There is a need for streamlined observation-based tools to measure labor and delivery (L&D) care quality. Using data from the MCHIP Maternal and Newborn Quality of Care Surveys (QoC Surveys), a research study recently developed a short but comprehensive index of 20 informative indicators that can be used to measure the quality of routine L&D care by facility-based or external …
Review of monitoring of malaria in pregnancy through national health management information systems: Results from six countries in sub-Saharan Africa
MCHIP, with support from the President’s Malaria Initiative (PMI), conducted a review of national health management information systems in a sample of six PMI focus countries: Kenya, Mozambique, Malawi, Mali, Tanzania and Uganda. The aim was to improve the understanding of how ministries of health are monitoring and reporting on their malaria in pregnancy-related program results and how the data …
Review of monitoring of malaria in pregnancy through national health management information systems: Tanzania
MCHIP, with support from the President’s Malaria Initiative (PMI), conducted a review of national health management information systems in a sample of six PMI focus countries: Kenya, Mozambique, Malawi, Mali, Tanzania and Uganda. The aim was to improve the understanding of how ministries of health are monitoring and reporting on their malaria in pregnancy-related program results and how the data …
Uterotonic use immediately following birth: using a novel methodology to estimate population coverage in four countries
While incidence of postpartum hemorrhage (PPH) can be dramatically reduced by uterotonic use immediately following birth (UUIFB) in both community and facility settings, national coverage estimates are rare. To fill this information gap, a methodology for estimating national coverage for UUIFB was developed and piloted in four settings: Mozambique, Tanzania, the state of Jharkhand in India, and Yemen. This MCHIP …
Lessons Learned from the Scale-Up Experience of Six High-Impact Interventions in Reproductive, Maternal, Newborn, and Child Health
One of MCHIP’s cross-cutting themes was to support governments to bring high-impact health interventions to scale. This review draws on 18 case studies involving MCHIP support to scale up six health interventions. The research team conducted desk reviews for each case study based on project documents and published and gray literature, supplemented by in-country teams’ self-assessments of progress in institutionalizing …
Assessment of the consistency of national-level policies and guidelines for malaria in pregnancy in five African countries
One of the major factors contributing to low coverage of long-lasting insecticide-treated bed nets (LLINs) and intermittent preventive treatment with sulphadoxine-pyrimethamine (IPTp-SP) among pregnant women is provider confusion about when and how to distribute them. Technical expertise in malaria in pregnancy (MIP) is typically provided by national malaria control programs (NMCPs), while MIP interventions are implemented through national reproductive health …
Quality of Antenatal and Delivery Care Services in Six Countries in Sub-Saharan Africa
In 2010–2012, MCHIP conducted a series of health facility surveys examining the quality of care that mothers and newborns received in facilities in Sub-Saharan Africa. The main objective of these surveys was to determine the frequency and quality of evidence-based MNH interventions performed by antenatal care and delivery care providers. This brief presents a summary of study findings from six …
Voluntary Medical Male Circumcision for HIV Prevention: Improving Quality, Efficiency, Cost Effectiveness, and Demand for Services during an Accelerated Scale-Up
This collection of research studies provides evidence from five African countries—Kenya, South Africa, Tanzania, Zimbabwe and Lesotho—that safe, high-quality voluntary medical male circumcision (VMMC) services performed by trained healthcare professionals in low resource settings can be implemented and sustained at scale and has the potential to significantly prevent new HIV infections in adolescent and adult men. The papers published under …
MAISHA Quality of Maternal and Newborn Care Study: Tanzania
A series of MCHIP health facility surveys on quality of care (QoC) focus on the frequency and quality of interventions that address the direct causes of maternal and newborn deaths, and act as key sources of information for policymakers and other stakeholders in country. The Tanzania reports—on labor and delivery, and antenatal care—highlight areas of relative strength as well as significant gaps …
Matching Supply with Demand: Scaling Up Voluntary Medical Male Circumcision in Tanzania and Zimbabwe
In order to improve voluntary medical male circumcision (VMMC) service uptake and target demand creation activities more effectively, clients currently accessing and receiving VMMC services should be better characterized by their demographic, socioeconomic, and sexual risk behaviors. This case study of VMMC programs in the Iringa Region of Tanzania and in Zimbabwe describes both the age distribution of clients accessing …