Project profile — Integrated Management of Maternal and Child Health in Artibonite (PRISMA)

• Haiti (100.00%)

• Health, General: Health policy and administrative management (12110) (5.00%)
• Basic health care:
Basic health care (12220) (10.00%)
Basic health infrastructure (12230) (2.00%)
• Reproductive health care:
Reproductive health care (13020) (50.00%)
Family planning (13030) (10.00%)
Personnel development for population and reproductive health (13081) (20.00%)
• Basic drinking water supply:
Basic drinking water supply (14031) (1.00%)
Basic sanitation (14032) (1.00%)
Education and training in water supply and sanitation (14081) (1.00%)

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (significant objective)
• Participatory development and good governance (significant objective)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (not targeted)
• Climate Change Adaptation (not targeted)
• Urban issues (not targeted)
• Desertification (not targeted)
• Children's issues (principal objective)
• Youth Issues (significant objective)
• Indigenous Issues (not targeted)
• Disability (significant objective)
• ICT as a tool for development (not targeted)

This project aims to improve maternal, newborn, and child health services for up to 260,000 women and 140,500 children in Artibonite province. It supports the rehabilitation of nine maternity clinics and seven community health centres and includes repairing infrastructure, installing equipment, and providing staff training. Five of the maternity clinics offer basic emergency obstetric and neonatal care. The other four offer a higher level of care, including caesarean sections and blood transfusions. The community clinics offer basic services for children under five years of age in remote rural areas, including routine vaccinations, vitamin A distribution, growth monitoring, oral rehydration therapy, and deworming. The project supports 40 water and sanitation initiatives that aim to prevent the spread of diseases such as cholera and improve coordination and referrals between community and province-wide service providers. This project is part of Canada's Maternal, Newborn and Child Health commitment. This project has two components. It has been divided for administrative reasons.

1. Health institutions supported by the project will offer quality services that meet the needs of women and children under five. 2. Increase community mobilization around the fight against maternal and child mortality in particular, but also for hygiene, water, sanitation and the empowerment of women. 3. Departmental coordination mechanism facilitates the delivery of more effective treatments by health institutions.

Results achieved as of the end of the project (September 2015) include the following: (1) health care institutions developed their own resource management plans which were integrated as part of the regular operating and reporting systems of the Ministry of Health in the Artibonite Department; (2) the funded health care institutions were supplied with the equipment required for basic emergency obstetric and neonatal care (EmONC) clinics; (3) at the community level, 138 multi-service community health officers were trained and played a critical role in raising awareness of the issues and the availability of maternal, newborn and child health services in funded health care institutions; (4) approximately one third of these workers were appointed to the public service by the Ministry of Public Health and Population, with their salaries paid by the Government of Haiti. This is considered a success story for Haiti; (5) the project directly educated 81,254 persons (54,078 women and 27,176 men) about women’s rights and maternal, newborn and child health. All these efforts contributed to a more than 20% increase in the number of deliveries performed in funded EmONC clinics. The percentage of pregnant women in Artibonite benefiting from at least three prenatal visits increased from 19% to 34%.

• Proactive disclosure
• Related activities: Integrated Management of Maternal and Child Health in Artibonite