Project profile — Promoting Maternal, Newborn and Child Sustainable Health (PROMISE)

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Overview

Overview

Promoting Maternal, Newborn and Child Sustainable Health (PROMISE) - Overview
CA-3-D002061001
$6,659,847
CCFC - Christian Children's Fund of Canada (CA-CRA_ACR-0010011134)
2016-03-31 - 2021-08-31
Closed
Country / region • Malawi (25.00%)
• Ghana (35.00%)
• Rwanda (40.00%)
Sector • Basic Health
Basic health care (12220) (65.53%)
• Basic Health
Basic health infrastructure (12230) (6.80%)
• Basic Health
Basic nutrition (12240) (16.01%)
• Basic Health
Health education (12261) (8.92%)
• Population Policies/Programmes And Reproductive Health
Population policy and administrative management (13010) (0.91%)
• Population Policies/Programmes And Reproductive Health
Reproductive health care (13020) (1.14%)
• Population Policies/Programmes And Reproductive Health
Personnel development for population and reproductive health (13081) (0.69%)
Policy marker • Environmental sustainability (cross-cutting) (significant objective)
• Gender equality (significant objective)
• Participatory development and good governance (significant objective)
• Children's issues (principal objective)
• Youth Issues (significant objective)
• Trade development (not targeted)
• ICT as a tool for development (not targeted)
• Climate Change Adaptation (not targeted)
• Desertification (not targeted)
• Biodiversity (not targeted)
• Indigenous Issues (not targeted)
• Climate change mitigation (not targeted)
• Urban issues (not targeted)
• Disability (not targeted)
• Nutrition (principal objective)
Description and results

Description

The project aims to contribute to the reduction of maternal and child mortality in Ghana, Malawi and Rwanda. Target areas in each country experience a low level of knowledge on prevention, delays in seeking early treatment, poor hygiene and sanitation practices, traditional cultural practices, and gender inequities. Overall, key impediments in health delivery include low capacity of skilled workers, poor infrastructure, weak referral systems and lack of transport. Activities include: (1) training health workers in areas such as basic emergency obstetric and newborn care; (2) improving utilization and promotion of health services; emphasize household and community level engagement; (3) preventing illnesses and create demand for health services. These activities involve the setting up of Model Mothers, Care Groups, Community Conversations and mobilisations and sensitization activities, improving nutrition through increased community knowledge and skills on optimal feeding, improving access to nutritious foods and preventing malnutrition through community based initiatives.In Ghana, the project works with the Ghana Community Ambulance project to ensure increase access of adequate medical supplies and care. It also supports development and transmission of SMS and voice messages to pregnant women and mothers. In Malawi, the project strengthens early identification and integrated support for growth faltering children, and community management of acute malnutrition services. In Rwanda, activities include permaculture approaches to kitchen gardens, water harvesting and water-saving techniques. Christian Children’s Fund of Canada works in consortium with ADRA Canada and Emmanuel International Canada. In Ghana, Christian Children’s Fund of Canada works in collaboration with local partners of Christian Children’s Fund, Tuma Kavi Development Association and Assemblies of God Relief and Development Services; in Malawi, Emmanuel International Canada with Emmanuel International; and in Rwanda, ADRA Canada with ADRA Rwanda.

Expected results

The expected outcomes for this project include: (1) improved delivery of essential health services to mothers, pregnant women, newborns and children under five; (2) improved utilisation of essential health services by mothers, pregnant women, newborns and children under five; and (3) increased consumption of nutritious foods and supplements by mothers, pregnant women, newborns and children under five.

Results achieved

Results achieved as of the end of the project (July 2020) include: (1) an independent end of project evaluation concluded that all three intermediate outcomes were met; (2) this project reached 72,278 people exceeding the target of 52,162 direct beneficiaries (of which 42,497 women including 25,731 of reproductive age “between the ages of 15 and 19 years”) and 16,766 girls under the age of 5 years); (3) in terms of improving delivery of essential health services to mothers, pregnant women, newborns and children under the age of 5 years, the percentage of women attending at least four antenatal care visits during pregnancy was 79% exceeding the target of 73% in Ghana and Malawi. Among newborns who received positive care practices, including skin to skin contact with the mother, the percentage of newborns dried and wrapped but not bathed immediately after birth was 71% exceeding a target of 50%; (4) health facilities with operational Health Management Information Systems including equipment and trained personnel reached the expected target of 100% (9 in Ghana and 6 in Malawi); (5) percentage of health workers trained in Basic Emergency Obstetric Newborn Care was 128% (105 in Ghana and 82 in Malawi), exceeding the target of 96% (79 in Ghana, 82 in Malawi); (6) children between the ages of 0 and 6 months in all three countries achieved or exceeded the end of project targets of exclusive breastfeeding. Children between the ages of 6 and 23 months achieved the target of 35% in Ghana, overachieved the target of 50% in Rwanda. However, Malawi missed the target of 35% due to clinic closures, the end of project target for both boys and girls; and (7) percentage of adolescents between the ages of 15 and 19 years who can name at least three types of modern contraception was 93% for women, 93% for men exceeding the targets of 80% for women and 77% for men.

Financials

Financials


Original budget $0
Planned Disbursement $0
Transactions
Country Percentages by Sector
Related information

Related information

Promoting Maternal, Newborn and Child Sustainable Health (PROMISE) - Related information
Related links
Partner website — CCFC - Christian Children's Fund of Canada
Global Affairs Canada
KFM Partnerships for Devlpmnt Innovation
Aid grant excluding debt reorganisation
Bilateral
Project-type interventions
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