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Sexual, Reproductive, and Maternal Health
Maternal Health Alliance Project
Implementation Science Alliance
for Maternal Health
MHAP Project Overview
The overall goal of the Implementation Science Alliance in Malawi is to identify broadly applicable strategies, approaches and methodologies for systematically improving implementation of evidence-based reproductive, maternal and newborn health (RMNH) interventions.
CARE’S INTERVENTION IN MALAWI:
CARE’s experience has shown that participatory governance is a key strategy to addressing important barriers to health, including socio-cultural barriers as well as coverage, quality, and equity in service delivery. Our approach to participatory governance brings together community members, service providers, and local government to identify service utilization and provision challenges, and to mutually generate solutions, and work in partnership to implement and track the effectiveness of those solutions in an ongoing process of quality improvement.
This collaborative and participatory approach generates buy-in and motivation, leading to improved implementation and outcomes, as well as accountability and sustainability. To facilitate this process MHAP uses
the Community Score Card (CSC), an internationally recognized participatory governance tool developed by CARE Malawi.
CARE’S EVALUATION PLAN:
CARE is using a cluster-randomized control design to evaluate the effectiveness of the CSC in Malawi. Health centers (and their surrounding catchment areas) are randomly assigned to treatment or comparison conditions. The evaluation includes 10 intervention and 10 comparison clusters. The evaluation consists of a women’s survey, a health worker survey and a medical chart review at baseline (2012) and endline (2015).
Outcomes of interest include the following:
Women’s and communities’ empowerment to participate in quality improvement efforts, as well as, access and utilize RMNH services
Health workers’ empowerment and their responsiveness, effectiveness, and accountability to communities’ needs
RMNH coverage, quality and equity
Growing MHAP's Family Tree to Amplify Impact
Maternal Health Alliance Project Summary
Official Launch of Muuni Wauchembere Wabwino
MHAP Progress Indicator Tracking Table (Dec 2012-Jun 2013)
A letter from the Director, MHAP Update 2013
What partners are saying about MHAP
Example MHAP Score Card
ADDITIONAL CSC RESOURCES:
The Community Score Card Wiki
CARE Community Score Card Toolkit
Community Score Card.ppt
Community Score Card Implementation Guidance Notes
CARE, Malawi Government Launch Muuni Wauchembere Wabino
CARE Launches New Community of Practice
FOR MORE INFORMATION CONTACT:
Senior Technical Advisor
Sexual, Reproductive and Maternal Health
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