This was primarily due to a misalignment of performance indicators between the project and the departmental level, inadequate reporting software and IT systems, a lack of technical support for staff, and weak country-level data systems. In Mozambique, CHAI increased the proportion of provincial cold stores with sufficient storage capacity from 9% to 100%, while in Nigeria, Mozambique and Tanzania, it helped bring temperature monitoring to sites that protect $96M worth of annual vaccine supplies. Finding 5: There was evidence of progress towards the immediate and intermediate levels for corporate MNCH outcomes for projects in the sample. This was exacerbated by the absenceof overlap and transition time between staff. Despite this, the sustainment of results was noted for some projects. In the two minutes it will take you to read this text, more than 30 children under the age of five will die. MNCH 1.0: ICDDR Institutional Support in Bangladesh (ICDDR): The International Centre for Diarrhoeal Disease Research in Bangladesh has contributed to international cholera vaccines, provided the first validation of a simple method for assessing infant dehydration, and revealed new insights which may assist in controlling future outbreaks of chikungunya virus. Dramatic reductions have been achieved in maternal, newborn and child health in recent decades. For example, respondents reported that high rates of turnover and vacancies within the Health and Nutrition Bureau (MND), the corporate unit responsible for MNCH since 2015, had made it particularly challenging for staff to maintain institutional knowledge, meet deadlines, and respond to requests. While MNCH and SRHR are closely connected, this new commitment is outside the scope of this evaluation. However, none of 13 methods were found to be ideal for data collection. However, the analysis did not find a single type of partner that would be able to achieve maximum results in all contexts. [Percent of total] projects in which the [percent of] mothers, and of babies, who received postnatal care within two days of childbirth has increased. Social and Financial Risk Protection and 4. Identified barriers to innovation expressed in interviews included: Some respondents also emphasized that although innovation should be considered for problems without effective solutions, it was also important to focus on proven interventions that effectively meet beneficiaries basic MNCH needs. Finding 16: While Global Affairs has made efforts to promote innovation, staff expressed concerns that the Department did not yet have a culture that fully fostered innovation in employees daily work. The project reached more than twice the targeted number of 750,000 children per year. Programs | MCHB - Health Resources and Services Administration PMNCH - Partnership for Maternal, Newborn and Child Health Over 1.5 million births assisted by skilled personnel (1,544,221) The progress to date is 1,078,942 - 70%. for Maternal, Newborn, Child and Adolescent Health and Ageing (MCA) WHO MCA has a leadership role in setting global research priorities and advancing thought leadership throughout different stages of the life course, from birth to ageing. $3.5 billion MNCH 2.0 commitment announced. The analysis relied on document review and interviews with Global Affairs staff, implementing partners, and other donors who were currently on the ground in South Sudan. about PMNCH members and their work, which enables partners to search, For the summative evaluation component, there were 56 projects, while 24 projects fell within the formative evaluation component. About | Maternal, Newborn, Child Health & Nutrition | PATH Specifically, the Department could review and develop streamlined processes to ensure that when commitments shift, the necessary guidance and support will be available to staff as soon as possible. Improving maternal, newborn, and child health is central to PATH's mission and work around the world. Data Projects Designed to Help Global Affairs Improve Reporting at the Impact Level. This document outlines the vision, mission, goals and objectives of the Partnership for Maternal, Newborn and Child Health (PMNCH) for the next five years. This systematic review was conducted to study maternal and child health (MCH) services utilization during pandemics (Zika, Ebola, and COVID-19 . About the Program. In addition: Ensure that staff receive direction from senior management, along with technical support, on the systematic use of indicators, guidance tools, and compliance with reporting requirements. Thus the total number of qualified respondents for the evaluation on this topic would be 18 (n=18). This type of engagement facilitated the effectiveness of programming in achieving results. The American College of Obstetricians and Gynecologists has released a free online course to help clinicians address perinatal mental health. Similarly, the analysis of ratings from MSRs revealed no notable differences by partner type in terms of whether projects were on track to achieve expected intermediate outcomes. ISA Conference 2023: Reducing Inequality Local to Global, International Group B Strep Awareness Month, G20: Maternal, Newborn, Child and Adolescent Health and Well-Being: A Critical Agenda for the G20, UNICEF: Improving the civil registration of births and deaths in low-income countries, IRC: Violence Against Health Care in Conflict 2022, IFMSA: Policy Brief - Adolescent Health and Survey. However, many MNCH results could be at risk without ongoing donor support. In this analysis, each projects gender equality code was counted. At the same time, external partners and Global Affairs staff highlighted areas that required continued attention to help achieve improved health results. For instance, While these projects were in early stages and fell within the formative evaluation component, initial results showed that the data projects were making progress in strengthening data and civil registration and vital statistics systems (see Appendix B for examples). To carry out a robust analysis of which partners can achieve maximum results, a test would need to be carried out where each type of partner implemented the exact same portfolio of projects (including different contexts, sizes, geographic scope and funding amounts, etc. The Clinton Health Access Initiative (CHAI) worked with the University of British Colombia (UBC) on cold-storage technologies for vaccine-storage rooms. Are there opportunities to improve the efficiency of programming? When there were long gaps between when a partner was ready to implement their project and a project was approved, there could be real impacts. Weak Country-Level Data Systems for Outcome Data. Final ReportInternational Assistance Evaluation Division (PRA)Global Affairs CanadaMay 2019. partnership to effectively advocate for women, children and adolescents by Maternal and Infant Health | Reproductive Health | CDC It encourages government partners to think in terms of service delivery by using a results-based financing approach to budget administration. National health statistics from the World Health Organization were used to evaluate progress on national indicators. For instance, due to a lack of resources and management capacity in some recipient-country governments, the continued operation of donor-supported activities faced challenges at the end of project periods. 1333 Maternal nutrition and Infant and youth feeding promotional activities including the promotion of equal needs for girls and boys provided, 1411 Vital events and civil registries established and upgraded, 1413 Data collected, including sex-disaggregated data on the determinants of health, health systems performance and health status from efficient, modern, timely and reliable sources, 1422 Standardized health management systems, including reliable sex-disaggregated data and gender sensitive indicators established and expanded at various levels of the health system. According to interviewees, the lack of availability of the few health specialists also limited Global Affairs ability to meaningfully engage in relevant technical and strategic discussions with other donors and multilaterals. Under-five and neonatal mortality rate estimates (per thousand live births) ; For Bangladesh, Mozambique, South Sudan and Tanzania, the Under 5 Mortality rate and Neonatal mortality rates slope down from 2010 to 2017. Additional details on methodology, evaluation terminology and limitations can be found in Appendix A. Adolescents were not highlighted as a specific target group in either MNCH 1.0 or 2.0, suggesting a consideration for future funding. MNCH 1.0: Leyaata Project in Ghana (GRID, in partnership with Northern Empowerment Association): In 82 communities in three districts of Ghana, the Leyaata Project has contributed to a reduction in neonatal mortality rates from 30-45 deaths per 1,000 to 5 in the project area. This finding is consistent with the recent Organization for Economic Co-operation and Development (OECD) Development Co-operation Peer Review of Canada (2018). See Appendix D for additional analysis on the strengths and weaknesses of each type of partner. Finding 24: Over the course of the evaluation period, there were several instances of a need for better communication and guidance on new policies and priorities. Antimalarial treatment: a) % of children under 5 years old with fever in the previous two weeks for whom advice or treatment was sought; b) % receiving first line antimalarial treatment among those children with fever in the last two weeks who received any antimalarial. World Vision participates in International Conferences, such as Women Deliver and the International Conference on Family Planning. Breakdown of Sample Projects by Evalution Type Text EquivalentGraphic: Breakdown of Sample Projects by Evaluation Type; Formative = 17, Summative = 49, Both = 7. Relevant policies, guidelines, and processes were being developed and implemented to support the scale-up of interventions. MNCH 2.0 funding commenced, immediate disbursements encouraged. The need to be nimble was seen as particularly important for projects working in highly challenging country contexts. Evaluation missions were carried out in Bangladesh, Mozambique, and Tanzania. Other examples of successful MNCH innovations from the evaluation sample fell into two broad categories: technological innovation; and innovative approaches and practices to encourage behaviour change (See Appendix C). The DEPB has since been replicated in 10 other districts. Out of 73 projects, 23 project-level evaluations were available to the evaluation team. The Centre tests its research in community labs, where they developed the oral cholera-vaccine now used around the world. Challenges included: funding approval timelines that did not logically coincide with the Canadian partner funding that Johns Hopkins University was supposed to influence; and the turnover of several officers responsible for the Johns Hopkins University files in the Health and Nutrition Bureau (MND). Water, sanitation and hygiene (WASH) indicators were included in the Performance Measurement Frameworks for both MNCH 1.0 and 2.0, and some WASH projects were funded. At the same time, Global Affairs staff at various levels expressed concern and frustration with the institutional and individual challenges associated with one to three-year postings for overseas rotations and mobility at headquarters.
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