Promoting accountability and action at the health facility level

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Promoting accountability and action at the health facility level"

Transcription

1 Promoting accountability and action at the health facility level Client-community-provider partnerships to improve maternal and newborn health services in Ghana Lucy B. Ofori-Ayeh, University of Ghana

2 Presentation Outline Overview of the Ghana MNH context The E4A Programme The Scorecard Process Evidence Generation Results: Processes and Outputs Sustainability Conclusions and Recommendations

3 Overview of Ghana MNH situation Maternal Health Newborn Health Human resources and access to MNH services Maternal Mortality Ratio: 380 (per 100,000 live births) MDG target: 190 Neonatal Mortality Rate: 29 (per 1,000 live births) 39 midwives per 200,000 population A woman in Ghana has a 1 in 66 lifetime risk of dying from a maternal cause 63 newborns die every hour during childbirth ( every year) 53 midwives per 200,000 would be required to meet the national target Main causes of Maternal Deaths: haemorrhage; abortion; eclampsia; miscarriage; sepsis; obstructed labour. Main causes of death: prematurity, infections and birth complications including asphyxia Large access discrepancies between rural and urban areas Sources: Countdown 2015, WHO et al 2014; DHS 2014, UNICEF et al 2014, MoH 2011.

4 The E4A Programme in brief Evidence for Action (E4A) to Reduce Maternal and Neonatal Mortality in Africa [ ] UK Department for International Development (DFID) University of Ghana, Alliance for Reproductive Health Rights Ghana, Sierra Leone, Nigeria, Ethiopia, Tanzania, Malawi National Level 4 Regions: Greater Accra, Volta, Ashanti, Upper West Swiss TPH, Options Consultancy (UK), South Hampton University (UK) Overall Programme Aim Improve maternal and newborn survival by using evidence in a strategic way to generate political commitment, strengthen accountability and improve planning and decision making at subnational and national levels Objective 1 (of 5) Improving quality of care at MNH health facilities through clientprovider-community partnerships and forums.

5 Client-Community-Provider Partnerships & Scorecards AIMS Improve the quality of Maternal and Newborn Health Services in health facilities Engage all actors that have a stake in Maternal and Newborn Health including community representatives Produce and disseminate data that is relevant and understandable to all Engage all actors to discuss the findings and suggest redress solutions Health professionals ACTORS / PARTICIPANTS District Health Management Teams (DHMT) 37 facilities (8 districts) Community based organisations (CBOs) Create accountability through community awareness of issues and benchmarking between facilities and districts District Assemblies (DA - (traditional authority) MNH councils

6 Client-Community-Provider Partnerships & Scorecards A multi stakeholder team (4) 1 DHMT member 1 CBO representative 1 MNH council member 1 DA member (district planning office) Assessment of MNH service provision in each facility 6 monthly assessment Use of tablets Interface meetings with a broad group of stakeholders at district and facility level Scorecard results finalised and published Dissemination of findings at community, facility, district, regional and national level Next Assessment

7 Evidence Generation within the scorecard process 1. Scorecard data (6 monthly) 2. Monitoring of action forms 3. Prospective Policy Study (qualitative)

8 Results: Example Scorecard of a facility

9 Results: Example Action Plan (interface meeting) Interface meetings at district level

10 Results after the second round Issues that were addressed between round 1 and 2: 1. Signs for ANC and FP outside facility 2. Sterilizer 3. Autoclave 4. HIV test kits 5. Lamp for operations 6. Towels/blankets for newborns 7. Magnesium Sulfate 8. Better access to information

11 Results and processes A few examples of actions following the scorecard process: After hearing about client experiences in the scorecard results, one community raised money to buy chairs for waiting areas in the facility so pregnant women did not have to stand or sit on the floor (Ashanti region) A local advocacy coalition, raised money for an ambulance 50% from the community and 50% from the District Assembly. A Member of Parliament then stepped in to fund it, and the money was kept for repairs (Ashanti region) DHMT using scorecard evidence on lack of midwives to back up requests for help from Regional leadership to address the situation Source: Clark S (2014) Sub-National Policy Study Bi-annual Report: Ghana.

12 Staff of the Dwease Health Centre, community leaders and DHMT after a dialogue meeting on the ambulance repairs- District Director of Health in Asante Akyem Central mobilising funds for the repair of the Ambulance

13 Benefits of the Client-Community-Provider Partnership Scorecards make it easier for stakeholders to voice out on their concerns and act Promotes collaboration and partnership Clarifies responsibilities Helps decision-makers have a bird s eye view of the situation of a facility I think the problem about MNH is not much about financial resources but the commitment at various levels including the communities (MNH Council member) Fosters a non-blame environment (focus is on finding a solution) Source: Clark S (2014) Sub-National Policy Study Bi-annual Report: Ghana.

14 Main challenges with the participatory approach Delays in decision-making processess of government can demotivate community initiatives Heavy workload in some health facilities prevents health workers from engaging with the communities and Districts in a meaningful way Low commitment from some facilityin-charges or district officials Source: Clark S (2014) Sub-National Policy Study Bi-annual Report: Ghana.

15 Sustainability of the approach Simplifying the scorecard process and advocating for its integration into the District Health Information Management Systems (DHIMS) Strengthening the community participation component within regular processes of DHMTs The role of the MNH council concerning scorecards in the future cannot be underestimated as the results cannot work on its own. We have to take the results up and further disseminate to the community level (MNH Council member). Source: Clark S (2014) Sub-National Policy Study Bi-annual Report: Ghana.

16 Key recommendations Careful planning and involvement of stakeholders from the start (national to local level) Strengthen community voice within already existing health system and community structures Take into account sustainbility thinking from the start Involve people who have the power to improve processes and systems Benchmarking facilities and districts can promote healthy competition and improvements in health service delivery

17 Thank you

18 References Ministry of Health [Ghana] & Ghana Health Service. (2011). National Assessment for Emergency Obstetric and Newborn Care. Accra: Government of Ghana. United Nations Children s Fund, World Health Organization, The World Bank, & United Nations Population Division. (2014). Levels and Trends in Child Mortality Report 2014: Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation. New York: UNICEF. World Health Organization, UNICEF, UNFPA, The World Bank & the United Nations Population Division. (2014). Trends in Maternal Mortality: Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. Geneva: WHO. Ghana Statistical Service, Ghana Health Service, and ICF Macro. (2009). Ghana Maternal Health Survey Calverton: GSS, GHS, and Macro International. Shiffman, J. Issue attention in global health; the case of newborn survival. Lancet (9730) MamaYe Scorecards Guide, 2014 Clark S. Sub-National Policy Study Bi-annual Report: Ghana. (2014)

FACT SHEET MATERNAL AND CHILD HEALTH

FACT SHEET MATERNAL AND CHILD HEALTH FACT SHEET MATERNAL AND CHILD HEALTH Tanzania s Progress in Maternal and Child Health Tanzania has made considerable progress in the reduction of child mortality. Under-five mortality rates continue to

More information

Facts and Figures the Sierra Leone Demographic and Health Survey 2013 safe clinics safe services better outcomes

Facts and Figures the Sierra Leone Demographic and Health Survey 2013 safe clinics safe services better outcomes Facts and Figures the Sierra Leone Demographic and Health Survey 2013 safe clinics safe services better outcomes What does the DHS 2013 tell us about maternal and newborn health in Sierra Leone? The most

More information

Implementing Community Based Maternal Death Reviews in Sierra Leone

Implementing Community Based Maternal Death Reviews in Sierra Leone Project Summary Implementing Community Based Maternal Death Reviews in Sierra Leone Background Sierra Leone is among the poorest nations in the world, with 70% of the population living below the established

More information

68 3,676,893 86.7 -49-2.9 -3.2 -2.5. making progress

68 3,676,893 86.7 -49-2.9 -3.2 -2.5. making progress Per 1 LB African Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators Maternal

More information

ORGANIZATIONS. Organization Programmatic Areas of Focus Notes Interviewed? Yes. Averting Maternal Death and Disability (AMDD)

ORGANIZATIONS. Organization Programmatic Areas of Focus Notes Interviewed? Yes. Averting Maternal Death and Disability (AMDD) Averting Maternal Death and Disability (AMDD) Bixby Center for Global Reproductive Health (UCSF) Global advocacy, human rights, strengthening health systems (conducting needs assessments for EmOC, strengthening

More information

Maternal and Neonatal Health in Bangladesh

Maternal and Neonatal Health in Bangladesh Maternal and Neonatal Health in Bangladesh KEY STATISTICS Basic data Maternal mortality ratio (deaths per 100,000 births) 320* Neonatal mortality rate (deaths per 1,000 births) 37 Births for women aged

More information

117 4,904,773 -67-4.7 -5.5 -3.9. making progress

117 4,904,773 -67-4.7 -5.5 -3.9. making progress Per 1 LB Eastern Mediterranean Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators

More information

Free healthcare services for pregnant and lactating women and young children in Sierra Leone

Free healthcare services for pregnant and lactating women and young children in Sierra Leone Free healthcare services for pregnant and lactating women and young children in Sierra Leone November 2009 Government of Sierra Leone Contents Foreword 3 Country situation 4 Vision 5 Approach 6 Focus 6

More information

UN H4. Joint Country Support for Accelerated Implementation of Reproductive, Maternal and Newborn Care

UN H4. Joint Country Support for Accelerated Implementation of Reproductive, Maternal and Newborn Care UN H4 Joint Country Support for Accelerated Implementation of Reproductive, Maternal and Newborn Care Coverage Along the Continuum of Care Source: Lancet Countdown Coverage writing group, Lancet Countdown

More information

90 14,248,

90 14,248, Per 1 LB African Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators Maternal

More information

Africa facts and statistics

Africa facts and statistics www.wvafrica.org Child survival How many deaths? z The average under-five mortality rate for SSA in 2007 was 148 per 1000 live births resulting in 4.5million children dying before the age of five z 51

More information

Questionnaire to the UN system and other intergovernmental organizations

Questionnaire to the UN system and other intergovernmental organizations Questionnaire to the UN system and other intergovernmental organizations The report of the 13 th session of the UN Permanent Forum on Indigenous Issues provides a number of recommendations within its mandated

More information

Results Based Financing Initiative for Maternal and Neonatal Health Malawi

Results Based Financing Initiative for Maternal and Neonatal Health Malawi Results Based Financing Initiative for Maternal and Neonatal Health Malawi Interagency Working Group on Results-Based Financing Meeting in Frankfurt/ Germany 7 th May 2013 Dr Brigitte Jordan-Harder MD

More information

Rwanda Strategic Plan 2010-2013. and year one operational plan

Rwanda Strategic Plan 2010-2013. and year one operational plan Rwanda Strategic Plan 2010-2013 and year one operational plan July 2010 i Map of Rwanda Rwanda DHS 2007/08 ii Abbreviations and Acronyms ACCESS CARMMA CHW CPAF CPR CTAMS DFID DP EDPRS FBO FP FFRP GoR HRH

More information

150 7,114,974 75.8 -53-3.2 -3.6 -2.9. making progress

150 7,114,974 75.8 -53-3.2 -3.6 -2.9. making progress Per 1 LB African Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators - Maternal

More information

UN AID S PROGRAM M E COORDIN AT ING BO ARD

UN AID S PROGRAM M E COORDIN AT ING BO ARD UN AID S PROGRAM M E COORDIN AT ING BO ARD UNAIDS/PCB (32)/13.CRP 3 Issue date: 07 June 2013 THIRTY-SECOND MEETING Date: 25-27 June 2013 Venue: Executive Board Room, WHO, Geneva Agenda item 4 Joint United

More information

Extending Service Delivery Project Country Profile: AFGHANISTAN. Healthy Timing & Spacing of Pregnancy (HTSP) In Afghanistan

Extending Service Delivery Project Country Profile: AFGHANISTAN. Healthy Timing & Spacing of Pregnancy (HTSP) In Afghanistan Extending Service Delivery Project Country Profile: AFGHANISTAN Healthy Timing & Spacing of Pregnancy (HTSP) In Afghanistan HTSP is an intervention to help women and families delay or space their pregnancies

More information

Extending Service Delivery Project Country Profile: INDIA. Healthy Timing and Spacing of Pregnancy (HTSP) in India

Extending Service Delivery Project Country Profile: INDIA. Healthy Timing and Spacing of Pregnancy (HTSP) in India Extending Service Delivery Project Country Profile: INDIA Healthy Timing and Spacing of Pregnancy (HTSP) in India HTSP is an intervention to help women and families delay or space their pregnancies to

More information

31 21,761, making progress

31 21,761, making progress Per 1 LB Eastern Mediterranean Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators

More information

Challenges & opportunities

Challenges & opportunities SCALING UP FAMILY PLANNING SERVICES IN AFRICA THROUGH CHRISTIAN HEALTH SYSTEMS Challenges & opportunities Samuel Mwenda MD Africa Christian Health Associations Platform/CHAK Presentation outline Introduction

More information

The Challenge of Appropriate Pneumonia Case Management and the Impact for Child Health

The Challenge of Appropriate Pneumonia Case Management and the Impact for Child Health The Challenge of Appropriate Pneumonia Case Management and the Impact for Child Health Dr. Shamim Qazi Department of Maternal, Newborn, Child and Adolescent Health 1 ASTMH New Orleans November 2014 Major

More information

Promoting Family Planning

Promoting Family Planning Promoting Family Planning INTRODUCTION Voluntary family planning has been widely adopted throughout the world. More than half of all couples in the developing world now use a modern method of contraception

More information

By Eden G-Sellassie and Tewuh Fomunyam. Supervised by Freeman T. Changamire, M.D., Sc.D. HST S.14 Spring 2012

By Eden G-Sellassie and Tewuh Fomunyam. Supervised by Freeman T. Changamire, M.D., Sc.D. HST S.14 Spring 2012 By Eden G-Sellassie and Tewuh Fomunyam Supervised by Freeman T. Changamire, M.D., Sc.D 1 HST S.14 Spring 2012 The lack of maternal health care violates women s rights to life, health, equality, and nondiscrimination.

More information

Infant Mortality and Maternal Mortality in Lao PDR

Infant Mortality and Maternal Mortality in Lao PDR Infant Mortality and Maternal Mortality in Lao PDR Presented by: Dr Somchith Akkhavong Deputy Director Department of Hygiene and Prevention Ministry of Health, Vientiane Capital Lao PDR GFMER - WHO - UNFPA

More information

The Role of International Law in Reducing Maternal Mortality

The Role of International Law in Reducing Maternal Mortality The Role of International Law in Reducing Maternal Mortality K. Madison Burnett * Safe motherhood is a human rights issue The death of a woman during pregnancy or childbirth is not only a health issue

More information

FIGHTING AGAINST MATERNAL AND NEONATAL MORTALITY IN DEVELOPING COUNTRIES

FIGHTING AGAINST MATERNAL AND NEONATAL MORTALITY IN DEVELOPING COUNTRIES PRESS KIT February 2014 FIGHTING AGAINST MATERNAL AND NEONATAL MORTALITY IN DEVELOPING COUNTRIES WIVES ID M G IN T C E CONN CONTENT 02 Key figures 03 Launch of the international "Connecting Midwives" web

More information

Chapter 29 Early Child Development (ECD)

Chapter 29 Early Child Development (ECD) Chapter 29. Early Child (ECD) Chapter 29 Early Child (ECD) What is ECD? Early child development (ECD) refers to the combination of physical, mental, and social development in the early years of life. During

More information

THE INDIA NEWBORN ACTION PLAN

THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN Current Situation Vision & Goals Guiding principles Strategic Intervention Packages Milestones Way Forward CAUSES OF NEONATAL DEATHS : INDIA

More information

Newborn survival is inextricably linked to

Newborn survival is inextricably linked to POPULATION REFERENCE BUREAU P o l i c y P e r s p e c t i v e s o n N e w b o r n H e a l t h January 2007 SAVING NEWBORN LIVES Postnatal Care: A Critical Opportunity to Save Mothers and Newborns By Erin

More information

Profile: Dr. Sulley Gariba

Profile: Dr. Sulley Gariba Profile: Dr. Sulley Gariba Surname: Gariba First name: Sulley Date of Birth: 1958-05-04 EDUCATION Ph.D. in Political Science and International Development, Carleton University, Ottawa, 1989. M.A., Political

More information

GENDER AND DEVELOPMENT. Uganda Case Study: Increasing Access to Maternal and Child Health Services. Transforming relationships to empower communities

GENDER AND DEVELOPMENT. Uganda Case Study: Increasing Access to Maternal and Child Health Services. Transforming relationships to empower communities GENDER AND DEVELOPMENT Uganda Case Study: Increasing Access to Maternal and Child Health Services The Context World Vision has been active in working with local communities to increase access to health

More information

MamaYe! Digital Strategy

MamaYe! Digital Strategy MamaYe! Digital Strategy Contents Introduction 2 The Role of Digital in the MamaYe! Campaign 4 Style & Tone for the Web 8 Mobile Technology in the MamaYe! Campaign 9 Story Telling in the MamaYe! Campaign

More information

PROPOSAL. Proposal Name: Open Source software for improving Mother and Child Health Services in Pakistan". WHO- Pakistan, Health Information Cell.

PROPOSAL. Proposal Name: Open Source software for improving Mother and Child Health Services in Pakistan. WHO- Pakistan, Health Information Cell. PROPOSAL Proposal Name: Open Source software for improving Mother and Child Health Services in Pakistan". Submitted by: WHO- Pakistan, Health Information Cell. Please provide a description of the proposal

More information

PROGRESS FOR CHILDREN. A Report Card on Maternal Mortality

PROGRESS FOR CHILDREN. A Report Card on Maternal Mortality PROGRESS FOR CHILDREN A Report Card on Maternal Mortality Number 7, September 2008 CONTENTS Foreword: Maternal mortality and the MDGs 1 Maternal mortality: Neglected for too long 2 Global overview 4 A

More information

cambodia Maternal, Newborn AND Child Health and Nutrition

cambodia Maternal, Newborn AND Child Health and Nutrition cambodia Maternal, Newborn AND Child Health and Nutrition situation Between 2000 and 2010, Cambodia has made significant progress in improving the health of its children. The infant mortality rate has

More information

Health Partnership Scheme Multi Country Partnership Grants

Health Partnership Scheme Multi Country Partnership Grants Health Partnership Scheme Multi Country Partnership Grants Grant Overview 1 Purpose The Health Partnership Scheme supports the development of health services in poor countries. It is funded by the Department

More information

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health Managing diabetes and reproductive health in developing contexts. The 2016 World Health Day theme to scale up prevention, strengthen

More information

United Republic of Tanzania African Region

United Republic of Tanzania African Region % of deaths % of deaths African Region Neonatal and Child Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and information system Health status indicators

More information

Postpar tum Hemorrhage: A challenge for safe motherhood

Postpar tum Hemorrhage: A challenge for safe motherhood Postpar tum Hemorrhage: A challenge for safe motherhood Background Complications of pregnancy and childbirth are among the leading causes of death and illness for women around the world. Over half a million

More information

performance and quality improvement to strengthen skilled attendance

performance and quality improvement to strengthen skilled attendance An affiliate of Johns Hopkins University using performance and quality improvement to strengthen skilled attendance United States Agency for International Development The Maternal and Neonatal Health (MNH)

More information

Malawi Population Data Sheet

Malawi Population Data Sheet Malawi Population Data Sheet 2012 Malawi s Population Is Growing Rapidly Malawi Population (Millions) 26.1 19.1 13.1 9.9 8.0 4.0 5.5 1966 1977 1987 1998 2008 2020 2030 Malawi s population is growing rapidly,

More information

MALAWI YOUTH DATA SHEET 2014

MALAWI YOUTH DATA SHEET 2014 MALAWI YOUTH DATA SHEET 2014 2 of Every 3 People in Malawi Are Under Age 25 Age 80+ 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 Male Female 20-24 POPULATION 700,000 700,000 0 POPULATION

More information

UN Commission on Life Saving Commodities for Women and Children

UN Commission on Life Saving Commodities for Women and Children UN Commission on Life Saving Commodities for Women and Children Lisa Hedman World Health Organization Department of Essential Medicines and Health Products IPC, Washington DC 11-12 December 2012 Outline

More information

Resource Tracking for RMNCH:

Resource Tracking for RMNCH: Resource Tracking for RMNCH: (reproductive, maternal, neonatal and child health) Presenter: Cornelis van Mosseveld, PhD Baktygul Akkazieva, MSc. Contact Coordinator: tantorrest@who.int Tessa Tan Torres

More information

Past Present Future. Improving the Health and Wellbeing of Afghan Women and Children. Ratha Loganathan, Senior Afghanistan Health Officer, USAID

Past Present Future. Improving the Health and Wellbeing of Afghan Women and Children. Ratha Loganathan, Senior Afghanistan Health Officer, USAID Improving the Health and Wellbeing of Afghan Women and Children Past Present Future Photo: www.corbis.com Ratha Loganathan, Senior Afghanistan Health Officer, USAID Health Situation - Post-Taliban 2002

More information

MATERNAL HEALTH YOUNG CHAMPIONS PROGRAM

MATERNAL HEALTH YOUNG CHAMPIONS PROGRAM MATERNAL HEALTH YOUNG CHAMPIONS PROGRAM Maternal mortality is a major threat to women's lives in developing countries. While maternal health outcomes have improved in some countries over the past few decades,

More information

South Africa cares: No woman should die while giving life

South Africa cares: No woman should die while giving life SOUTH AFRICA S NATIONAL STRATEGIC PLAN FOR A CAMPAIGN ON ACCELERATED REDUCTION OF MATERNAL AND CHILD MORTALITY IN AFRICA (CARMMA) SOUTH AFRICA S NATIONAL STRATEGIC PLAN FOR A CAMPAIGN ON ACCELERATED REDUCTION

More information

Some elements that had been expressed about the need for intensified global advocacy

Some elements that had been expressed about the need for intensified global advocacy Some elements that had been expressed about the need for intensified global advocacy No one has ever done a global advocacy drive that addresses the MNCH continuum -- this is completely unique, long overdue,

More information

TERMS OF REFERENCE FOR ECOWAS VOLUNTEERS

TERMS OF REFERENCE FOR ECOWAS VOLUNTEERS TERMS OF REFERENCE FOR ECOWAS VOLUNTEERS I. Information on EVP Assignment EVP Assignment Title: Midwives (Senior) Project Title: UNFPA Mano River Midwifery Response Project Midwives POSITIONS Duration

More information

SIGNIFICANT IMPROVEMENTS IN THE HEALTH OF ETHIOPIANS

SIGNIFICANT IMPROVEMENTS IN THE HEALTH OF ETHIOPIANS Health in Ethiopia has improved markedly in the last decade, with government leadership playing a key role in mobilizing resources and ensuring that they are used effectively. A central feature of the

More information

Pakistan Demographic and Health Survey 2006-07

Pakistan Demographic and Health Survey 2006-07 Education Most Pakistani Women Lack Any Education Only one in three ever-married women ages 15-49 in Pakistan has any education. Most women never learn how to read. The new Demographic and Health Survey

More information

Annex 1 Cadre definitions used in the project

Annex 1 Cadre definitions used in the project WHO recommendations OPTIMIZEMNH Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting Annex 1 Cadre definitions used in the project DEFINITIONS

More information

Role of socio-demographic factors on utilization of maternal health care services in Ethiopia

Role of socio-demographic factors on utilization of maternal health care services in Ethiopia Role of socio-demographic factors on utilization of maternal health care services in Ethiopia Author Eyerusalem Dagne Year: 2010 Supervisor: Anders Emmelin Acknowledgment I would like to thank the department

More information

Working Paper No. Implementation of MDG Acceleration Framework (MAF) as

Working Paper No. Implementation of MDG Acceleration Framework (MAF) as Empowered lives. Resilient nations. Discussion Working Paper No. Paper 2 Implementation of MDG Acceleration Framework (MAF) as Innovative a Strategy to Overcome Financing Inequalities for Development:

More information

Monitoring and Evaluation Framework and Strategy. GAVI Alliance 2011-2015

Monitoring and Evaluation Framework and Strategy. GAVI Alliance 2011-2015 Monitoring and Evaluation Framework and Strategy GAVI Alliance 2011-2015 NOTE TO READERS The 2011-2015 Monitoring and Evaluation Framework and Strategy will continue to be used through the end of 2016.

More information

Water, Sanitation and Hygiene

Water, Sanitation and Hygiene Water, Sanitation and Hygiene UNICEF/Giacomo Pirozzi for children unite for children UNICEF/Julie Pudlowski Fast facts Tanzanians that lack access to improved drinking water sources 46% Tanzanians with

More information

Overview of Unsafe Abortion: Focus on Africa

Overview of Unsafe Abortion: Focus on Africa 26-06- 2013 Overview of Unsafe Abortion: Focus on Africa Amb. Dr Eunice Brookman-Amissah MB. ChB, FWACP. FRCOG Ipas Vice President, Africa ESCRH Conference, Copenhagen, May 22-25 2013 Oldest known visual

More information

CURRICULUM VITAE: ULRIK LUND-SØRENSEN

CURRICULUM VITAE: ULRIK LUND-SØRENSEN CURRICULUM VITAE: ULRIK LUND-SØRENSEN CURRENT POSITION Evaluation Coordinator at the Rockwool Foundation Research Unit Sølvgade 10, 2.tv. DK-1307 Copenhagen K Denmark Tlf: +4533344810 Email: uls@rff.dk

More information

Gender, discrimination and child survival

Gender, discrimination and child survival 2010 Gender, discrimination and child survival Policy brief Children s chances of surviving to the age of five are heavily influenced by whether they are a girl or a boy. This is partly because of genetic

More information

GUIDELINES FOR MAKING COMMITMENTS TO THE GLOBAL STRATEGY

GUIDELINES FOR MAKING COMMITMENTS TO THE GLOBAL STRATEGY GUIDELINES FOR MAKING COMMITMENTS TO THE GLOBAL STRATEGY Every Woman Every Child is a multi-stakeholder movement to implement the United Nations new Global Strategy for Women s, Children s and Adolescents

More information

METHODOLOGICAL ISSUES IN THE MEASURES OF MATERNAL MORBIDITY MORTALITY (MM 1 MM 2 ) Dr. AKO Simon

METHODOLOGICAL ISSUES IN THE MEASURES OF MATERNAL MORBIDITY MORTALITY (MM 1 MM 2 ) Dr. AKO Simon (1) METHODOLOGICAL ISSUES IN THE MEASURES OF MATERNAL MORBIDITY MORTALITY (MM 1 MM 2 ) Dr. AKO Simon Postgraduate Research Training in Reproductive Health 2004 Faculty of Medicine, University of Yaounde

More information

The Design and Evaluation of Maternal Mortality Programs

The Design and Evaluation of Maternal Mortality Programs The Design and Evaluation of Maternal Mortality Programs Center for Population and Family Health School of Public Health Columbia University The Design and Evaluation of Maternal Mortality Programs Deborah

More information

***************************************************************************

*************************************************************************** UNICEF Cambodia TERMS OF REFERENCE FOR CONSULTANT Joint Programme for Children, Food Security and Nutrition in Cambodia, Provincial Programme Coordinator Requesting Section: Child Survival ***************************************************************************

More information

Rapid Assessment of Sexual and Reproductive Health

Rapid Assessment of Sexual and Reproductive Health BURKINA FASO Rapid Assessment of Sexual and Reproductive Health and HIV Linkages This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual

More information

Factors influencing utilization of antenatal care services among pregnant women in Ife Central Lga, Osun State Nigeria

Factors influencing utilization of antenatal care services among pregnant women in Ife Central Lga, Osun State Nigeria Available online at www.pelagiaresearchlibrary.com Advances in Applied Science Research, 12, 3 (3):1309-1315 ISSN: 0976-8610 CODEN (USA): AASRFC Factors influencing utilization of antenatal care services

More information

EVERY NEWBORN SPOTLIGHT ON

EVERY NEWBORN SPOTLIGHT ON EVERY NEWBORN Progress towards ending preventable newborn deaths and stillbirths SPOTLIGHT ON Philippines The Philippines conducted a newborn assessment and bottleneck analysis exercise in 2013 that informed

More information

Population, Health, and Human Well-Being-- Benin

Population, Health, and Human Well-Being-- Benin Population, Health, and Human Well-Being-- Benin Demographic and Health Indicators Benin Sub- Saharan Africa World Total Population (in thousands of people) 1950 2,046 176,775 2,519,495 2002 6,629 683,782

More information

Maternal Health: Investing in the Lifeline of Healthy Societies & Economies. Maternal Health:

Maternal Health: Investing in the Lifeline of Healthy Societies & Economies. Maternal Health: Maternal Health: Investing in the Lifeline of Healthy Societies & Economies Maternal Health: Investing in the Lifeline of Healthy Societies & Economies Africa Progress Panel Policy Brief September 2010

More information

Lessons Learned from MDG Monitoring From A Statistical Perspective

Lessons Learned from MDG Monitoring From A Statistical Perspective Lessons Learned from MDG Monitoring From A Statistical Perspective Report of the Task Team on Lessons Learned from MDG Monitoring of the IAEG-MDG United Nations March 2013 The views expressed in this paper

More information

CAN UGANDA ACHIEVE COMPLETE CIVIL REGISTRATION AND VITAL STATISTICS SYSTEM? Lillian Ayebale (MA. DEMO) July 2015

CAN UGANDA ACHIEVE COMPLETE CIVIL REGISTRATION AND VITAL STATISTICS SYSTEM? Lillian Ayebale (MA. DEMO) July 2015 CAN UGANDA ACHIEVE COMPLETE CIVIL REGISTRATION AND VITAL STATISTICS SYSTEM? Lillian Ayebale (MA. DEMO) July 2015 Table of Contents Table of Contents...i Acronyms and Abbreviations... ii Operational Definitions...

More information

SRI LANKA SRI LANKA 187

SRI LANKA SRI LANKA 187 SRI LANKA 187 List of Country Indicators Selected Demographic Indicators Selected demographic indicators Child Mortality and Nutritional Status Neonatal, infant and under-five mortality rates: trends Distribution

More information

Brief ADVOCACY APPROACHES TO PROMOTE MIDWIVES AND THE PROFESSION OF MIDWIFERY. September 2013

Brief ADVOCACY APPROACHES TO PROMOTE MIDWIVES AND THE PROFESSION OF MIDWIFERY. September 2013 September 2013 ADVOCACY APPROACHES TO PROMOTE MIDWIVES AND THE PROFESSION OF MIDWIFERY Brief Tamara Windau-Melmer, White Ribbon Alliance Photo credit: White Ribbon Alliance Midwives play a crucial role

More information

1. What is the Global Financing Facility (GFF)?

1. What is the Global Financing Facility (GFF)? 1. What is the Global Financing Facility (GFF)? The Global Financing Facility (GFF) for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) was announced at the UN General Assembly in

More information

RE: NGO Information on Ghana for the Universal Periodic Review 2008. Key words: women s rights, maternal mortality, reproductive health, abortion

RE: NGO Information on Ghana for the Universal Periodic Review 2008. Key words: women s rights, maternal mortality, reproductive health, abortion Koma Jehu-Appiah Country Director Ipas Ghana PMB CT 193 Cantonments, Accra, Ghana email: jehuk@ipas.org The Human Rights Council OHCHR Civil Society Unit Ms. Laura Dolci-Kanaan NGO Liaison Officer Geneva,

More information

The United Nations supporting country-led responses to AIDS

The United Nations supporting country-led responses to AIDS YOUNG PEOPLE AND HIV HIGHLIGHTS In 2011, youth (15-24) accounted for 40% of all new global HIV infections in people aged 15 years and older i. In 2011, there were an estimated five million youth living

More information

Delaying First Pregnancy

Delaying First Pregnancy Delaying First Pregnancy Introduction The age at which a woman has her first pregnancy affects the health and life of a mother and her baby. While pregnancy can present health risks at any age, delaying

More information

Bachelor s degree in Nursing (Midwifery)

Bachelor s degree in Nursing (Midwifery) Tbilisi State Medical University Faculty of Physical Medicine and Rehabilitation The first level of academic higher education Bachelor s degree in Nursing (Midwifery) TBILISI 2012 Name of qualification

More information

Title: Determinants of full child immunization among 12-23 months old in Nigeria Long abstract Morbidity and mortality in children are mainly due to

Title: Determinants of full child immunization among 12-23 months old in Nigeria Long abstract Morbidity and mortality in children are mainly due to Title: Determinants of full child immunization among 12-23 months old in Nigeria Long abstract Morbidity and mortality in children are mainly due to preventable diseases such as measles, poliomyelitis,

More information

Nigeria s Health Statistics and Trends

Nigeria s Health Statistics and Trends Nigeria s Health Statistics and Trends Dr Zipporah Kpamor Being a presentation at the Nigeria Behind the Headlines: Population, Health, Natural Resources, and Governance Conference organized by The Woodrow

More information

Mobile Technology for Community Health Project

Mobile Technology for Community Health Project Mobile Technology for Community Health Project SolDevelo s Case Study and Project Information What is MOTECH The Mobile Technology for Community Health (MOTECH) Platform is an open source software project

More information

JOB DESCRIPTION. Job Purpose To provide overall leadership and strategic direction to the ACORD country programme.

JOB DESCRIPTION. Job Purpose To provide overall leadership and strategic direction to the ACORD country programme. JOB DESCRIPTION Position: Location: Responsible to: COUNTRY DIRECTOR (CD) ADDIS ABABA, ETHIOPIA with regular visits to all project locations in Ethiopia Head of Programmes Operations & Development Background

More information

Mapping African Networks for Children Affected by AIDS and/or Orphans and Vulnerable Children Summary of questionnaire results April 2013

Mapping African Networks for Children Affected by AIDS and/or Orphans and Vulnerable Children Summary of questionnaire results April 2013 Mapping African Networks for Children Affected by AIDS and/or Orphans and Vulnerable Children Summary of questionnaire results April 2013 This report presents the results of the questionnaire that was

More information

CORRELATIONAL ANALYSIS BETWEEN TEENAGE PREGNANCY AND MATERNAL MORTALITY IN MALAWI

CORRELATIONAL ANALYSIS BETWEEN TEENAGE PREGNANCY AND MATERNAL MORTALITY IN MALAWI CORRELATIONAL ANALYSIS BETWEEN TEENAGE PREGNANCY AND MATERNAL MORTALITY IN MALAWI Abiba Longwe-Ngwira and Nissily Mushani African Institute for Development Policy (AFIDEP) P.O. Box 31024, Lilongwe 3 Malawi

More information

Unsafe abortion incidence and mortality

Unsafe abortion incidence and mortality Information sheet Information sheet Unsafe abortion incidence and mortality Global and regional levels in 08 and trends during 990 08 Unsafe abortion is defined by the World Health Organization (WHO) as

More information

HEAD OF POLICY AND ADVOCACY

HEAD OF POLICY AND ADVOCACY JOB DESCRIPTION JOB TITLE: DEPARTEMENT: LOCATION: REPORTING TO: COUNTRY REPRESENTATIVE - SENEGAL PAN- AFRICAN PROGRAMME DAKAR, SENEGAL HEAD OF POLICY AND ADVOCACY BACKGROUND & ORGANISATIONAL CONTEXT ACORD

More information

NATIONAL AUDIT OFFICE

NATIONAL AUDIT OFFICE THE UNITED REPUBLIC OF TANZANIA NATIONAL AUDIT OFFICE A PERFORMANCE AUDIT ON THE MONITORING, EVALUATIONS AND BUDGET ALLOCATION FOR MATERNAL HEALTH CARE ACTIVITIES IN TANZANIA MINISTRY OF HEALTH AND SOCIAL

More information

TERMS OF REFERENCE FOR STRATEGIC PLANNING & MANAGEMENT EXPERT

TERMS OF REFERENCE FOR STRATEGIC PLANNING & MANAGEMENT EXPERT TERMS OF REFERENCE FOR STRATEGIC PLANNING & MANAGEMENT EXPERT 1. Background The agency responsible for statistical information in Ghana is the Ghana Statistical Service (GSS) established in 1985 by PNDC

More information

GUIDE. MENA Gender Equality Profile Status of Girls and Women in the Middle East and North Africa

GUIDE. MENA Gender Equality Profile Status of Girls and Women in the Middle East and North Africa GUIDE MENA Gender Equality Profile Status of Girls and Women in the Middle East and North Africa 1 IntroductIon The objective of the Middle East and North Africa (MENA) Gender Equality Profiles is to

More information

afghanistan Reproductive Health at a December 2011 Country Context Afghanistan: MDG 5 Status

afghanistan Reproductive Health at a December 2011 Country Context Afghanistan: MDG 5 Status Reproductive Health at a GLANCE December 211 afghanistan Country Context Afghanistan has had many positive achievements over the past decade, including more than 6.3 million students and teachers returning

More information

Annex 1 Cadre definitions used in the project

Annex 1 Cadre definitions used in the project WHO recommendations OPTIMIZEMNH Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting Annex 1 Cadre definitions used in the project DEFINITIONS

More information

UNICEF s Supply Function and Work in Supply of Medicines

UNICEF s Supply Function and Work in Supply of Medicines UNICEF s Supply Function and Work in Supply of Medicines UNICEF structure UNICEF has four organizational groups: external relations, management, programmes and resource mobilisation. Supplies are an integral

More information

Having ready access to contraception entails an

Having ready access to contraception entails an an evidence-based advocacy initiative November 2015 AWLN Advocacy in Zanzibar Leads to Reduction in Family Planning Commodity Stock-outs CASE STUDY Having ready access to contraception entails an intricate

More information

UNICEF Violence Prevention and Response. Theresa Kilbane Senior Advisor, Child Protection 23 September 2015

UNICEF Violence Prevention and Response. Theresa Kilbane Senior Advisor, Child Protection 23 September 2015 UNICEF Violence Prevention and Response Theresa Kilbane Senior Advisor, Child Protection 23 September 2015 Background on UNICEF Work in more than 150 countries/territories Development and humanitarian

More information

Maternal Health in Papua New Guinea

Maternal Health in Papua New Guinea 13 Maternal Health in Papua New Guinea Reality, challenges, and possible solutions Dame Carol Kidu Introduction This paper focuses on Goal 5 of the Millennium Development Goals (MDGs) improve maternal

More information

Testimony of Henry B. Perry, MD, PhD, MPH Senior Associate, Department of International Health, Johns Hopkins Bloomberg School of Public Health

Testimony of Henry B. Perry, MD, PhD, MPH Senior Associate, Department of International Health, Johns Hopkins Bloomberg School of Public Health Testimony of Henry B. Perry, MD, PhD, MPH Senior Associate, Department of International Health, Johns Hopkins Bloomberg School of Public Health Congressional Hearing: The First One Thousand Days of Life

More information

Accessing Health Care and Family Planning in Nigeria

Accessing Health Care and Family Planning in Nigeria Accessing Health Care and Family Planning in Nigeria Kabir M. Abdullahi Nigeria Behind the Headlines: Population, Health, Natural Resources and Governance The Woodrow Wilson International Center for Scholars,

More information

UNICEF in South Africa

UNICEF in South Africa UNICEF in South Africa A message from the Representative 47,900,000 people live in South Africa 20,200,000 are children 294,000 children are HIV-positive 1 in 17 children die before their fifth birthday

More information

Most of the workers in the developing world are

Most of the workers in the developing world are WIEGO Policy Brief (Social Protection) N o 9 September 2012 The Ghana National Health Insurance Scheme: Assessing Access by Informal Workers Laura Alfers 1 Most of the workers in the developing world are

More information

Banjul Declaration on the Strategies for Accelerating the Implementation of the Dakar and Beijing Platforms for Action

Banjul Declaration on the Strategies for Accelerating the Implementation of the Dakar and Beijing Platforms for Action Distr.: GENERAL UNITED NATIONS ECONOMIC COMMISSION FOR AFRICA E/ECA/ARCW/8/11 15 December 2009 Original: ENGLISH Eighth Africa Regional Conference on Women (Beijing + 15) 19 20 November 2009 Banjul, The

More information

Ending Preventable Maternal Mortality: USAID Maternal Health Vision for Action Evidence for Strategic Approaches. January 2015

Ending Preventable Maternal Mortality: USAID Maternal Health Vision for Action Evidence for Strategic Approaches. January 2015 Ending Preventable Maternal Mortality: USAID Maternal Health Vision for Action Evidence for Strategic Approaches 2012 Asit Kumar Ghatak, Courtesy of Photoshare January 2015 ii Ending Preventable Maternal

More information