2014 ROTARY INTERNATIONAL CONVENTION

Sustainable Global Grant Projects in the area of

‘Maternal and Child Health’

Sustainability— The Precondition for Global Grants —

Examples of Sustainable MCH projects

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Sustainability in development aid

• Development aid projects often not sustainable

• Beneficiaries‘ needs / involvement are by-passed

• Synergies with other stakeholders are not used

• Results are not measurable (ad hoc / long-term)

• Projects are not “owned” by the beneficiaries

► Scaling up = proof for sustainability► Continuous scaling up = can be included in system

Sustainability in Global Grants

• Community needs ?

• How were these needs identified? Provide data

• How was local community involved in planning?

• Does project align with current/ongoing local initiatives?

• Describe training, outreach, or educational programs

• How will you measure your impact?(Indicators, monitoring and evaluation)

• Local participation

• Continuity of services / maintenance / local funding

MCH and Sustainability

• Improvement of women's health incl. family planning services= very cost-efficient, profitable investment for improvement of overall living conditions

• Immediate social, ecological and health benefits

• Savings education/health outlasting one generation

• MCH Improvement contributes to all MDGs

Access to FP could save the lives of 80,000 mothers and 600,000 newborns p.a.

Sustainable savings for health systems

Fewer 'drop-outs'‚ lower fertility, improved education opportunities

Empowerment of women

Less poverty and hunger

Source: UNFPA

Sustainable impacts of MCH

Sustainable Single Interventions

Provision of mosquito nets (LLIN):• Threefold effect:

1. Prevention of malaria2. Motivation for polio vaccination3. Promotion of antenatal care

• LLIN remain effective for several years, low-maintenance

• Easy documentation, measurable results / indicators

Sustainable Single Interventions

Provision of vitamin sachets:

• Reduction of infant/child morbidity + mortality

• Long-term impact on risk of lifetime illness

• Best linked with community awareness and provider training

• Documentation in health facilities

Sustainable Comprehensive Approach

• Core project:introduction of quality assurance in obstetrics + awareness

• Satellite projects / single interventions:– Mosquito nets– Solar power + water supply– Magnesium sulfate, PMTCT– Birth kits, anti-shock garments– Fistula surgeries, micro credits– IUDs, FP provider training

training of health staff/audit

Maternal Mortality

Ratio (MMR) - 60%

Contraceptive Prevalence Rate

(CPR)10% 20%

equipment of obstetrical departments

prenatal care and postnatal care

quality of process

Stakeholder satellite project: Preventing Mother-to-Child

Transmission of HIV

(PMTCT)

Rotary/stakeholder satellite project:

24,000 mosquito nets (protection from malaria)

For more information about the project visit www.maternal-health.org

quality of structure

Quality Assurancein obstetrics

Project contributes to our new Area of Focus

‘Maternal & Child Health’ and to all UN Millennium

Development Goals (MDGs)

close collaboration with governments & traditional/religious

leaders

Rotary/stakeholder satellite project:

water/solar power supply for hospitals

Stakeholder satellite project:

delivery kits, magnesium sulfate, anti-shock garments

attended births

information about

child spacing

1.500 patientsrepaired & rehabilitated

35% >50%

awareness campaigns,community dialogues

MDG

access to family planning (no abortion)

reduction of morbidity e.g. fistula

quality of outcome

Rotary satellite project:

micro credits

Sustainable Comprehensive Approach

• Measurable indicators:- Reduction of MMR, PMR- No. of conducted community dialogues- No. of attended deliveries in hospitals- Training of health personnel/community health workers

• Regular documentation / evaluation during and after project implementation

• Clear set of milestones and goals

• Overall goal: inclusion in health system “Sustainability of the sustainability”

(TRF)