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37 Resources Found


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 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 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 Access to Postpartum Family Planning Report

The 2018 International Conference on Family Planning (ICFP) afforded a key opportunity for government representatives, family planning (FP) partners and experts from the Family Planning 2020 (FP2020) countries to collaborate on their FP priorities and commitments. Postpartum family planning (PPFP) is one of the high-impact interventions that countries can employ to fast-track progress toward the […]

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An Alternative to Classroom-Based Health Worker Training in Rwanda: MCSP Rwanda Case Study

This case study describes a combination of human capacity development (HCD) approaches used in 10 districts of Rwanda, with support from MCSP, to strengthen service delivery for high-impact interventions that include: Helping Babies Breathe (HBB)/essential newborn care (ENC), basic emergency obstetric and newborn care (BEmONC), and integrated management of childhood illnesses (IMCI). […]

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Assessing Key Health Services for Mothers and Children in Rwanda

In October 2015, the Rwanda Biomedical Center (RBC), in collaboration with MCSP, conducted a cross-sectional baseline assessment of public and faith-based health facilities in 10 districts of Rwanda to guide work planning for strengthening reproductive, maternal, newborn, and child health (RMNCH) services. This assessment included two components: a quantitative health facility assessment (HFA), which is […]

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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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Building Health Facility Autonomy

From October 2015 to September 2018, MCSP in collaboration with the Rwandan Ministry of Health (MOH), used innovative approaches to deliver Integrated Management of Childhood Illnesses (IMCI) trainings rolled out in ten out of 30 districts in Rwanda. MCSP helped train a total of 933 care providers: 307 were trained through a Low Dose High […]

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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 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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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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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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Evaluation of the Integrated Community Case Management Strategy in Rwanda Report

This evaluation has been designed to provide data on the integrated community case management (iCCM) strategy in eight districts in Rwanda. This evaluation focused on successes and challenges of iCCM strategies in order to know where to reinforce and empower community health interventions. The evaluation was implemented by the Ministry of Health through the Maternal, […]

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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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Financial Analysis to Inform the Scale-up and Sustainability of Reproductive, Maternal, Neonatal, and Child Health Interventions and Services

This document synthesizes MCSP’s efforts to strengthen health systems by analyzing scale-up costs and financial flows for RMNCH services. It includes MCSP’s approach to financial analysis for scale-up and findings from analyses conducted in the Democratic Republic of the Congo (DRC), Ghana, Nigeria, Rwanda, and Uganda. This brief also presents lessons learned to improve future […]

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Improving RMNCH Service Readiness and Quality- Summary Findings from an Endline Analyses of the MCSP Rwanda Program

MSCP collaborated with the Ministry of Health (MOH) and Rwanda Biomedical Center (RBC) in Rwanda to implement high impact interventions to address the major causes of maternal, newborn and child mortality and to improve the quality of health services from the community level to hospital level. The primary approaches to achieve these objectives included strengthening […]

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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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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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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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MCSP Rwanda’s Impact on Improving the Quality of Maternal, Newborn, and Child Health and Family Planning Services: Results from a Contribution Analysis

This analysis set out to answer the following questions and to assess evidence to support these questions: How did MCSP’s low-dose, high-frequency training and mentorship approaches improve and maintain health worker competencies in maternal, newborn and child health, and family planning? How did MCSP contribute to an increase in the uptake of postpartum family planning […]

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Mentoring the Community Health Worker in Rwanda

MCSP Rwanda aimed to improve and sustain high-quality RMNCH services at the community level by forming a partnership with the MOH/Rwanda Biomedical Center (RBC). Consequently, RBC led the process of developing and implementing the “Community Health Mentorship Guidelines” for Rwanda with support from MCSP. […]

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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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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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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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Review of Newborn Health Content in Integrated Management of Newborn and Childhood Illnesses and Integrated Community Case Management Training Materials and Job Aids in Seven Maternal and Child Survival Program Countries

This assessment was designed to understand the newborn care content in country materials for Integrated Management of Newborn and Childhood Illness and integrated community case management. Specifically the assessment focuses on content related to essential newborn care, postnatal care, care for low-birthweight and preterm babies, breastfeeding and support to mothers for breast milk feeding, management […]

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Revitalizing Access to Permanent Methods

MCSP strives to prevent unintended pregnancies with a continued focus on quality service delivery that expands access to a wide range of voluntary contraceptive options, including permanent methods (PM). Of the 21 countries in which MCSP has supported FP interventions, seven (Rwanda, Nigeria, Tanzania, India, Haiti, Bangladesh, and Togo) included PM activities at the request […]

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Revitalizing Access to Permanent Methods: Lessons Learned from MCSP Country Programs

MCSP strives to prevent unintended pregnancies with a continued focus on quality service delivery that expands access to a wide range of voluntary contraceptive options, including permanent methods. Of the 21 countries in which MCSP has supported family planning interventions, seven (Rwanda, Nigeria, Tanzania, India, Haiti, Bangladesh, and Togo) included permanent method activities at the […]

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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 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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Situation Analysis of Inpatient Care of Newborns and Young Infants: Rwanda

Rwanda’s Ministry of Health, with support from the MCSP, conducted a situation analysis of inpatient care of newborn and young infants to identify gaps within the continuum of care and to establish the link between the needs of small and sick newborns and the capacity of the health system to respond accordingly. […]

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Strengthening the Capacity of Communities to Increase Utilization of Postnatal Care Services in Nyaruguru District Rwanda

MCSP worked with the Rwandan Ministry of Health (MOH) and the Rwanda Biomedical Centre (RBC) to accelerate the reduction of preventable child, neonatal, and maternal mortality in 10 districts in Rwanda from April 2015 to September 2018. Given that many newborn deaths are preventable through improved care in the postnatal period, MCSP emphasized integration of […]

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Updating Rwanda’s Health Management Information System

MCSP collaborated with the Ministry of Health (MOH), Rwanda Biomedical Center (RBC), and other partners to update the national HMIS. MCSP and the MOH aimed to align Rwanda with the global agenda and to ensure effective measurement of the Health Sector Strategic Plan IV (HSSP IV) activities across all levels of the health system. This […]

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Webinar: Mentoring Implementation Lessons from Rwanda, Laos and Ethiopia

On February 28th, MCSP hosted the first of a two-part webinar series to share the Program’s global and country-level learning for human capacity development efforts. Entitled “Mentoring Implementation Lessons from Rwanda, Laos and Ethiopia,” the webinar summarized MCSP’s global guidance on mentoring based on a literature review and results from a survey of 23 countries […]

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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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Maternal and Child Survival Program