Prevention and Clinical Management | Health Systems and Workforce | Strengthening Quality of Care | Focus: Small and Sick Newborns | Focus: Private Sector Room: Nerina Oral Abstracts
May 11, 2023 09:10 - 10:25(Africa/Johannesburg)
20230511T0910 20230511T1025 Africa/Johannesburg Challenges and Solutions from Subnational Case Studies in Maternal and Newborn Health

Improving Governance of Maternal and Newborn Health (MNH) Programming through Co-creation: A Case of Nine Devolved County Governments in Kenya

Kenya ushered in a devolved system of governance that created 47 semi-autonomous county governments in 2010. Delivery of health services was the major component transferred to the county governments, while the national government retained policy and regulatory functions. While there has been improvement in health structural development attributed to devolution, counties continue to experience insufficient management and technical staff capacity to conduct devolved tasks. There have been substantial investments in capacity-building for human resources for health and equipping facilities for maternal and newborn health (MNH) in the last decade. Subsequently, access to antenatal care, facility deliveries, and postnatal care has significantly improved. However, there remain mixed results in measures of impact for maternal morbidity and mortality. We present results on the effect of utilizing a co-creation process to improve MNH service delivery and outcomes in nine counties in Kenya.

Multi-pronged Strategy to Improve Maternal and Newborn Quality of Care: A Case Study from Saving Mothers Giving Lives (SMGL) 2.0 Project in Kaduna State, Nigeria 

Despite significant investment, Nigeria still carries the second highest burden of maternal mortality in the world, contributing about 15% of the total global maternal deaths. Kaduna State in Northern Nigeria has a neonatal mortality rate of 63/1,000 live births, higher than the national average of 39/1,000 live births. To contribute to a reduction of maternal and neonatal mortality in the country, Saving Mothers Giving Lives (SMGL) 2.0, in collaboration with the Ka ...

Room: Nerina International Maternal Newborn Health Conference 2023 information@imnhc.org
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Improving Governance of Maternal and Newborn Health (MNH) Programming through Co-creation: A Case of Nine Devolved County Governments in Kenya

Kenya ushered in a devolved system of governance that created 47 semi-autonomous county governments in 2010. Delivery of health services was the major component transferred to the county governments, while the national government retained policy and regulatory functions. While there has been improvement in health structural development attributed to devolution, counties continue to experience insufficient management and technical staff capacity to conduct devolved tasks. There have been substantial investments in capacity-building for human resources for health and equipping facilities for maternal and newborn health (MNH) in the last decade. Subsequently, access to antenatal care, facility deliveries, and postnatal care has significantly improved. However, there remain mixed results in measures of impact for maternal morbidity and mortality. We present results on the effect of utilizing a co-creation process to improve MNH service delivery and outcomes in nine counties in Kenya.


Multi-pronged Strategy to Improve Maternal and Newborn Quality of Care: A Case Study from Saving Mothers Giving Lives (SMGL) 2.0 Project in Kaduna State, Nigeria 

Despite significant investment, Nigeria still carries the second highest burden of maternal mortality in the world, contributing about 15% of the total global maternal deaths. Kaduna State in Northern Nigeria has a neonatal mortality rate of 63/1,000 live births, higher than the national average of 39/1,000 live births. To contribute to a reduction of maternal and neonatal mortality in the country, Saving Mothers Giving Lives (SMGL) 2.0, in collaboration with the Kaduna State Government, is implementing a multi-pronged strategy to ensure pregnant women have access to safe and quality delivery services in project-supported facilities.


Root Cause Analysis of Maternal Mortality in Bong County, Liberia: A Case Series Study 

Maternal mortality is influenced by complex context-specific socioeconomic and cultural factors. Liberia has one of the highest maternal mortality rates in sub-Saharan Africa, with recent increases in maternal deaths in rural Bong County. The purpose of this study was to better classify the contextual factors leading up to maternal deaths and to develop a list of recommendations to prevent future similar deaths.


Evaluation of a Maternal and Infant Health Intervention in Southern Nations, Nationalities and Peoples' Region, Ethiopia 

Antenatal care, skilled care during childbirth, and postpartum care are all necessary tools to reduce maternal and neonatal morbidity and mortality. However, coverage of these services varies considerably in Ethiopia. A recent survey shows antenatal care (ANC) coverage at 74%, while access to skilled birth attendants and postnatal care (PNC) are much lower at 48% and 34%, respectively. The goal of this project was to increase the number of pregnant women who receive quality maternal and child health (MCH) services in intervention districts. The purpose of this evaluation is to assess the impact and sustainability of the intervention.

Improving Governance of Maternal and Newborn Health (MNH) Programming through Co-creation: A Case of Nine Devolved County Governments in Kenya
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Health Systems and Workforce
Presenters Lilian Mutea
Deputy Office Director (Analytics, Policy, Financing, Partnerships & Family Health), USAID
Co-authors
PK
Peter Kaimenyi
Consultant Newborn Health, USAID HPN Kenya
Evans Osembo
Deputy Chief Of Party, USAID Imarisha Jamii
YM
Yvonne Musa
Director Medical Services, Turkana County Government
Multi-pronged Strategy to Improve Maternal and Newborn Quality of Care: A Case Study from Saving Mothers Giving Lives (SMGL) 2.0 Project in Kaduna State, Nigeria
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB), Private Sector
Strengthening Quality of Care
Health Systems and Workforce
Presenters Paulina Akanet
State Program Manager, Pathfinder International
Co-authors
OO
Obafemi Omole
Senior Program Officer, Pathfinder International
BA
Benjamin Asemota
Monitoring & Evaluation Program Officer, Pathfinder International
Ogochukwu Kehinde
Global Technical Advisor MEL, Pathfinder International
Fatima Fanna Mairami
Country Director, Nigeria, Pathfinder International Nigeria
Root Cause Analysis of Maternal Mortality in Bong County, Liberia: A Case Series Study
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
None
Strengthening Quality of Care
Health Systems and Workforce
Presenters
JL
Jody Lori
University Of Michigan, University Of Michigan
Co-authors
HL
HaEun Lee
Postdoctoral Research Fellow, University Of Michigan - Ann Arbor
JP
Joseph Perosky
Resident Physician, Michigan State University
MH
Madison Horton
Doctoral Student, Columbia University
AN
Aloysius Nyanplu
Monitoring & Supervisor At Bong County Health Team, Bong County Health Team
Evaluation of a Maternal and Infant Health Intervention in Southern Nations, Nationalities and Peoples' Region, Ethiopia
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB)
Prevention and Clinical Management
Presenters Muna Gezahegn Wegaso
Health And Nutrition Program Specialist, ChildFund Ethiopia
University of Michigan
,
University of Michigan
State Program Manager
,
Pathfinder International
Deputy Office Director (Analytics, Policy, Financing, Partnerships & Family Health)
,
USAID
Health and Nutrition Program Specialist
,
ChildFund Ethiopia
DEPUTY DIRECTOR
,
Bill And Melinda Gates Foundation
Prof. Hadiza Galadanci
Director/ Professor
,
Africa Center of Excellence for Population Health and Policy, Bayero University, Kano
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