Developing Ministry Capacity and Partnerships for Sustainability and Scale MOHAMMED ALI
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Transcript of Developing Ministry Capacity and Partnerships for Sustainability and Scale MOHAMMED ALI
Developing Ministry Capacity and Partnerships for Sustainability and Scale
- the case of USAID funded Maternal and Child Survival Project in Rural Ghana
Mohammed Ali, Health Program Manager – CRS Ghana
CORE Group Meeting – Portland USA
May 18, 2016
Introduction
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• Project Title: EPPICS, USAID
funded • Goal: Contribute to
reduction in maternal/child mortality
• Partner: Ghana Health Services
• Location: East Mamprusi district
• Target: 51,000 direct beneficiaries
East Mamprusi
The Problem Analysis
3
Baseline MCH Indicators EM, NR and National- 2010/11
East Mamprusi
Northern Region
Ghana
Antenatal visits (1st trimester)
30 49 55
Antenatal visits(4+)
46 58 78 Supervised deliveries
43 38 46
IPT2+ 51 33 44 ITN use 36 45 Institutional MMR
275 95 68 Under 5 Mortality Rate
138 137 80
Poor uptake of MCH services → High morbidity and mortality
Low Government capacity →poor service delivery Poor community engagement→ low patronage of services
How did we partner with MoH?
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Partnerships
CRS maintains partnership at multiple level with the Government
- National, Regional, Districts --- across varied sectors
Key for pooling resources to facilitate cost effectiveness
Revolves around defined roles and responsibilities
Build on mutual trust, respect for each other and long term relationships
5
EPPICS Partnership Framework
.
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Project success and sustainability SUPPORTIVE
Technical, Resources, Funds etc
ACCOMPANIMENT Implementation
&MEAL Promising strategies
for scale-up
COLLABORATIVE Joint Assessment &Consultations
for Project Design
EPPICS Partnership Framework –cont.
1. Collaborative- consultative - (assessments/design) a) Identify core, immediate and underlying causes b) Formulate goals and strategies 2. Supportive/Facilitative - Technical, Resources funds/logistics) a) Training of Trainers – stepdown for CHOs &CBAs,
MEAL/IQAT b) Fuel, motorbikes, tools including equipment
3. Accompaniment (Implementation & MEAL) a) Joint implementation with GHS as lead b) Joint monitoring and evaluation
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Facilitators in partnering with MoH
Trust/relationship built over time
Track record cultivated over time
Shared goal/objectives including theory of change
Technical capacity- CP, Regional and HQ
Appreciate roles/responsibilities – including strengths and weaknesses
8
Key Outcomes
38% increase in exclusive breastfeeding
43% increase in adoption of improved feeding practices
60% increase in skilled assisted deliveries
97% increase in post-natal visit within 2 days of delivery
130% increase in Essential Newborn Care
109% reduction in institutional maternal mortality
131% reduction in institutional infant mortality rate
80% reduction in neonatal mortality rate
37% improvement in quality antenatal care
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Impact: Mortality based Indicators from 2010 - 2015
• .
10
295
131
76
47 57 51
62
44
25 19 13 13 7 8 5 5 4 3 2010 2011 2012 2013 2014 2015
Figure 1: Indicators of Mortality in East Mamprusi District (2010 - 2015)
Institutional Maternal Mortality Rate Infant Mortality Rate Neonatal Mortality Rate
Mechanisms for sustainability and scale
Sustainability
MoH led- right from the design stage
Transfer of knowledge and skills – ripple effect
Existing Systems and structures strengthened
Tools and guidelines developed to guide replication
scale
Already scaled up into five additional districts
MoH sourcing funds to replicate in 5/10 regions of Ghana
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Challenges to Partnerships
Health worker attrition- transfers
Delayed Government subventions
Many partners - one Government (Push – Pull factors)
Late submission of activity and financial reports
Clash of values – Artificial contraceptives
12
Conclusions
In resource poor settings, partnership is key to achieving results
Public private collaboration is needed to enhance achieving the objectives of community-based maternal and child health interventions
Pooling resources and working together is the surest way of making difference in interventions
13
.
Funding for this project was made possible by USAID
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THANK YOU