from the Lactational Amenorrhea Method to other modern family planning methods in rural Bangladesh: Barrier analysis and implications for behavior change communication program intervention design

This MCSP co-authored article in the journal Evaluation and Program Planning examines the challenges in completing a timely transition from the Lactational Amenorrhea Method to another modern family planning method. To guide program implementation in Bangladesh, this study identified factors influencing women’s transition decisions. To read the open access article, click here. […]

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Treatment of infections during pregnancy: Progress and challenges

Published in Birth Defects Research, this article describes several strategies in use to optimize the application of existing evidence, and reviews the progress and outstanding challenges associated with the identification and implementation of new treatment options for maternal infections. To read the abstract and full article (subscription required), click here. […]

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Treatment of Uncomplicated Malaria among Women of Reproductive Age

The protocol for treating malaria in pregnant women in the first trimester differs from the rest of the adult population. With this in mind, MCSP and the President’s Malaria Initiative developed a two-page job aid to assist service providers in assessing women for pregnancy as well as correctly diagnosing and, if needed, treating them for […]

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Uncivil and skewed language on civil society?

Commentary from MCSP staff published in the June 11, 2016 online Lancet on the “inappropriate” stereotyping and generalizing about nongovernmental organizations. To read the one-page correspondence, click here. […]

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Understanding vaccine hesitancy in polio eradication in northern Nigeria

Vaccine hesitancy constitutes a major threat to the Global Polio Eradication Initiative (GPEI), and to further expansion of routine immunisation. Understanding hesitancy, leading in some cases to refusal, is vital to the success of GPEI. This article explains the method, findings and conclusions to a recent study in northern Nigeria that sought to understand factors at household and community level […]

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Updated WHO Recommendation on Tranexamic Acid for the Treatment of Postpartum Haemorrhage

This summary brief highlights key messages from the updated World Health Organization’s recommendation on tranexamic acid (TXA) for the treatment of postpartum haemorrhage (PPH), including policy and program implications for translating the TXA recommendation into action at the country level. In 2012, WHO published recommendations for the prevention and treatment of postpartum haemorrhage, including a […]

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Use of cellular phone contacts to increase return rates for immunization services in Kenya

In Kenya, failure to complete immunization schedules by children who previously accessed immunization services is an obstacle to ensuring that children are fully immunized. Home visit approaches used to track defaulting children have not been successful in reducing the drop-out rate. This study tested the use of phone contacts as an approach for tracking immunization defaulters in […]

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Using a quality improvement model to enhance providers’ performance in maternal and newborn health care: a post-only intervention and comparison design

Published in BMC Pregnancy and Childbirth, this article evaluates the effect of the Standards Based Management and Recognition approach to quality improvement, determining it’s ability to strengthen routine maternal and newborn health (MNH) services after being implemented in Ethiopia. The evaluation assessed the effect of the intervention on MNH providers’ performance of routine antenatal care, uncomplicated labor and […]

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Using Community Health Units to Promote Equity and Reach the Most Vulnerable: Unidades Comunitarios in Rural Honduras

To help rural, poverty-stricken populations living in a mountainous area of Honduras overcome geographic and financial barriers to health care, ChildFund set out to bring high-quality, cost-effective interventions to these communities through the establishment of community health units (unidades comunitarios, abbreviated UCOS, in Spanish) in 2009. The UCOS used physical structures that were built using […]

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Using Data Dashboards for Results-Based Management and Accountability

Poster illustrating key characteristics, uses for, and ways to develop dashboards (visual displays of information), as well as explanations for how MCSP uses dashboards in Program work. […]

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Uterotonic use immediately following birth: using a novel methodology to estimate population coverage in four countries

This open access article, co-authored by MCSP staff and published in the journal BMC Health Services Research, highlights efforts to develop a methodology for estimating national coverage for uterotonic use immediately following birth. The methodology was then piloted in four countries: India (Jharkhand), Mozambique, Tanzania and Yemen. […]

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Vaccination coverage and timely vaccination with valid doses in Malawi

This MCSP co-authored article, published in the journal Vaccine Reports, highlights the results of a cluster vaccination coverage survey conducted in two districts in Malawi: Dowa and Ntchisi. The survey measured the vaccination coverage of children 12–23 months old and identified factors impacting the utilization of vaccination services. To read the full article, click here. […]

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Variations in the Uptake of Routine Immunization in Nigeria: Examining Determinants of Inequitable Access

Globally, immunization prevents an estimated 2–3 million deaths among under-5 children, yet in Nigeria, only 25% of children ages 12–23 months are fully immunized. There are also marked disparities in the uptake of immunizations, largely attributable to the context within which families live and seek health care. The authors assessed the individual and state determinants […]

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Water, Sanitation, and Hygiene at the Health Center

This two-page brief outlines the challenges facing water, sanitation and hygiene (WASH) in maternal and perinatal health, and proposes actions to address them via improved WASH in health facilities, greater leadership for ministries of health, increased coordination with other sectors, and better accountability. […]

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What Data on Maternal and Newborn Health Do National Health Management Information Systems Include?

This report reviews the data elements related to maternal and newborn health (MNH) present in the health management and information (HMIS) systems in 24 low- and lower middle-income countries. The review’s purpose is to quantify the extent to which key data elements are available in the antenatal, delivery and postpartum registers and associated summary reporting […]

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WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections

This document includes highlights and key messages from the World Health Organization’s 2015 global recommendations. Available in English and French. […]

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WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience: Summary

This brief highlights the WHO’s 2016 ANC recommendations and offers countries policy and program considerations for adopting and implementing the recommendations. The recommendations include universal and context-specific interventions. The recommended interventions span five categories: routine antenatal nutrition, maternal and fetal assessment, preventive measures, interventions for the management of common physiologic symptoms in pregnancy, and health system-level interventions to improve […]

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WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience: Ultrasound Examination

This brief highlights the WHO recommendation on routine antenatal ultrasound examination and the policy and program implications for translating this recommendation into action at the country level. Refer to the full WHO Recommendations on antenatal care for a positive pregnancy experience for other ANC guidance. Additional guidance is available in volumes I and II of […]

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WHO Recommendations on Interventions to Improve Preterm Birth Outcomes

These highlights and key messages from the World Health Organization’s 2015 global recommendations emphasize effective maternal and newborn interventions along the continuum of care. Available in English and French. […]

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Word of Mouth: Learning from Polio Communication and Community Engagement Initiatives

The journey toward polio eradication offers 30 years of accumulated learning. This document seeks to share insights and ideas gleaned from the polio program’s success that might inform accelerate action on other development issues. It is the outcome of a February 2018 polio partners meeting focusing on communication and community engagement within the polio program held […]

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Zika Response Team: Program Year 1 Workplan Activities

MCSP collaborates with a range of partners to improve the quality of Zika virus prevention and response strategies. This is a one-page overview of MCSP’s Zika Response Activities for Program Year 1. […]

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Maternal Child Survival Program
Maternal and Child Survival Program