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Lead role in Behavioral Change Communications (BCC) design and implementation and support capacity building in BCC.
Researchers
Susan Krenn
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ACCESS is participating in USAID''s Safe Birth Africa Initiative in Rwanda to demonstrate large-scale sustainable results in increasing the accessibility and utilization of safe delivery services. The initiative, which began in November 2006, aims to increase the access to skilled birth attendants and reduce maternal and newborn mortality and morbidity in four districts, and nationally.
ACCESS/Rwanda is improving standards of performance in Emergency Obstetric and Newborn Care (EmONC) and implementing Kangaroo Mother Care to improve care for low birth weight babies. In addition, ACCESS is involving faith-based organizations in advocacy activities with the community for fostering behavior change targeting providers and women delivering at health facilities.
At the end of the project, ACCESS expects to have achieved significant improvement in skilled birth attendance and postpartum newborn care and coverage, as well as increased use of immediate newborn care, improved quality of service delivery in EmONC, and increased demand for maternal and newborn services.
About ACCESS:
The ACCESS Program is the U.S. Agency for International Development''s global program to improve maternal and newborn health. The ACCESS Program works to expand coverage, access and use of key maternal and newborn health services across a continuum of care from the household to the hospital—with the aim of making quality health services accessible for women and newborns. Jhpiego implements the program in partnership with Save the Children, Constella Futures, the Academy for Educational Development, the American College of Nurse-Midwives and Interchurch Medical Assistance.
Researchers
Koki Agarwal
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In sub-Saharan Africa, malaria infection is estimated to cause 400,000 cases of severe maternal anemia and 75,000-200,000 infant deaths annually. Maternal anemia contributes significantly to maternal mortality and causes an estimated 10,000 deaths per year. In areas of stable transmission, the WHO promotes a three-prong strategy to address MIP prevention and control: 1) intermittent preventive treatment during pregnancy (IPTp); 2) insecticide treated nets (ITNs) for prevention; and 3) case management for treatment.
ACCESS supports the prevention and treatment of malaria in Africa, with an emphasis on malaria in pregnancy (MIP). From 2004-2006, ACCESS was one of four partners—with the Centers for Disease Control and Prevention, World Health Organization (WHO) and Rational Pharmaceutical Management Plus—of the USAID-funded Malaria Action Coalition (MAC). The MAC collectively provided technical support to countries to address the burden of malaria for both prevention and treatment.
Most notably during this partnership, ACCESS served as Secretariat to the Roll Back Malaria, Malaria in Pregnancy Working Group, which included contributing to the development of global consensus statements to support MIP program implementation. At the regional level, ACCESS supported regional MIP coalitions and the sub-regional RBM networks to promote the exchange of information and best practices, development of regional capacity, and revision of national MIP policies. At the country level, ACCESS supported program implementation in six African countries—Burkina Faso, Kenya, Madagascar, Mali, Rwanda, Uganda—with the goal of improving malaria prevention and treatment services provided to pregnant women during antenatal care.
ACCESS continues to provide technical guidance on malaria through the development of clinical and programmatic materials, revising its MIP clinical training materials to reflect the most up-to-date information and current guidance from the WHO. ACCESS has also collaborated with the Centers for Disease Control and Prevention, the Rational Pharmaceutical Management Plus Program/MSH and WHO to develop a MIP program implementation guide for the African region.
To further apply its MIP clinical and programmatic expertise, ACCESS assists African countries develop proposals for funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM). GFATM grants provide an important support to allow countries to sustain and grow their malaria prevention and control programs. Moreover, for those countries with existing GFATM grants that have experienced problems implementing their programs, ACCESS helps to identify bottlenecks and devise solutions to overcome them.
About ACCESS:
The ACCESS Program is the U.S. Agency for International Development''s global program to improve maternal and newborn health. The ACCESS Program works to expand coverage, access and use of key maternal and newborn health services across a continuum of care from the household to the hospital—with the aim of making quality health services accessible for women and newborns. Jhpiego implements the program in partnership with Save the Children, Constella Futures, the Academy for Educational Development, the American College of Nurse-Midwives and Interchurch Medical Assistance.
Researchers
Koki Agarwal
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Through a three-year grant awarded by the U.S. Department of Defense, Jhpiego is developing “Troop Level” HIV/AIDS prevention capability within the Rwandan Defense Forces (RDF). Initial project objectives are: to increase RDF’s capacity to deliver safe male circumcision (MC) services for HIV prevention, through training clinicians to perform the procedure; and to increase informed demand among the RDF for MC, through training health professionals to administer provider-initiated counseling and testing for HIV.
Working to meet these objectives in a sustainable manner, Jhpiego:
? Prepares master trainers (trainers who can train other trainers) in performing MC, as well as providing HIV counseling and testing services;
? Establishes systems for training and providing supportive supervision to MC providers and MC counselors; and
? Supports the ongoing provision of MC services to men of reproductive age through the development and adoption of a national guideline on MC.
Jhpiego is also training providers in the use of a quality and performance improvement process to strengthen infection prevention practices as an integral part of high-quality MC services.
About Jhpiego:
For nearly 40 years, Jhpiego, (pronounced "ja-pie-go"), has empowered front-line health workers by designing and implementing simple, low-cost, hands-on solutions that strengthen the delivery of health care services, following the household-to-hospital continuum of care. We partner with community- to national-level organizations to build sustainable, local capacity through advocacy, policy and guidelines development, and quality and performance improvement approaches.
For more information, please visit our Web site: www.jhpiego.org
Researchers
Alain Damiba
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