Publication Date May 1, 2024 Program & Technical Resources

Co-Creating an Integrated Program Focused on Adolescent Reproductive Health and Sustainable Fisheries in Malawi

To encourage cross-sectoral partnerships that integrate sustainable ecosystems, fisheries, and health, MOMENTUM Country and Global Leadership partnered with the REFRESH project to integrate a youth-friendly, gender-transformative strategy aiming to advance positive youth development and promote uptake and accessibility of adolescent and youth sexual and reproductive health (AYSRH) and FP services in fishing communities around Lake Malawi. This brief details the collaborative, participatory approach as well as lessons learned from these critical efforts for the field of population, environment, and development (PED).

Publication Date May 1, 2024 Program & Technical Resources

Supply Chain Challenges and Commodity Availability at the Last Mile: Findings from Seven MOMENTUM Integrated Health Resilience Partner Countries

This report explores supply chain challenges in fragile and conflict-affected settings. To create this report, MOMENTUM Integrated Health Resilience staff undertook research to better understand how countries manage commodities at facility and community levels, how those commodities are dispensed and tracked, and what the major bottlenecks are. This report is accompanied by a recommendations document and a sample planning template. Each of these in turn links to several other additional resources.

Publication Date April 1, 2024 Program & Technical Resources

Localization Within MOMENTUM: How Awards are Contributing to USAID’s Vision for Locally Led and Sustainable Solutions

USAID and MOMENTUM partners convened in July 2023 to discuss how the suite of awards are operationalizing localization across their activities to improve maternal, newborn, and child health, nutrition, voluntary family planning, and reproductive health (MNCHN/FP/RH) outcomes. This report summarizes learning shared during the convening series that describes how MOMENTUM is contributing to USAID’s localization agenda.

Publication Date April 1, 2024 Research & Evidence

Piloting a Lean Costing Approach for Family Planning and Maternal Health Services

MOMENTUM Private Healthcare Delivery piloted a 'lean' costing approach to explore the costs and major cost drivers of FP and MH service delivery in the public and private sectors at three sites in Nigeria, Tanzania, and the DRC. This report summarizes the findings from the costing approach and discusses how the results and approach can help inform FP and MH programming.

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 Program & Technical Resources

Recommendations for Governments To Maintain Continuous Family Planning Services During Shocks and Stressors

People need continuous access to family planning (FP) services as an essential component of SRH care to prevent unintended pregnancy. As stewards of their national health programs, governments must lead the way on advancing policies, programs, and financing that build resilient health systems and enable continuous access to health services across shocks and stressors. This brief provides recommendations for governments to improve preparedness to provide continuous FP services, build resilient health systems that can withstand and adapt to crises, and meet FP needs during crises and stable times alike. This brief is co-branded with the Women's Refugee Commission, IAWG, FP2030, USAID, MOMENTUM Integrated Health Resilience, and PROPEL Adapt.

Publication Date April 1, 2024 Research & Evidence

Formative Assessment on Small and Sick Newborn Feeding in Ghana and Nepal

This case study provides an overview of two formative assessments by MOMENTUM Country and Global Leadership on current practices, barriers, facilitators, and programmatic approaches affecting the provision of specialized, high-quality nutritional care for small and/or sick newborns (SSNBs) in public health facilities in Ghana and Nepal. These assessments are an important step in expanding the evidence base around SSNB feeding in these contexts and present insightful cross-cutting recommendations to support and/or strengthen breastmilk feeding for SSNBs during inpatient stays and post-discharge.

Publication Date April 1, 2024 Research & Evidence

The Humanitarian-Development-Peace Nexus (HDPN) and Applications to Family Planning, Reproductive Health, and Maternal, Newborn, and Child Health Interventions in Fragile Settings: A Case Study from South Sudan

Numerous approaches have been developed to define the humanitarian-development nexus and more broadly, the humanitarian-development-peace nexus. This report examines the humanitarian-development nexus and its application to health interventions in South Sudan, specifically family planning, reproductive health, and maternal, newborn, and child health (FP/RH/MNCH), concluding with recommendations for stakeholders related to health services, institutional architecture, leadership, financing, coordination, and localization.

Publication Date April 1, 2024 Research & Evidence

Current Approaches to Following Up Women and Newborns After Discharge from Childbirth Facilities: A Scoping Review

The postpartum period is critical for the health and well-being of women and newborns, but there is limited research on the most effective methods of post-childbirth follow-up. This scoping review synthesizes evidence from high-, middle-, and low-income countries on approaches to following up individuals after discharge from childbirth facilities. The scoping review identified multiple follow-up methods after discharge, ranging from home visits to self-administered electronic questionnaires. The studies demonstrated that post-discharge follow-up of women and newborns was feasible, well received, and important for identifying postpartum illness or complications that would otherwise be missed.

Publication Date April 1, 2024 Program & Technical Resources

Introduction of the Safe Childbirth Checklist in Fragile Areas in Mali

The WHO Safe Childbirth Checklist (SCC) is a patient safety tool that consolidates essential birth practices to prevent the major causes of maternal and newborn morbidity and mortality. The tool has been implemented in the southern regions of Mali, with demonstrable results. To address maternal and newborn mortality in areas where MOMENTUM Integrated Health Resilience works, the SCC was implemented in 23 health facilities in the Gao district beginning in December 2022. Post-training follow-up found that 21 facilities used the tool on 1,298 out of 1,698 deliveries (76 percent). 95 percent of users reported that the tool was very useful in demonstrating that SCC use in fragile settings may be feasible and useful to help reduce maternal and newborn morbidity and mortality.