Improving Maternal Newborn Health in Bangladesh through Community Civil

Society Engagement : World Renew Child Survival Project 2009- 2014 The Peoples Institution Model

Kohima Daring

Nancy TenBroek Grace Kreulen

Alan Talens (Presenter)

Global Health Practitioners Conference

CORE GROUP Alexandria , Virginia

April 14, 2015

“For the first time public health has commitment, resources and powerful

interventions. The power of these interventions is not matched by the

power of the health system to deliver them to those in greatest need on an

adequate scale, in time.”

Dr. Margaret Chan, Director General WHO 29 October 2007

Elements of C-IMCI 1. Improving partnership

between facilities and communities they serve;

2. Increasing appropriate care and information from Community based service providers;

3. Integrating promotion of key family practices critical for child health/nutrition

Community Engagement

Strengthened private (civil society) public partnership in support of MNH

IR1

Improved MNH practices of marginalized families -IR2

Increased quality of MNH services

IR3

Increased NGO capacity to support Peoples Institution -IR4

Enhanced Enabling environment

IR5

Service Delivery/ Equity

Service Delivery/ Quality

Scale –up Sustainability

Learning Adaptation

LEARNING THEMES

Fig 1: Strengthening Health Systems to improve MNCH: A Framework (MCHIP, Ergo, Eichler, Koblinsky and Shah May 2011.

Primary Groups

Community Leadership Structure

Civil Society Organization

People’s Institution

Community –Based Health Care

The community-based healthcare is a delivery platform that could extend delivery of interventions to those areas where

access to health services is difficult.

Capacity Building

PI Participation in the District Technical Advisor Committee ( DTAC)

. Emergency Health FUND

• Monthly contribution of 2 Taka by members.

• Emergency

transportation & treatment

MNH Services and Practices

Referrals and Supervision at Facilities

Lessons Learned

1. Community Engagement and

Social Capital

2. Bridging Gaps in Access and

3. Information and Decision-making.

“There is no power for change greater than a

community discovering what it cares about.”

Margaret Wheatley