The Centre for Maternal and Newborn Health (CMNH) team visits stakeholders and partners in Chad to launch our latest programme. The new programme, which will run until 2021, aims to improve the availability and quality of integrated HIV, TB and malaria services delivered to mothers and newborns in facilities providing antenatal and postnatal care (ANC and PNC) across the country. Our team held meetings in N’Djamena between 25-31 July with Ministry of Health Officials, LSTM’s local partner (the consortium CSSI-CRASH) and other stakeholders involved in the improvement of the health sector in Chad.
In Chad, pregnancy and childbirth are generally life-threatening for women, especially those living in poor, remote areas without easy access to health services. Moreover, too many children in the country still die from preventable diseases such as malaria, diarrhoea or other respiratory diseases. Integrated service delivery has the potential to increase the quality and efficiency of the health system and maximise the impact for those affected by against HIV, TB and malaria. We hope this work will generate evidence of ways and means to increase the availability and quality of care available to mothers and babies throughout the country, leading to better health outcomes.
Through this programme, the CMNH team aims to:
- Increase the availability of integrated ANC and PNC in Chad through developing a context-specific, evidence-based training package, training Master Trainers and healthcare providers and providing training equipment to facilities
- Improve the quality of integrated ANC and PNC through developing bespoke quality improvement standards for the local context in Chad, and training healthcare providers and Master Trainers in conducting standards-based audits for ANC and PNC
- Strengthen monitoring and evaluation (M&E) at facilities involved in the project via conducting a baseline assessment of ANC and PNC across the country, and conducting quarterly M&E of the availability and quality of care
- Improve maternal and newborn health through assessing maternal morbidity and neonatal morbidity
- Disseminate and communicate lessons learned and results via conferences, events and peer-reviewed publications.
This latest work is part of phased multi-country programme funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria, which has already started implementing in Afghanistan, Ghana and Togo and Niger, and will soon be implemented in Nigeria. This innovative programme will provide strategic directions for programme quality and will contribute to the body of implementation research on quality improvement and integrated, people-centred health services to improve health outcomes.
Prof Monir Islam, Senior Specialist (Maternal and Newborn Health), CMNH/LSTM:
“Although significant progress has been made with regard to increasing the coverage of maternal and newborn health as well as HIV, TB and Malaria interventions over the past two decades, there is increasing recognition that further improvement in maternal and newborn health outcomes will depend on the ability to address the gap between coverage and quality. Improving the quality of facility-based healthcare services and making quality an integral component of scaling-up of interventions that are known to be effective is crucial if health outcomes for mothers and babies are to improve. We hope this new programme will make an important contribution to improving the availability and quality of care for mothers and babies in Chad.”