Name of the Project: Maternal and Newborn Care Strengthening Project (MaMoni MNCSP)

Supported by:  Save The Children in Bangladesh and Funded by USAID

Introduction: USAID’s MaMoni Maternal and Newborn Care Strengthening Project (MaMoni MNCSP) is a five-year activity designed to contribute to the Health Population Nutrition Sector Program (HPNSP 2017-23) goals of reducing maternal and neonatal deaths by increasing equitable utilization of quality maternal and newborn care services in Bangladesh. A consortium led by Save the Children in Bangladesh has been implementing the project.

In Bandarban district Green Hill included as partner as a new district to MaMoni MNCSP project in June 2021. This report mainly uses data from the web-based routine health management information system (HMIS) of the Ministry of Health and Family Welfare (MOH&FW) and project management information system (MIS). Beside this, both DGHS and DGFP statisticians supported to collect data information. At national level, the project works with Maternal Child Reproductive and Adolescent Health (MCRAH), Maternal, Neonatal, Child and Adolescent Health (MNCAH), Program Management and Monitoring Unit (PMMU), Quality Improvement Secretariat (QIS), Management Information System (MIS), Hospital Services.

The project directly benefits district health management, district hospitals (DHs), MCWCS, Upazila Health Complex (UHC) and union level health facilities and about 503,575 people in Bandarban district.

Summary of key achievements of the district during the reporting period is given below. All the data presented in this report are from DHIS-2; DGFP MIS report for all 7 upazilas in project district unless otherwise specified.

The data that are used in this report are from the web-based routine health management information system (HMIS) of the Directorate General of Health Services (DGHS) and Directorate General of Family Planning (DGFP) of Ministry of Health and Family Welfare (MOH&FW), and the supplementary health information system (MIS) established for the project activities. This data is also cross checked by M&E team along with the Upazilla level statisticians.

Duration: June’2021 to March’ 2023

USAID’s MaMoni Maternal and Newborn Care Strengthening Project (MaMoni MNCSP) advances learning and effective scale up of Maternal and Newborn Care (MNC) interventions to ensure access for all to quality care and services to lower mortality, targeting the poor and most marginalized in Bangladesh.

Lowering the maternal and newborn mortality rate is a vision Bangladesh is striving to achieve. USAID’s MaMoni Maternal and Newborn Care Strengthening Project (MaMoni MNCSP) through Save the Children and consortium partners is actively working to reach that goal. As measures towards that goal, the project is working to advance learning, and expand and ensure effective scale up of Maternal and Newborn Care (MNC) interventions for improved quality of care in Bangladesh. It aims to ensure access for all to quality MNC services to lower mortality, especially for those who are poor and marginalized, and therefore more susceptible to it. With this objective, MaMoni is expanding the evidence base and testing new MNC innovations in selected learning sites, and furthermore, facilitating health systems improvements and policy changes for sustained impact at national scale.

1. Location & Beneficiaries:

2. Project’s Major Intervention:

• Improve data quality and use of data for monitoring, planning and management decision:
• Decentralized data driven planning will be held at district, upazila and union levels. The plans will be jointly developed in collaboration with other stakeholders including local government and local NGOs.
• Supervision, Monitoring and Mentoring for facility readiness, capacity building of service providers and quality improvement;
• Improved readiness of health facilities: physical, skilled staffing, supplies, info systems, referral systems;
• Strengthening sick newborn care in existing SCANUs and functioning of newly established SCANUs in district hospital.
• Increased community MNC awareness and trust for public sector MNC services

3. Implementation Strategy

The MaMoni MNCSP project aims to archived 4 major result in MNC improvement;

• Improved responsiveness of district health systems to deliver patient-centered MNC services;
• Improved quality of MNC services and governance of quality of care;
• Sustain improvement in access and demand for MNC services and household practices;
• Improved national capacity to deliver quality MNC services at scale;

4. Major/Key activities/special initiatives:

Achievements relative to maternal, neonatal health and family planning coverage

• Monthly district and upazila review meetings of DGHS and DGFP-24
• Joint supervisory visits with GOB managers-111
• Data quality assessment (DQA)-26
• District SPRM-1
• District QPRM-1
• Upazila SPRM-11
• One-day semiannual eMIS review meeting with eMIS users in MaMoni district-14
• Continue to support the development of functional QIC meetings at District Hospitals and Upazila Health Complexes -13
• CCs conducted monthly community microplanning meeting-9
• Special initiatives for resource mobilization: Special satellite clinic service in collaboration with BANI, HKI-2.
• Decentralized data driven planning workshop-6
• Under-served/hard-to-reach unions for MNH service provision-7
• Orientation of Frontline Staff (HA, CHCP, FWA) in CHCP at 27 CCs
• Arrange video show at community level through IEM unit of FP for community awarnes in 7 upazilas
• Organize ANC, PNC day at UHCs for increase service utilization 6 UHCs and 1 DH
• UH&FWC Management Committee (MC) on their roles and responsibilities-38
• This service was provided at Para Center, Aamtoli Marma Para, Sualok, Bandarban Sadar on 26^th Sept 2022. Total 29 beneficiaries were served on the day. Among them 15 PW took ANC service, 1 PNC and 13 for general treatment.
• To mitigate access barrier initiated BCC material (safkotha flipchart and booklet) translation in 4 different local languages of Bandarban, Translated safkotha flipchart oriented to 7 Health Facilitators (HFs) of BANI, HKI
• Inaugurated Remakry SDP officially by support of LG and FP unit
• Zero Home Delivery initiation at Toin Union of Alikadam Upazila (Targeting only Toin Union)
• Initiated 28 special satellite services at 4 upazilas at different HTR areas (Rowangchori, Alikadam and Thanchi) where GO/NGO health or FP services are not available