Start and end dates: March 2014 to February 2019
Activities tentatively on suspension: 16 June 2015
MCHIP Partners Involved
Lead Organization: John Snow Inc.
Partners: Jhpiego, Save the Children, PATH, ICF International
Key Partners in Country
Ministry of Public Health and Population (MOPHP), USAID | DELIVER PROJECT, WHO, UNICEF, UNFPA, the European Union, GIZ, Japan International Cooperation Agency, Yemen Midwives Association, National Safe Motherhood Alliance, Yamaan, other local NGOs
Description of work
The goal of the MCHIP Yemen Associate Award is to reduce maternal and neonatal mortality and morbidity as well as rates of childhood illness and malnutrition—particularly stunting and anemia—over five years. The program’s objectives tie closely to USAID’s commitment to Ending Preventable Child and Maternal Deaths (EPCMD), and focus on: reducing maternal, newborn, infant and child deaths; decreasing under-nutrition; and increasing contraceptive prevalence rate by implementing a package of high-impact interventions (HII).
- Maternal health
- Reproductive health/Family planning
- Newborn health
- Child health
- Community health
- Water, sanitation and hygiene (WASH)
Activities are implemented at the national, governorate, district and sub-district levels. MCHIP is working across five governorates (Sana’a City, Aden City, Dhamar, Al Dhalee and Rayma Governorates) and in six districts within these governorates.
MCHIP supports an integrated approach that spans RMNCH/nutrition and works from pre-pregnancy through childhood and across the continuum of care from household and community to health facilities. The Program is working with the MOPHP and other stakeholders through existing networks and systems to strengthen provision of integrated, high-quality services at the facility and community levels, applying a focused gender lens throughout each area of intervention. Most of the HIIs will be implemented at facility level and a selection at community level including at home birth. MCHIP is also implementing an integrated, community-based package of services designed to increase community demand for RMNCH/nutrition services and improve the quality of HII delivered at the community level.
Key Results to Date
Improving the enabling environment for high-impact RMNCH/Nut services:
- Adapted KMC Training Manuals to reflect Yemen context.
- Supported MOPHP in revision and update of the National Guidelines to Promote Community Health.
- Developed Maternal Health Advocacy Strategy with WRA and NSMA.
Enhancing human resources planning and preparedness of health workforce:
- Developed and translated PSE performance standards and educational materials for CMW education for HIHS.
- Establishing training skills labs in 10 HIHS, and supporting training of unemployed CMWs.
Increasing access and quality of service delivery points that offer high-impact RMNCH/Nut services:
- Identified and assessed intervention facilities.
- Developed 40 annual facility-level Immunization Micro-Plans in Aden.
- Set up KMC units in Al Wahda Hospital, Aden, and in Al Sabeen Hospital, Sana’a.
- Established Quality Committees at Al Sabeen Hospital; MNH service delivery standards for QI developed, tested and introduced; also developed QI Performance Improvement strategy and associated materials.
- Trained nearly 160 service providers.
Increasing community demand for RMNCH/Nut services and improving quality of high-impact interventions delivered at the community level:
- Developed MCHIP Yemen Community Mobilization Strategy/Approach.
|Select Health and Demographic Data for Yemen|
|GDP per capita (USD)||1361.00|
|Maternal Mortality Ratio (deaths/100,000 live births)||200|
|Percent of maternal deaths due to HIV||not found|
|Skilled birth attendant coverage||36|
|Antenatal care, 4+ visits||47|
|Neonatal mortality rate (deaths/1,000 live births)||32|
|Infant mortality rate (deaths/1,000 live births)||57|
|Under-five mortality (deaths per 1,000 live births)||77|
|Treatment for acute respiratory infection||not found|
|Oral rehydration therapy for treatment of diarrhea||48|
|Diphtheria-pertussis-tetanus vaccine coverage (3 doses)||68|
|Modern contraceptive prevalence rate||28|
|Total fertility rate||5.2|
|HIV Prevalence, adult||0.2|
|ART coverage, adult||8%|
|Density of physicians (per 1,000 population)||0.2|
|Density of nurses & midwives (per 1,000 population)||0.7|
|Total Health Expenditure per capita (USD)||88.00|
|Sources: Demographic information and health systems, MMR, SBA, ANC4, Newborn health, Child Health, DPT3 coverage, and Family Planning, World Bank; Infant mortality rate, Under-5 mortality rate, Total fertility rate, DPT3 percent districts >80%, ART coverage and maternal deaths due to HIV, and Malaria, WHO; HIV prevalence, UNAIDS 2010 Global Report; DPT3 equity ratio, USAID; Treatment for acute respiratory infection, UNICEF|