Continuing the Journey

Mother Wahida Khatun holds her son Hamim Arafat (02 days) at the general hospital, Kushtia MaMoni MNCSP puts key emphasis on strengthening maternal and newborn care (MNC) services. From 2013 to 2017, maternal and child health systems strengthening was done through MaMoni Health Systems Strengthening (HSS) project in specific areas. MaMoni MNCSP is focusing on the Quality of Care (QoC) of MNC services, expansion of proven interventions and sustainability of the improvement in access and demand for MNC services. Moreover, beyond the 10 priority districts, the project aims to improve overall national capacity to deliver quality MNC services at scale.
MaMoni MNCSP progresses with the strategic objective of Increased Equitable Utilization of Quality Maternal and Newborn Care Services. The strategic approaches through which it aims to address this objective includes:

  • Catalyze effective scale up of proven MNC interventions and approaches with quality in priority geographic areas
  • Expand the evidence and test new MNC innovations in learning sites
  • Facilitate national health systems improvements and policy changes for sustained impact at national scale

MaMoni MNCSP’s planned continuum of care in the 10 districts starts from the households and covers different levels of care facilities ranging from ground level to secondary and tertiary level. Starting from community clinics and community health workers, it expands to Union Health and Family Welfare Centers, Upazila Health Complex, District Hospitals, Mother and Child Welfare Centers (MCWC) and tertiary hospitals.

MaMoni MNCSP is supporting immediate expansion and scale up of maternal and newborn care (MNC) interventions in priority geographic areas. The intervention practices and tools being tested and implemented include: Basic Maternal Care Package, Comprehensive Newborn Care Package, scale up of electronic Management Information System (eMIS), increased number of 24/7 facilities, building capable workforce and improving Quality of Care (QoC) in the facilities across 10 districts.

In this phase, new focus areas are also added to the project, such as care of small and sick newborns, Learning Networks for improving quality of services, Information, Communication and Technology (ICT)-based innovations for data management and client feedback mechanism, approaches for social accountability, local government engagement for strengthening maternal and newborn health services and customized strategies for hard-to-reach populations, etc.

In the 10 focus districts, MNC interventions and approaches are gradually being scaled up, institutionalized and ultimately sustained through Ministry of Health & Family Welfare (MOH&FW) systems in close collaboration with the Directorate Generals of Health Services (DGHS) and Family Planning (DGFP).