Publication Date July 1, 2024 Program & Technical Resources

Counseling, Informed Consent, and Debriefing for Cesarean Section in Nigeria

Counseling, informed consent, and debriefing (CCD) are crucial for respectful maternity care (RMC) and medical ethics. Despite the prevalence of cesarean sections worldwide, ensuring RMC remains vital, especially in surgical maternity care. The MOMENTUM Safe Surgery in Family Planning and Obstetrics project explored CCD attitudes, preferences, and practices in emergency and non-emergency obstetric care through a mixed methods study in four health facilities across Ebonyi and Sokoto States, Nigeria, from November 2022 to March 2023. This fact sheet summarizes key findings and recommendations.

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 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 April 1, 2024 Program & Technical Resources

Enhancing Private Sector Engagement Within Mixed Service Delivery Networks for Improved Family Planning in the Philippines

This deck of learnings elevates the key results, insights, and recommendations that have emerged from MOMENTUM Private Healthcare Delivery's work in the Philippines. MOMENTUM's activity in the Philippines has addressed the barriers to private sector participation in delivering quality, affordable FP services by co-designing sustainable solutions with local partners and stakeholders.

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

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 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 February 1, 2024 Program & Technical Resources

Policy Dialogue for Respectful Maternal Care in Rwanda: Documenting Processes and Outcomes

This package of resources details the process and outcomes from a policy dialogue co-design process in Rwanda—led by the Ministry of Health (MOH) and supported by MOMENTUM Country and Global Leadership—to guide the development of evidence-based Respectful Maternal Care (RMC) language for inclusion in existing policies. As a result, Rwanda’s MOH drafted and will incorporate RMC-specific policy language into its updated Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) policy and Maternal Child Health (MCH) strategic plan to promote an enabling environment and best practices for RMC.

Publication Date November 1, 2023 Program & Technical Resources

Family Planning (FP) Resilience Checklist

The Family Planning (FP) Resilience Checklist is an Excel-based tool to assess the extent to which voluntary family planning efforts, particularly in fragile settings, are integrating interventions to strengthen resilience of individual, couples, communities, and facilities to shocks and stresses, with the aim of scaling and sustaining demand, access, and use of family planning.