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In November 2006, the Ministry of Health of Burkina Faso awarded Jhpiego $1 million over five years for a project for the prevention of mother-to-child transmission of HIV (PMTCT) in the country. This award gives Jhpiego the opportunity to build on and expand its existing portfolio of projects, currently being conducted through our global ACCESS Program, that address maternal and child health in West Africa. The strategic approach for this new project combines Jhpiego’s proven Standards-Based Management and Recognition approach to improving performance and the quality of health services, and the innovative PMTCT Plus approach to increase coverage and quality of maternal and neonatal health services in 14 health districts.
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.
Researchers
Alain Damiba
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In partnership with the Institute for Reproductive Health (IRH) at Georgetown University, and with funding from the U.S. Agency for International Development, Jhpiego is scaling up the use of the Standard Days Method (SDM) of family planning in Burkina Faso. SDM is a natural family planning method developed by IRH to expand women’s and couples’ family planning choices and contribute to enhanced reproductive and family health, and was introduced in Burkina Faso through a joint IRH-Jhpiego operations research study in 2002. The SDM is based on the “fertile window” during a woman’s menstrual cycle, and involves a simple set of color-differentiated counting beads (Cycle Beads®) that couples can use to help them avoid intercourse during that period. The current project is one part of an initiative to revitalize the Lactational Amenorrhea Method of family planning in Burkina Faso.
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.
Researchers
Alain Damiba
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This project will estimate the financial burden of the obstetrical complications experienced by women in Africa who have undergone female genital mutilation. The obstetrical consequences include higher rates of hemorrhage, perineal tearing, Cesarean section, blood transfusion and prolonged hospitalization
Researchers
David Bishai
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Impact evaluation component of Partnership for Maternal, Newborn and Child Health rapid scale-up in Africa
Researchers
Abdullah Baqui
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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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The overall goal is to reduce maternal, newborn and child mortality in high-mortality countries in Africa and lay the foundation for concerted, coordinated actions to reduce maternal, newborn and child mortality in Asia.
Researchers
Robert Black
Jennifer Bryce
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