Mozambique: Improving the Quality of Care and Services across the Health Sector (through MCHIP)
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Training/Technical Assistance (42)
Improving the quality of care and services across the health sector in Mozambique is one of the top priorities of both the Ministry of Health (MOH) and the United States Government (USG). To support these efforts, the Maternal and Child Health Integrated Program (MCHIP) is implementing an integrated maternal, neonatal and child health (MNCH) program and a condom social marketing (CSM) program with three primary objectives:
• Strengthen essential maternal and newborn care (EMNC)—including the prevention and control of malaria in pregnancy (MIP) as an integrated component of antenatal care—and strengthen basic emergency obstetric and newborn care (EmONC) services, as well as key preventive family planning/reproductive health services including postpartum family planning (PPFP) and cervical cancer prevention;
• Strengthen the EMNC and EmONC curriculum in an integrated manner in all MOH training institutions for maternal and child health mid-level nurses; and
• Provide technical assistance to the MOH to develop an integrated training package for reproductive and maternal/child health.
MCHIP supports the central level of the MOH in the development and dissemination of MNCH norms, guidelines, standards and training materials. At the health facility level, MCHIP supports the implementation of the “model maternity initiative,” which focuses on the following platform of integrated care:
• Strengthening antenatal care, including MIP prevention and control
• Prevention of mother-to-child transmission of HIV
• Safe and humanized childbirth
• Management of main obstetric complications
• Immediate newborn care, including skin-to-skin care and early breastfeeding
• Newborn resuscitation
• Postnatal care for the mother and newborn
• Kangaroo Mother Care (skin-to-skin contact) method for underweight newborns
• Key preventive family planning/reproductive health services, including PPFP
The goal is to create maternities in each province that serve as models for quality of care services and as a clinical practice site for in-service training and pre-service education.
The three objectives of the MCHIP CSM program in Mozambique are to:
• Increase sales of subsidized branded condoms and increase distribution of free non-branded condoms to targeted groups and in targeted areas;
• Implement effective information, education and communication campaigns promoting HIV prevention, changed behaviors and increased condom use; and
• Implement qualitative and quantitative research to track sales and assess changes in attitudes toward condoms.
The Maternal and Child Health Integrated Program (MCHIP) is the USAID Bureau for Global Health’s maternal, neonatal and child health (MNCH) program. MCHIP supports global programming in MNCH, immunization, family planning, malaria and HIV/AIDS, and strongly encourages opportunities for integration. Cross-cutting technical areas include water, sanitation, hygiene, urban health and health systems strengthening.
MCHIP brings together a partnership of organizations with demonstrated success in reducing maternal, newborn and child mortality rates and malnutrition. Each partner is taking the lead in developing programs around specific technical areas. Jhpiego is the Prime on MCHIP, leading a coalition of the following partners: JSI, Save the Children, PATH, JHU/IIP, Broad Branch, PSI and Macro International.
For more information about MCHIP, see full MCHIP description on this Web site or visit www.mchip.net.
For nearly 40 years, Jhpiego, (pronounced "ja-pie-go"), has empowered front-line health workers by designing and implementing simple, low-cost, hands-on solutions that strengthen the delivery of health care services, following the household-to-hospital continuum of care. We partner with community- to national-level organizations to build sustainable, local capacity through advocacy, policy and guidelines development, and quality and performance improvement approaches.
For more information about Jhpiego, visit www.jhpiego.org.
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