Publication Date June 1, 2024 Program & Technical Resources

Localizing COVID-19 Vaccination: Empowering Community Partnerships in India

MOMENTUM Routine Immunization Transformation and Equity in India engaged in innovative community partnerships to increase demand for and uptake of COVID-19 vaccination. Learn more about the robust approach to how MOMENTUM worked with the Government of India to drive demand through local empowerment.

Publication Date June 1, 2024 Research & Evidence

Enhancing COVID-19 Vaccine Uptake Among Tribal Communities: A Case Study on Program Implementation Experiences from Jharkhand and Chhattisgarh States, India

Tribal populations in India face significant healthcare challenges, resulting in poorer health outcomes and lower COVID-19 vaccination rates compared to non-Tribal districts. MOMENTUM Routine Immunization Transformation and Equity aimed to improve vaccine access and uptake among Tribal populations in Chhattisgarh and Jharkhand. Using a qualitative explanatory case study, researchers conducted 90 focus group discussions and interviews with Tribal communities, NGOs, and other stakeholders. Key strategies included community leader involvement, targeted counseling, flexible vaccine sessions, and adapted messaging for booster doses. These efforts increased vaccine awareness and acceptance, but sustaining long-term uptake requires ongoing funding and political support.

Publication Date April 1, 2024 Program & Technical Resources

Induction and Augmentation of Labor in India: Excessive and Inappropriate Use of Uterotonics In and Out of Health Facilities

This factsheet presents key findings from a systematic review on induction and augmentation of labor in India. The review identified 59 high-quality studies (variable in design, geography, women's profiles, and outcomes). The review highlights key findings, and ways forward based on the high rate of induction and augmentation in this context.

Publication Date April 1, 2024 Research & Evidence

Labor Induction and Augmentation Practices in India: How the Use of Uterotonic Medications Affects Stillbirth, Neonatal Mortality, and Use of Cesarean Deliveries Research Consolidation Bundle

Overmedicalization of childbirth is a growing global problem, increasing the use of medical interventions and costs without a clear health benefit and often putting both mother and baby at risk. Stillbirth, early birth asphyxia, and neonatal death remain major concerns in India and the association between these health outcomes and the use of uterotonics to induce and augment labor is an important topic to explore. The story deck serves as an advocacy tool to build momentum for additional targeted research; the overview report outlines how the story deck can be used and shares next steps to engage in this work.

Publication Date April 1, 2024 Program & Technical Resources

COVID-19 Vaccination Integration Assessment

As many countries transition away from the emergency phase of the COVID-19 pandemic, they must consider the long-term plans and future sustainability of COVID-19 vaccination. The USAID-funded MOMENTUM Routine Immunization Transformation and Equity and Health Systems Strengthening Accelerator projects conducted a qualitative assessment in seven countries on the status and plans for COVID-19 vaccination integration into routine immunization and primary health care, and the health system more broadly. Each country report summarizes findings and lessons learned from key informant interviews and focus group discussions conducted with stakeholders involved in implementing integration activities at national and sub-national levels.

Publication Date December 1, 2023 Program & Technical Resources

MOMENTUM Safe Surgery in Family Planning and Obstetrics in India: Gender-Integrated Response to Emerging COVID-19 Priorities in India – Health Facility and One Stop Center Posters

These two posters were designed to serve as resources for women and girls facing violence. The health facility poster defines certain types of violence and provides contact information including a helpline, referral to One Stop Centers (OSCs), community or facility-based health workers. The OSC poster describes the services provided by OSCs to survivors. 

Publication Date December 1, 2023 Program & Technical Resources

MOMENTUM Safe Surgery India Gender Integrated Response to Emerging COVID-19 Priorities Technical Briefs and Informational Leaflet

This series of four technical briefs reflects MOMENTUM Safe Surgery in Family Planning and Obstetrics' work on: 1) Gender-based Violence Prevention and Response; 2) Development of a digital mental health app to connect Community Health Workers (CHWs) with mental health services and support to address stress and burnout during the COVID-19 pandemic; 3) Emergency Respiratory Management; and 4) Strengthening Gender-based Violence Referral and Response through Community Radio. A two-page leaflet also provides an overview of the project's response.

Publication Date December 1, 2023 Program & Technical Resources

Learning from MOMENTUM: Community Engagement and Systems Strengthening Approaches to Addressing Gender-Based Violence

Published in recognition of the 2023 16 Days of Activism against Gender-Based Violence (GBV) campaign, this brief highlights six innovative approaches—related to community engagement and system strengthening—for addressing GBV. The case studies from three MOMENTUM projects offer practical insights for gender experts, practitioners, and advocates, particularly those working in GBV pre­vention and response, to apply and adapt in their own work.

Publication Date December 1, 2023 Research & Evidence

Learning From Health Systems Strengthening Responses to COVID-19

The global COVID-19 pandemic challenged health systems worldwide, examining their resilience in maintaining essential services while preventing and responding to COVID-19. MOMENTUM Knowledge Accelerator conducted a learning synthesis to understand the extent to which three MOMENTUM projects in India and Sierra Leone used health systems strengthening (HSS) approaches in their COVID-19 response activities. Furthermore, the work sought to distill factors that facilitated, or inhibited, the implementation and outcomes of HSS-oriented COVID-19 response activities. Lessons and recommendations can inform future approaches to integrating HSS in outbreak and pandemic responses.

Publication Date November 1, 2023 Program & Technical Resources

Counseling, Informed Consent, and Debriefing (CCD) for Cesarean Section: Hard to Define, Achieve, and Monitor – Key Findings from a Mixed Methods Study in the Democratic Republic of Congo (DRC), India, and Nigeria

Counseling, informed consent, and debriefing (CCD) before and after cesarean section comprise important aspects of respectful maternity care. However, prior research indicates significant gaps may exist in these elements of care in many low- and middle-income countries. To better understand attitudes, preferences, and practices related to CCD in the context of both emergency and non-emergency surgical obstetric care, MOMENTUM Safe Surgery in Family Planning and Obstetrics conducted a mixed methods study (including interviews, focus group discussions, observations, and record reviews) in the Democratic Republic of Congo (DRC), India, and Nigeria. This fact sheet outlines key findings.