Maternal and Child Health Integrated Program - Mozambique (MCHIP-Mozambique)

MCHIP in Mozambique focused on building a favorable national policy environment while supporting the Ministry of Health in two of their national priorities: to scale up the Model Maternities Initiative (MMI) and the Cervical and Breast Cancer Prevention/Control Program (CECAP) in order to rapidly expand the implementation of high-impact MNCH/RH interventions. MCHIP also supported the provision of FP services through the MMI and CECAP initiatives.

At the national, provincial, facility and community levels, the Program provided technical assistance in strengthening the health system more generally. MCHIP supported policy and strategy development; health information system strengthening; human resource development; and strengthening the quality improvement regime.

In June 2014, USAID announced MCHIP’s successor program, the Maternal and Child Survival Program (MCSP).

Activity Description

To continue building on this initial work, the Mission then established the MCHIP with the goal of reducing maternal, newborn and child mortality in the country through the scale-up of high-impact interventions and increased use of maternal, newborn, and child health (MNCH), family planning (FP) and reproductive health (RH), and HIV services. The program focused on building a favorable national policy environment while supporting the MOH in two of their national priorities: to scale up the Model Maternities Initiative (MMI), including malaria in pregnancy (MIP) and prevention of mother to child transmission of HIV (PMTCT), and the Cervical and Breast Cancer Prevention/Control Program (CECAP) in order to rapidly expand the implementation of high-impact MNCH/RH interventions. MCHIP also supported the provision of FP services through the MMI and CECAP initiatives.

Expected Outcomes

Implementing intervention packages based on evidence of impact for: reducing maternal, neonatal, and child morbidity and mortality, including the expansion of EmONC; prevention of mother-to-child transmission of HIV (PMTCT); intermittent preventive treatment of malaria (IPT); integrated management of childhood illness (IMCI); and a school health package, as well as integrating services for adolescents; improving nutritional status of women, children, and adolescents; and expanding the “reach every district” strategy
Updating and implementing national norms and protocols of care and treatment, based on international and national standards
Strengthening transport, communication, and reference systems
Improving health infrastructure
Strengthening safety and availability of commodities for maternal, newborn, and child health (MNCH)
Increasing availability of skilled professionals by training and updating providers’ skills
Increasing community awareness about, demand for, and provision of basic community-based services
Strengthening supervision, and monitoring and evaluation (M&E) of MNCH services
Carrying out operations research and disseminating best practices

Actual Outcomes

Decreased direct institutional maternal mortality ratio by 57%, with an estimated 1,130 maternal lives saved.
Scaled-up high-quality, high-impact and respectful maternal and newborn health interventions to 125 Maternities.
Strengthened the quality and coverage of integrated family planning services in 143 health facilities.
Supported an enabling environment for RMNCH through policy development and implementation, information systems strengthening, and expansion of the knowledge base of related interventions.
Scaled-up integration of cervical and breast cancer prevention services into 134 reproductive health/family planning outpatient services.
Transformed the culture and delivery of in-service training and quality improvement standards for RMNCH.
Mobilized 389 community groups to lead or engage in efforts to improve the health of their communities.