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Focus Area - Maternal Health
Maternal Survival: Improving Access to Skilled Care - A Behavior Change Approach
 

The CHANGE Project developed a framework and tools to identify behaviors related to women’s use of skilled care and to increase this use during delivery and the postpartum period. Research in Kenya, Guinea and Bangladesh to test and adapt tools found that women, families, communities and providers were willing to try new practices and change behaviors that result in increased use of skilled care. However, for them to do so, maternal survival programs must work with them to tailor activities to local contexts and use an integrated approach that promotes a change in behavior at the household, community and health facility.

The Maternal Survival Toolkit is a collection of innovative tools and approaches for designing behavior change interventions to improve maternal survival. For each topic, there is a set of tools to help users design and implement effective interventions.

  • Seeking Skilled Care
    Increasing women’s use of skilled care during and after childbirth is the most crucial intervention to reduce maternal deaths.
  • Birth Preparedness
    Being prepared for birth can help reduce the “universal barriers” of cost, distance and transport, particularly in settings where maternal mortality is high.
  • Providing Skilled Care
    The quality of maternal health services (particularly the attitudes and behavior of providers) has an important influence on women’s use of skilled care.

>>Maternal Survival: Improving Access to Skilled Care
A Behavior Change Approach

>> Maternal Survival Toolkit

 
Egypt: Healthy Mother/Healthy Child Project
 

CHANGE collaborated with the JSI Healthy Mother/Healthy Child (HM/HC) Project to improve the behavior of providers of emergency obstetric care in Egypt. CHANGE assisted HM/HC in analyzing provider behavior related to preventing pregnancy-related mortality and neonatal mortality.

The HM/HC project implemented a number of interventions to improve provider behavior including training a team of clinical supervisors to provide the “front line” of behavior change. The project has initiated a number of activities to improve physician performance, including:

  • Competency-based training
  • Comprehensive and Essential Standards of Care
  • Regular monitoring visits by QA management teams and by Clinical Supervisors
  • Institution of District, Governorate and Facility Management Teams
  • Formation and training of Community Health Committees

>> JSI Egypt Healthy Mother/Healthy Child Project

>> USAID Egypt Program Data Sheet

>> Presentations on Maternal Health

 
Publications 
 
Publications - Maternal Health
     
 

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