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 Webinars

Assessing and Improving the Quality of Health Care and Systems at the Healthcare Facility and Beyond: Experience from the WHO Western Pacific Region

In July 2023, MOMENTUM's ME/IL Working Group facilitated a conversation about the challenges and lessons learned from applying effective coverage to monitor quality service delivery and use data for service improvements. On June 5, 2024, the working group held a follow-on webinar where Dr. Shogo Kubota shared progress made on the World Health Organization Regional Office for the Western Pacific (WHO WPRO)’s approach and examples from countries in the region in assessing and improving quality of health care and systems while strengthening Health Information Systems for monitoring healthcare quality.

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

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 About MOMENTUM

Strengthening Routine Immunization and Polio Eradication in DRC

This one-pager brief summarizes how MOMENTUM Routine Immunization Transformation and Equity is supporting routine immunization capacity building, gender and equity, partnership strengthening, data quality and management, and polio eradication in the Democratic Republic of Congo.

Publication Date April 1, 2024 About MOMENTUM

Strengthening COVID-19 Vaccination in DRC

This brief one-pager summarizes how MOMENTUM Routine Immunization Transformation and Equity supported COVID-19 vaccination planning and coordination, demand generation and community engagement, data quality and management, service delivery, and integration into routine immunization health services in the Democratic Republic of Congo.

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 March 1, 2024 Program & Technical Resources

Health in Fragile Settings: A Health-Sensitive Conceptual Model of Fragility

This brief presents a health-sensitive conceptual model and typology of fragility, with the aim of improving MOMENTUM’s understanding of fragility and how it impacts health and, in turn, strengthens health programming. The conceptual model and typology proposed here are intended as internal guidance for USAID and USAID partnerships/projects and are designed to inform fragility assessments and contextual analysis as well as monitoring, evaluation, & learning approaches, conflict sensitivity, and exit strategies.