As part of MSH’s strategic roadmap, the Performance, Learning and Impact (PLI) unit has embarked in an effort to identify indicators that will help MSH measuring results in a systematic way for the various programmatic areas across the organization. This effort is part of MSH’s strategic goal 1: Save lives and improve health.
Family Planning / Reproductive Health
Couple Years of Protection (CYPs) | New Acceptors of Modern Contraceptives
MSH contributed to over 7.7 million CYPs between 2010-2015
Most of MSH projects measuring CYPs increased their coverage annually, which translates into increased protection provided by contraceptive methods based on the volume of all contraceptives distributed
Honduras ULAT's strategy that contributed to a high number of CYPs included developing capacity at national and sub-national levels for effective distribution of contraceptive methods. Through the STRIDES project In Uganda, MSH facilitated the supply of health long-lasting and permanent contraceptive methods, giving women more choices and providing more years of protection.
MSH contributed to over 4.1 million new acceptors of any modern contraceptive method between 2010-2015
In the DRC, the IHP project used targeted BCC strategies for creating the demand of contraceptive methods through community radio and SMS messages. Between 2010-2015, MSH measured over 3 million new acceptors of modern contraceptive methods. In Madagascar, the USAID|MIKOLO used a community-based approach for wider distribution of free pregnancy tests to reduce missed opportunities for family planning provision. The number of new acceptors of contraceptives increased as free pregnancy tests were widely available at community level.
The upward trend in the use of FP services in Uganda is a result of several factors: strengthened services through training; improved infrastructure; reliable access to a stable supply of contraceptives; greater demand for services through behavior change communication (BCC) strategies; and implementation of targeted FP outreach in hard-to-reach communities. STRIDES integrated FP services into other maternal and child health interventions, making it more convenient for clients to access FP methods.
Maternal, Newborn & Child Health
ANC1 | ANC4 | Skilled Birth Attendance
The number of women receiving one ANC visit is very high, measuring at 100% in DRC IHP and Madagascar USAID|MIKOLO in 2015. The number of women having four or more visits had an increasing trend from 2010 to 2015 in all projects that supported the delivery of this intervention
IHP's success was due to improving the method of collecting, monitoring, and analyzing project results; improving training of nurses and hospital workers; providing workshops geared toward improving health worker competence; and supporting follow-up visits by health zone management.
In Uganda, STRIDES conducted many activities to promote, increase demand for and utilization of ANC services. Dialogues and “open days” were held in health facilities and addressed issues such as pregnant women not completing four ANC visits. ANC visits also increased through two creative outlets; one, through incentive distribution of jerry cans with dispensing taps, metallic cups, packets of water purification tablets, and hygiene kits; and two, mothers were entitled to two free scans in the project-donated ultrasound machines.
A high proportion of women in the DRC and Honduras are being assisted by skilled birth attendants
By 2015 in DRC, more than 2.1M women had given birth with an SBA, which represented 84% of expected deliveries in USG-supported health facilities. The Results Based Financing pilot was one of the main contributing approaches for increasing the utilization of health services for maternal health, including SBA. These results were linked with a considerable increase in the overall quality of services delivered in Health Centers and General Referral Hospitals.
In Honduras, the increased capacity of the MOH managers and health providers kept the number of pregnant women being assisted stable.
Strategy Trainings in Honduras