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 July 1, 2024 Webinars

Navigating Crises in the Humanitarian Development Peace Nexus

On June 25th, 2024, MOMENTUM Integrated Health Resilience hosted a webinar that explored efforts to improve access to and availability of quality, respectful, and person-centered MNCH/FP/RH care in fragile and conflict-affected settings. The webinar examined three country case studies (Niger, South Sudan, and Sudan), showcasing how each country program has adapted, survived, and even thrived when crises arose.

Publication Date June 1, 2024 Research & Evidence

Introduction of Balanced Energy Protein (BEP) Supplementation Through Routine Antenatal Care

In this landscape analysis, MOMENTUM Country and Global Leadership provides an in-depth understanding of barriers, enabling factors and challenges in the implementation of balanced energy protein (BEP) supplementation through routine antenatal care (ANC). These products compile evidence from 6 countries—Colombia, Ethiopia, Ghana, Malawi, Mozambique and Nepal—to generate program recommendations to guide country programs.

Publication Date June 1, 2024 Research & Evidence

“We Restrict Certain Things”: A Cross-Sectional Study of Health Provider Adherence to the WHO’s Recommendation for Intrapartum Oral Intake of Fluid and Food in Greater Accra, Ghana

The World Health Organization recommends oral fluid and food intake for low-risk women during labor to enhance positive childbirth experience and respect for women’s preferences. This article in BMC Pregnancy and Childbirth describes findings from a MOMENTUM Country and Global Leadership study investigating current practices, barriers, and opportunities related to intrapartum oral intake among maternity care providers and women in public health facilities in Greater Accra, Ghana.

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 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 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.

Publication Date February 1, 2024 Research & Evidence

South Sudan Community Health Formative Assessment

This assessment provides an in-depth understanding of the strengths, gaps, and opportunities within the existing community health programs implemented under the Boma Health Initiative (BHI) in South Sudan. Findings from this assessment provide information for planning effective health interventions on voluntary family planning (FP), reproductive health (RH); maternal, newborn, and child health and nutrition (MNCHN); and water, sanitation, and hygiene (WASH).

Publication Date February 1, 2024 Research & Evidence

Community Health Worker Safety, Resilience and Risk Communication Assessment: Three New Program Components

To design and optimize community health programs in fragile settings, it is critical to adapt and enhance existing assessment tools. To ensure its community health programs are relevant and adapted to the multiple challenges faced by communities, health systems and community health workers (CHWs) in fragile settings, MOMENTUM Integrated Health Resilience has developed three new programs components for the Community Health Worker Assessment and Improvement Matrix (CHW AIM) toolkit: “Systems and Structures for Continuity and Safety during Shocks and Stresses at Community Level,” “Personal Safety and Resilience of CHW,” and “Risk Communication and Community Engagement.” With these additions, MOMENTUM expects to strengthen the role and capacities of CHWs as critical actors in contributing to the resilience of their communities and themselves.