USAID Impact Photo Credit: USAID and Partners

Archives for Global Health

Filling the Bellies of Hungry Kids

Julia Gibson is a member of Mom Bloggers for Social Good. Photo credit: Julia Gibson

Growing up as the kid of a car mechanic who worked on flat-rate, we did not have much money. On weeks my dad didn’t turn many hours, we survived on generic macaroni and powdered cheese (4 for $1!) and if we were lucky there was a can of tuna fish to mix in. While that might not have been the most nutritious dinner, I never went to bed hungry. I never went to bed with the gnawing of hunger pains from deep within.

But, millions of children are going to bed hungry around the world.

There are children who have that gnawing hunger pains every single day of their lives.

Hungry children can’t concentrate at school. They don’t care about math and science… they just want food in their bellies.

165 million children under five are under nourished. Poor nutrition can affect a child’s health and learning ability. Poor nutrition in the first 1000 days of a child’s life – from pregnancy to their second birthday – can cause irreversible growth and mental issues. From hunger.

Through USAID and the Feed the Future program, investments are being made in agriculture, health and social protection. Programs like encouraging the growth of orange maize in Zambia, assisting in food security in Guatemala for women and children and other programs are helping teach women how to provide healthier food for themselves and their families.

These aren’t handouts, folks. These are programs to encourage the women of these countries to help themselves. They are given the information and training to grow better crops and to get the food from the plants to the table without any issues.  They are being given the potential to succeed. They are being given the knowledge to fill their children’s empty bellies.

Feed the Future is helping women and their families rise above poverty and under nutrition and provide for themselves and their families. These children are being given the chance to succeed at school and in life– because of better nutrition.  Last year, they were able to reach 12 million children. Twelve million children went to bed with full tummies because of USAID and Feed the Future.

Whether you love or hate the United States government… you have to be amazed at Feed the Future. The initiative, led by USAID, is comprised of eight other governmental agencies all working together to help others.  They are Feeding the Future.

Recently, I saw a sign that said “Childhood shouldn’t hurt.”  Childhood shouldn’t hurt– this includes hunger pains. A child should be given every opportunity to succeed. Thankfully, programs like Feed the Future are giving them that opportunity.

I encourage you to check out Feed the Future’s website to learn more.

Julia Gibson is the mom of boy/girl twins, wife, accountant, scrapbooker, card maker, and nap sneaker. Relatively new to the blogging scene, she recently became involved with social good and is proud to be a member of the Global Team of 200, part of Mom Bloggers for Social Good, a global coalition of 1000+ mom bloggers, in seventeen countries, who spread good news about the amazing work non-profit organizations and NGOs are doing around the world. You can read more of Julia’s blog posts at Mom on the Run x2.

 Follow @USAID@USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

Health Education in Malawi: Helping Create Safer Advancing Behaviors

In communities across Malawi, men and women like Eliza are attending facilitated discussions using interactive toolkits developed by BRIDGE II and implemented by local partners. BRIDGE II is a five-year HIV prevention project, supported by USAID, through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). As it winds down, data is being collected on the extent of the project’s reach and how it is impacting the knowledge, attitude and behavioral practices of individuals and communities. But how do we go beyond the numbers and document those successful approaches and tools and share the value of interpersonal communication and education as key to changing people’s beliefs and practices?

“Previously I was not faithful to my family. I used to have extramarital affairs. After attending Hope Kit sessions and listening and participating to the sessions, I realized that I was putting my life at stake and now I have chosen to be faithful to my family.” - Eliza Lupale, 37, married with five children. Photo credit: Edna Ndhlovu

BRIDGE II aims to reduce new HIV infections through eliminating barriers to individual action and shifting social norms. It addresses key risk factors for HIV in Malawi such as having more than one sexual partner at a time, lack of condom use, and alcohol abuse. Gender norms and inequities often lie beneath these risky behaviors, and BRIDGE II openly addresses these issues. A multi-sectoral project with a strong community focus, BRIDGE works directly through creative multi-media campaigns, transformative and participatory toolkits (like the Hope Kit, PDF), interactive radio programs, service referral and linkages, and community theater. BRIDGE also builds local capacity by providing support to community and faith-based networks to strengthen their HIV prevention programs. The goal is lasting, positive change that not only prevents new HIV infections, but also strengthens the ability of Malawi’s communities to care for and protect themselves.

Through concerted effort by dedicated staff and an engaged network of partners, these approaches and tools are showing promising signs of change, particularly in the lives of women like Eliza who have been empowered to make healthier lifestyle choices for themselves and their families. Men and women understand their HIV risk and are gaining the information, skills and motivation they need to prevent infection. People are utilizing HIV-related services and adopting safer sexual practices and couples are openly communicating about their relationship in a way they never have before. They are getting tested for HIV and keeping love within their homes. Systems and institutions are strengthened to take the lead in HIV prevention through greater coordination and thought leadership.

The tools created within BRIDGE II will soon be made available to a wider audience as a comprehensive online kit via K4Health. This toolkit can be used by others to facilitate open communication about behavior change to curb HIV. Click here for more information on BRIDGE II and please check back at the end of the year to find more information on the e-Toolkit!

Video of the Week: Turning the Tide on Global Hunger

In this Feed the Future video, narrator Matt Damon discusses efforts to turn the tide against global hunger and increase agricultural production around the world. The video was shown at the “Feed the Future: Partnering With Civil Society” event on September 27, 2012.

This morning, during a global nutrition-focused event co-hosted by Bread for the World Institute and Concern Worldwide, USAID announced its ongoing commitment to work with the U.S. Government’s leadership to reduce undernutrition around the world. The event followed the Nutrition for Growth event in London. During his trip and on behalf of the U.S. Government, Administrator Shah signed the Global Nutrition for Growth Compact which commits donors and private partners to scale up nutrition programs specifically targeted to reduce undernutrition in women and children.

Also last week, Administrator Rajiv Shah and Tjada McKenna, deputy coordinator for Feed the Future, participated in a Google+ Hangout on the role of nutrition in child survival and food security nutrition with representatives from the ONE Campaign, GAIN and 1,000 Days, as well as Candice Kumai, who is a chef, food writer, Iron Chef Judge and nutrition champion for Future Fortified.

Learn more about USAID’s work on improving nutrition

Follow @USAID, @USAIDGH and @FeedtheFuture on Twitter and use #GHMatters to join in the conversation about global health issues including #nutrition.

Winning the Battle Against Undernutrition and Stunting

Most people have never heard of stunting. It’s one of the least reported, least recognized, least understood issues facing humanity, yet tackling it should be seen as an opportunity both for personal health and national development.

Stunting, caused by chronic undernutrition in children, does not only affect a person’s growth or height. The damage that undernutrition causes to a brain’s cognitive capacity is permanent. It cannot be reversed.

As UNICEF documented in its 2013 report, ‘Improving Child Nutrition: The achievable imperative for global progress’, chronic undernutrition scars the lives of some 165 million children around the world. Undernutrition contributes to half of all child deaths and around one fifth of maternal deaths.

Two children in Zambia. Photo credit: Nazo Kureshy, USAID

Stunting traps people into a lifelong cycle of poor nutrition, illness, poverty and inequity. Children’s poorer school performance results in future income reductions of up to 22 per cent on average. As adults, they are also at increased risk of obesity, diabetes and cardiovascular disease.

Despite the challenges, we can and must win the battle against stunting and other forms of undernutrition – and investing in the first 1,000 days of a child’s life shapes the future of nations.

Experts have consistently confirmed that taking action on undernutrition is the single most important, cost-effective means of advancing human well-being. This would accelerate the achievement of the Millennium Development Goals, would save lives and should be a top global priority.

We know what works and what needs to be done to radically reduce stunting and undernutrition: from micronutrient and vitamin supplements to awareness raising, promoting exclusive breastfeeding and treating severe and acute malnutrition. Efforts should also be linked to improving access to education and safe water, promoting hygiene, preventing and treating diseases, and strengthening social safety nets.

Over the past 20 years alone, the number of stunted children under the age of five in the world has fallen by 88 million – from 40 to 26 per cent, or a one-third reduction.

However, a brand new Lancet series on nutrition from 6 June 2013 shows that progress is not fast enough. What is needed now is strong, global commitment and leadership to accelerate efforts.

UNICEF is a proud partner in the major global initiative called the Scaling Up Nutrition (SUN) movement, which is bringing much needed focus and investment for nutrition in a number of countries. Through the SUN country network, government focal points from each of the 40 countries involved share experiences, seek advice and provide each other with assistance, analyses of progress and lessons learned.

Broader efforts to address child survival are also galvanizing partnerships. Governments including those of Ethiopia, India and the U.S. have thrown their weight behind the A Promise Renewed movement, which –  with supported by UNICEF – is uniting governments, civil society, faith based leaders and private sector around the clear and compelling goal: to end preventable child deaths and give every last child the best possible start in life.

No child, no mother, no country should ever have to suffer the injustice of a lack of nutrition in the 21st century. We cannot stand by and allow a child to be condemned to a life of deprivation – especially when we know how to prevent it.

For updates on what the United States is doing to improve nutrition, follow the hashtags #Nutrition4Growth and #GHmatters on Twitter. 

Building a More Nutritious Future for All

A silent crisis is happening right now. It affects 165 million children globally, robbing them of the future they deserve and leading to more child deaths every year than any other disease. In a world of plentiful, nutritious foods and advanced science, this is unacceptable.

We can do better. And we can do it together.

At a landmark event in London this weekend, global government, business, and civil society leaders will join together to commit to a different future — one in which every child benefits from the nutrition needed to grow and thrive.

Administrator Shah at the Nutrition for Growth event in London. Photo credit: USAID

As the head of USAID – and as a parent of young children – I am privileged to show the United States’ support for global nutrition at the Nutrition for Growth event today. This event’s global reach reflects growing recognition that the challenge of undernutrition is solvable, but requires a new approach.

To proactively address the root causes of hunger and undernutrition and get the most out of every development dollar invested, we cannot treat nutrition, global health, and food security as isolated priorities. We must integrate our approach across sectors, forging high-impact partnerships and driving game-changing innovation from farms to markets to tables.

Feed the Future is doing just that, working with businesses, local communities, farmers’ organizations, and country leaders to not only reduce poverty and hunger but undernutrition too. Last year, we reached 12 million children through nutrition programs that reduced anemia, supported community gardens, and treated malnutrition.                                                                                          

This focus reflects the United States’ long history as the global leader in nutrition, from providing emergency food aid during crises to helping farmers and their families grow and consume more nutritious foods.

In fact, we have nearly doubled nutrition-specific funding through our global health programs and we have tripled agriculture funding since 2008, targeting our investments where we can deliver meaningful impact. We’ve also been a strong supporter of the Global Agriculture and Food Security Program, which funds country priorities in agricultural development and nutrition.

Today, I was pleased to announce that the U.S. Government is providing more than $1 billion for nutrition-specific interventions and nearly $9 billion on nutrition-sensitive activities over fiscal years 2012-2014.

These investments support and accelerate trends in stunting reduction; ultimately to reduce stunting by 20 percent over five years in the areas where we work through Feed the Future, translating into 2 million fewer stunted children.

Today we also signed on to the global Nutrition for Growth Compact, endorsing high-level goals for improving nutrition.

Integrating and expanding nutrition activities into our agricultural development programs makes good sense and is effective, as many of our civil society partners demonstrate every day in the field. And a growing body of research and knowledge, including the recently released The Lancet Series on Maternal and Child Nutrition, provides strong evidence that improving nutrition is one of the best ways to achieve lasting progress in development.

Ensuring that a child receives adequate nutrition, particularly in the critical 1,000-day window from a woman’s pregnancy to her child’s second birthday, can yield dividends for a lifetime as a well-nourished child will perform better in school, more effectively fight off disease, and even earn more as an adult. Nutrition is central to ending preventable child death.

The evidence is also clear that governments can’t do this alone.

Momentum for improving nutrition is strong, in large part thanks to our civil society partners who have worked tirelessly to mobilize support around the world behind the evidence that nutrition matters. Just today a coalition of U.S. NGOs pledged $750 million over five years in private, nongovernment funds for nutrition.

In a world where private sector investment flows vastly outpace official assistance, nations will only achieve development in partnership with a vibrant and transparent private sector as well. That is the mission behind the New Alliance for Food Security and Nutrition.

In just one year, the New Alliance has grown into a $3.75 billion public-private partnership that builds on country investment plans developed by African countries through the Comprehensive Africa Agriculture Development Program and works to integrate the principles of the Scaling Up Nutrition movement, which recognizes the meaningful impact of nutrition on all aspects of society—from health to agriculture to long-term growth and stability.

During its presidency of the G-8 this year, the United Kingdom has worked hard to carry the New Alliance forward, keeping momentum strong for this groundbreaking partnership.

Ending extreme poverty by advancing nutrition from farms to markets to tables is the vision that brings business, development, and civil society representatives together this weekend.

It’s also what inspires us to work together to ensure that every child has a healthy start and every nation a brighter future.

For updates on the Nutrition for Growth event this weekend and what the United States is doing to improve nutrition, follow the hashtags #Nutrition4Growth and #GHmatters on Twitter. 

Contraception: Not to be left to serendipity

A couple of years ago, I was in Abuja, Nigeria, working to integrate family planning within a health systems strengthening project. It was a Sunday; the day Goodluck Jonathan was being sworn in as president and the entire city was shut down because of the inauguration.

My colleague, a physician ob/gyn wanted me to see firsthand, the different service points in the health system. We drove about an hour or so out of Abuja and arrived at the maternity ward of a referral hospital. The delivery room was bustling, but supplies were minimal and facilities were bare boned.

The two midwives on duty had their hands full. They had already delivered four to five babies and were struggling to help a young woman through a difficult delivery. The woman showed up at the hospital that morning and as far as the midwives knew, she had not received any prenatal care. My colleague quickly jumped in to assist.

Kenyan women learning about IUDs. Photo credit: MSI

I remember sitting on a wooden bench with one of the midwives. We were separated from the delivery room by only a flimsy, green colored curtain. On the floor in front of us sat a young girl with orange ribbons in her hair, drawing continuous circles on the ward’s floor.

About 20 minutes passed and my colleague emerged asking for a sterile plastic clip to tie off the umbilical cord. He chastised the midwives for not using them and relying on string instead. They shrugged and told him the clips didn’t work; a conclusion he reached after trying five times. The midwife smiled and leaned against me to whisper – “That’s why we use the string- at least we can be sure the umbilical cord is tied off, even if it is not sterile.”

A few moments later, he appeared again, this time he was holding up a healthy, bawling, baby boy.

This experience crystallized in one powerful moment the challenges of getting health services to work for the people who depend on them. Mostly, I was struck by the sense of serendipity. If it hadn’t been for the presidential inauguration and for a random visit by a caring physician, this woman and her child may have died, or at minimum, had a long and painful labor.

Instead, we were able to celebrate the birth of her son, and her safe recovery from labor.

I sat back down and looked at the little girl on the floor and wondered…what choices would make the difference for this child? What health care and services could she count on in her lifetime? What opportunities would change her future prospects?  And I was convinced once again of the simple truth that access to contraception is pivotal in determining the equation of future opportunities – hers, mine, all of ours. If this young girl had the information and means to make choices about her sexual health and childbearing, she would have a better chance to determine her own future.

Contraception matters. It not only changes lives, it saves lives. If an additional 120 million women who want contraception could get it by 2020, we could have 100 million fewer unintended pregnancies, 3 million fewer children dying in their first year of life, and 200,000 fewer women and girls dying in pregnancy and childbirth.

And now, we have an opportunity before us to truly level the playing field for all women and girls. A global community is recommitted and reenergized and we as individuals have the power to ensure that women’s autonomy over health-related decisions is a fundamental right, not a privilege.

The effort to make contraception available is part of our commitment to reduce poverty, enhance human rights, feed the hungry, give water to the thirsty and share the wealth we have with those who need it. Each of these pieces needs the other, and is integrally connected to each other in order to thrive. And without family planning – without support for women and girls’ lives and dignity – our vision for real, lasting change in this world is simply not whole.

If we act now and keep our promises, we can circle back to the little girl with the orange ribbons and assure her that she will not have to rely on the vagaries of chance appearances, if and when she is ready to give birth.

We can’t leave women’s lives up to chance. When we get the choices right for women, we get it right for development. And in the next seven years, with the lives, dreams and opportunities of millions of the world’s women at stake… we simply have no choice but to get it right.

Learn more about Family Planning 2020.

Maryan’s Milk Mustache

During the first week of June, IMPACT will be highlighting the key role of nutrition in Global Health

Three-year-old Maryan is wearing a pretty blue headscarf and a milk mustache.

She is drinking one of the 30 cups of milk that Save the Children provides monthly to each of the nearly 11,000 women and children enrolled in its milk voucher program.

Successive droughts in the country have taken their toll on Wajir, in the northeast region of Kenya. As water sources dried up and crops failed, the livestock that the people have always depended on for their livelihoods perished. Milk became increasingly rare and children began to show signs of hunger.

Three-year-old Maryan drinks milk. Her mother Habiba (left) enrolled her in Save the Children’s milk voucher program when she showed signs of malnutrition. Photo credit: Susan Warner. February 2013

A survey taken in October 2012, found one in four children to be malnourished. To address this, Save the Children launched a nutrition project funded by USAID, which gives the local dairy industry a boost by issuing milk vouchers to those who need it the most. The vouchers, coupled with nutritional supplements, are distributed to malnourished pregnant women, breastfeeding mothers and children under the age of five. The vouchers can be traded for milk at the market, which traders and pastoralists can redeem for money. The cash infusion is slowly rehabilitating the pastoral economy as investments in livestock, fodder and veterinary services increase.

Today Maryan’s milk mustache is framed by cheeks that are round and full, but this wasn’t always so. When she first enrolled in the program a few months ago she was weaker and thinner than her peers. Her upper arm circumference, one of the measures used to determine nutritional status, had shown her to be moderately undernourished. After three months in the program her weight increased by 10%, an astonishing gain, when one factors in an illness that set her back slightly in February.

“The program has helped my child. She is more playful and happier and even though she is not fat, she is quite strong.” says Habiba Osman, Maryan’s mother.

Though Maryan remains somewhat slender, “she has shown great progress in terms of her weight gain,” says Saadia Ibrahim Musa, the community health worker who first treated Maryan at the local health clinic, where Habiba brought her for a screening in October last year.

Habiba and Maryan see Saadia regularly now, since they walk to the health clinic, where the supplements and vouchers are distributed, twice weekly. There, Habiba also attends nutrition classes with other Wajir mothers. “We discuss the dangers of malnutrition to a child’s development, the importance of feeding a child a balanced diet, and the importance of handling food in a hygienic manner,” says Saadia.

“Saadia has taught me a lot of things,” says Habina, “I now know to take Maryan to the hospital as soon as I notice something is wrong and how important it is not to share Maryan’s [nutritional] supplements with anyone else in the household as this makes her recovery more difficult.

The changes are visible throughout the community. “The children are happier and more playful now. The mothers are happy as their children now get the milk they couldn’t afford before the project. The traders involved in the project have increased their incomes and their lives are better. Everyone is happy,” says Habiba. “And Maryan loves the milk!”

Learn more about USAID’s efforts to improve nutrition.

Follow USAID (@USAID) on Twitter and use #GHMatters to join in the conversation about global health issues including nutrition.

Mass Media’s Role in Malaria Control

This originally appeared on the Malaria No More Blog.

As researchers and policymakers gather in Washington, D.C. this week to evaluate how population-level behavior change communications (BCC) can dramatically improve child survival, Malaria No More is working to keep up the momentum of BCC for malaria control in Africa.

Infographic for Knock Out Malaria In Cameroon campaign. Photo credit: Malaria No More

Though it is hard to measure the impact of our mass media communication campaigns, there is already evidence that they are helping to change the culture of malaria control in places like Cameroon. Through a combination of nightly reminders via SMS, radio and television ads, plus a hit song about malaria by the country’s biggest pop stars, the Cameroon campaign produced a 6.6 percentage point increase in nightly mosquito net use among adults and a 12 percentage point increase in net use among their children under 5. That’s over half a million people now sleeping under nets that otherwise wouldn’t have been because of the knowledge, motivation, and/or timely reminder provided by the campaign.

The NightWatch program – Malaria No More’s model of multimedia, national-scale BCC for malaria – was supported by ExxonMobil and COTCO, and embedded in a national campaign with strong support from the Cameroonian government (Ministry of Health and National Malaria Control Program), health partners UNICEF, Plan International, IRESCO, CHAI, CCAM, ACMS-PSI, Lalela Project and United Against Malaria, and corporate partners such as MTN. NightWatch has also been rolled out within national campaigns in Chad, Senegal, and Tanzania.

Findings

The results of a program evaluation were published earlier this year in the peer-reviewed Malaria Journal. The evaluation was based on national survey results from 2011 and 2012, and estimated the impact of NightWatch malaria communications that were part of Cameroon’s national K.O. Palu campaign. Using a propensity score matching model, the analysis estimated that among Cameroonians with at least one net at  home, exposure to NightWatch was associated with a 6.6 percentage point increase in last-night net use among adults (65.7% vs 59.1%) and a 12.0 percentage point increase in last-night net use among their children under five (79.6% vs 67.6%).

The program cost less than $0.16 per adult reached, and less than $1.62 per additional person protected by a net. The results suggest a strong role for mass media communication interventions in support of investments in malaria control commodities such as LLINs.

To read the study in full, click here.

 

MCHIP’s Respectful Maternity Care Toolkit Promotes Positive Attitudes in the Care of Women and Newborns

Abuse and disrespect during maternity care has been documented and observed globally. In response, USAID’s flagship Maternal and Child Health Integrated Program (MCHIP) is launching the Respectful Maternity Care (RMC) Toolkit. This package of materials is designed to provide clinicians, trainers, managers and other stakeholders involved in the provision of maternity care with the tools necessary to begin implementing RMC in their area of work or influence. This toolkit contains program learning documents, such as: surveys and briefs on country experiences; training materials; tools to assess and improve RMC within programs and services; job aids; and a resource list.

Women who chose to give birth at home without a skilled health care provider, as well as their newborns, are more likely to suffer complications and die. In less developed countries, there may be many reasons women chose not to give birth in a health facility, such as distance, and lack of transport or money to pay for health services. However, all too often a lack of respectful care from frontline health workers—such as doctors and midwives—cause women and their families to distrust the health care system and opt for more risky homebirths, with unskilled traditional birth attendants (TBAs). Women often choose to deliver with TBAs not only because their services cost less, but also because they provide RMC and follow up care, and are trusted and known within their communities.

Mozambican mother holds her newborn. Photo credit: Jhpiego

Multiple factors may contribute to disrespect and abuse within healthcare services. Health systems may be underequipped, and healthcare workers may be overwhelmed due to inadequate pay, lack of infrastructure, or insufficient staff and supplies. An attitude of disrespect for clients and patients may permeate the healthcare system, and healthcare workers may not receive any guidance or supportive supervision related to RMC or their work in general.

The goal of this toolkit is to empower frontline health workers to provide RMC, allowing women and their families to experience better maternity care and to choose to deliver with a skilled provider at home or, preferably, in a health facility. The ultimate impact of more women using skilled birth services during child birth will be reduced newborn and maternal deaths.

RMC in Mozambique                                    
 ”Giving birth is such a special time for a woman, but it is also filled with stress and fear,” said MCHIP Senior Technical Advisor Veronica Reis. She often wondered during her more than 20 years of clinical practice in Brazil why ensuring women’s comfort and preferences during childbirth was almost never discussed at medical school: “Most of the training in medical school was technically focused, about diagnostic treatment and clinical procedures.”

Therefore, Dr. Reis was pleased to hear about a movement known as Humanization of Childbirth, which centers on putting women and their families at the center of care, especially during childbirth. This movement began in Brazil and has increasingly gained prominence in Latin America and elsewhere. Grounded in respect for human rights, this movement has evolved into what is known as Respectful Maternity Care, which promotes the idea of the client as a person with values and expectations that should be respected during the provision of health care.

Therefore, when asked in 2003 to help promote RMC at the Ministry of Health’s National Maternal Health Program in Brazil, Veronica jumped at the chance, convinced this was a worthwhile initiative that was long overdue. There she learned that the presence of a companion at birth, usually a family member or loved one, is an important part of RMC. She was amazed that in all the hospitals where she had worked, policies never permitted family members to accompany the woman in labor; they were always forced to stay outside and/or not be present. Nor did policies allow women to make many other choices in their care, including the right to choose their birth position.

Importantly, Veronica was able to take the skills and knowledge she developed in RMC and successfully help apply them in Mozambique, where she supported USAID’s Jhpiego-led maternal and newborn health program (ACCESS) starting in 2006.  At a large stakeholders meeting in 2007, attendees learned that one important reason women were not giving birth in hospitals—and therefore more often suffering from complications of and dying in childbirth—was fear of not being treated well.  ”Women were afraid of being treated badly and dying alone in the hospital,” Veronica explained.

With continued advocacy by Veronica and her colleagues, the Minister began to prioritize RMC through on-going health programs, most notably through MCHIP’s Model Maternity Initiative (MMI), starting in 2009.  This initiative, carried out in the largest 34 hospitals in the country, supports birthing practices that recognize women’s preferences and needs.  Not only are these hospitals continually evaluated on the quality of care they provide, but also on their ability to provide RMC. Some RMC behaviors include: respect for beliefs, traditions and culture; the right to information and privacy; the choice of a companion during birth; freedom of movement and position; keeping mother and baby together after birth; and the prevention of violence and disrespectful care.

Thanks in large part to strong commitment from the country’s key decision makers and local communities, and with financial backing from USAID through MCHIP, RMC is becoming more widespread in Mozambique. The influence of RMC can be seen increasingly in training institutions, professional associations, and civil society. In fact, the MOH, with the support of USAID and other partners, has now scaled up RMC to more than 80 facilities, and is working to scale up the MMI to more than 122 health facilities by 2014. Significantly, this figure covers about half of all facility births in the country. The MOH and its partners are taking action so that women won’t have to fear that they will be treated poorly during one of the most beautiful—and challenging—times of their lives.

The Toolkit includes:

  • “RMC: Country Experiences” survey offering an RMC overview from 19 countries
  • RMC Program Review Instrument to be used for country-level RMC self-assessment
  • “RMC: General Concepts and Considerations” presentation for guidance on the promotion of RMC
  • Learning Resource Package for RMC with all materials needed to conduct a one-day RMC workshop for clinicians
  • Operational Standards for RMC for antenatal care, childbirth care and postnatal care, which establish objective guidance to gauge health care workers’ clinical performance promoting RMC
  • Resource List for RMC with related references and links
  • Program Briefs detailing examples of RMC being implemented at the field level
  • Monitoring Indicators for RMC to measure the success of RMC interventions
  • Job Aids to serve as on-the-job reminders of the importance of maintaining RMC

Follow USAID Global Health (@USAIDGH) on Twitter and use #GHMatters to join in the conversation.

Photo of the Week: Nutrient-Rich Crops for Kenyan Children

During the first week of June, IMPACT will be highlighting the role of nutrition in Global Health

In Kenya, the U.S. Government, through Feed the Future, is working with whole families to improve food security and childhood nutrition by helping farmers introduce nutrient-rich crops to their farms and teaching families new recipes full of vitamins and minerals needed to ensure healthy growth. Photo Credit: Fintrac Inc.

Learn more about USAID’s efforts to improve nutrition.

Follow USAID (@USAID) on Twitter and use #GHMatters to join in the conversation about global health issues including nutrition.

Page 9 of 42:« First« 6 7 8 9 10 11 12 »Last »