Assessment of the MaMoni Health Systems Strengthening Project, in Bangladesh

Author(s): Barkataki, S., Billah, M., Chakraborty, N., Haider, M. M., Imam, M. A., Khan, S., Priyanka, S. S., Rahman, M, Rahman, M, & Al-Sabir, A.

Year: 2020

Abstract:

The United States Agency for International Development (USAID)-supported MaMoni Health Systems Strengthening (MaMoni HSS) project sought to improve the use of integrated family planning (FP), maternal, newborn, and child health (MNCH), and nutrition services in six low-performing districts of Bangladesh from September 2013 to September 2017. Save the Children in Bangladesh implemented the project.

The MaMoni HSS project pursued a multipronged strategy to ensure service delivery at the different types of health facilities in the six districts. At the union-level facilities, it focused on ensuring primary-level outpatient care and increasing skilled birth attendance and round-the-clock delivery care. At the district and upazila levels, MaMoni HSS focused on referrals for maternal and newborn care, including caesarean section services, management of preeclampsia/eclampsia, care for newborns at specialized units, and management of severe acute malnutrition. Although the MaMoni HSS project followed this multipronged strategy, its primary purpose was to strengthen the delivery of services at the union-level facilities. Moreover, although the project worked with community clinics (CCs) for growth monitoring and promotion, counseling, and antenatal care (ANC), the CCs were not a focus area of the intervention.