Publication Date July 1, 2024 Webinars

Improving Childbirth Outcomes by Optimizing the Use of Uterotonics: Sharing Learning and Tools

On July 25, 2024, MOMENTUM held a webinar exploring strategies, efforts and tools related to optimizing uterotonic use to improve childbirth outcomes. Presentations explored uterotonic use for labor induction and augmentation, with a focus on practices in India and South Asia, and new efforts to prevent postpartum hemorrhage, including findings from a global survey of national programs and a proposed evaluation strategy related to heat-stable carbetocin for Madagascar. Following presentations, participants had the opportunity to engage with experts during a Q&A session.

Publication Date July 1, 2024 Program & Technical Resources

Strengthening the Family Planning Component of Maternal Health Care: A New Call to Action to Seize the Opportunity Provided by Universal Health Coverage and Primary Healthcare Frameworks

Postpartum family planning (PPFP) and postabortion family planning (PAFP) are recognized as high-impact, evidence-based interventions that can reduce maternal and child mortality and morbidity, respond to unmet need for voluntary contraception, and accelerate progress toward the Sustainable Development Goals. Although there has been progress over time and some notable success, efforts in scaling up PPFP and PAFP have been uneven, as the result of a variety of continuing barriers. Scaling up PPFP and PAFP requires stronger health system stewardship, community and private sector engagement, measurement, and financing. Maternal health leadership is also essential.

Publication Date July 1, 2024 Program & Technical Resources

Applying a Holistic Approach to Fistula Care in Nigeria

The MOMENTUM Safe Surgery in Family Planning and Obstetrics project supports fistula prevention by enhancing provider capacity for high-quality obstetric surgeries, introducing quality improvement in obstetric care, and training primary health care workers and nurses in preventive catheterization for prolonged or obstructed labor management. In Nigeria, treatment involves surgical repair or non-surgical intervention (catheterization) at health facilities like National Obstetric Fistula Centers (NOFICs) or state-level vesicovaginal fistula (VVF) centers, or through organized surgical campaigns. A holistic fistula care approach addresses patients’ needs from prevention to rehabilitation and reintegration, ensuring they can access necessary services.

Publication Date June 1, 2024 About MOMENTUM

COVID-19 Vaccination Program in Review: the Democratic Republic of the Congo (DRC)

As MOMENTUM Routine Immunization Transformation and Equity’s COVID-19 vaccination program in DRC comes to an end, this report looks back on the successes, challenges, and lessons learned that the project had in strengthening the health system, reaching underserved and priority populations, and strengthening the health workforce. Download this report to learn more about the COVID-19 vaccination program in DRC, which was conducted from May 2021 to April 2024.

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 May 1, 2024 Research & Evidence

Developing and Refining the COVID-19 to Routine Immunization Information System Transferability Assessment (CRIISTA) Tool: A Decision Support Tool to Leverage COVID-19 Immunization Information System Investments for Routine Immunization

This study presents a tool, the COVID-19 to Routine Immunization Information System Transferability Assessment, designed to assess the suitability of transferring COVID-19 immunization information systems to routine immunization. It aims to support decision-makers in leveraging investments to strengthen immunization programs and the health information ecosystem, aligning with the Immunization Agenda 2030's vision of vaccine equity.

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

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

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.