Posts Tagged ‘Maternal Health’

The pilot, ran by World Vision, was designed to look at the effectiveness of beneficiary feedback mechanisms and the value this could add to the project beneficiaries.

The key areas of the pilot focused on:

  • what worked in the design of feedback mechanisms
  • how feedback could improve programmes
  • what process and investment was required from a grant holder perspective

MAMTA – Health Institute for Mother and Child, an organisation working on improving reproductive, maternal and child health services in two districts of Uttar Pradesh, India, was one of the pilot grant holders to share their experiences and findings from the process, in an online discussion with fellow UK Aid Direct grant holders.

MAMTA's feedback box

MAMTA’s feedback box


MAMTA, who were slightly sceptical initially regarding the feedback pilot, outlined the importance of using sensitivity with the beneficiaries around the process.

They also highlighted the need to match the right approach to the right context.

Following the success of the project however, MAMTA has rolled out further beneficiary feedback mechanisms into their other projects.

To conclude, findings from the pilot showed that:

  • consulting with beneficiaries and using the feedback to adapt programmes meant that the programmes were more responsive to beneficiary needs and were therefore more relevant and effective.
  • The process of giving feedback empowered beneficiaries and made them feel valued.
  • Feedback also supported accountability of both programme and government service providers.

The results and findings from the pilot can be found here in more detail.

UK Aid Direct M2MMalawi is one of the world’s least developed and most densely populated countries, with a population approaching 17 million.  An estimated 10% of the country’s adults between the ages of 15 and 49 are living with HIV and the majority of them are women.

Support from DFID’s UK Aid Direct global fund, aimed at supporting civil society organisations to achieve the Sustainable Development Goals, has enabled mothers2mothers (m2m) to create an extensive footprint in Malawi, where an estimated 560,000 women aged 15 and over are living with HIV. The essential health education and support that Mentor Mothers provide is critical to helping women cope with the shock and stress of learning that they are HIV-positive and are being put on a lifelong ARV treatment in a single visit to the health facility. Mentor Mothers continue to provide support to the women in the years that follow in order to help them stay on treatment, minimize the risk of transmission, and make healthy choices for their families.

mothers2mothers Malawi UK Aid Direct Mentor Mothers

Catherine Kassam, PMTCT Coordinator at the Malawi Ministry of Health, discussed the importance of Mentor Mothers and the role they play in creating a generation free from HIV:

mothers2mothers Catherine Kassam Malawi Ministry of Health PMTCT coordinator Malawi“The first time I heard about the mothers2mothers model, I was thinking maybe it would be a challenge. I thought the women [Mentor Mothers] would not be open enough to disclose their status. But after the training, I found them very open so that other women [clients] could cope. Mentor Mothers have helped a lot to assist other mothers to disclose their status, and we are seeing men getting involved in PMTCT. All facilities should have Mentor Mothers so that we can catch every community. And everyone in the community should know the importance of being tested. Those who are HIV-positive should start taking their ARVs, so that we can have a generation free of HIV.”

mothers2mothers UK Aid Direct Malawi Mentor Mothers


Grantee: mothers2mothers

Project title: Improving access to HIV prevention and support services for 243,949 women and children in five countries of East and Southern Africa

Location: Malawi


The Australia-Indonesia Health Systems Strengthening Program is working towards strengthening the health system in Indonesia in order to improve the health status of poor and near poor people.  The program will improve utilisation of quality primary health care to achieve the Millenium Development Goals for health in 20 districts in 5 provinces.

Indonesia is the largest national economy in Southeast Asia.  It has recorded sustained economic growth, with GDP increasing 6.4% year on year. However, maternal mortality is particularly bad for a middle income country at 228 per 100,000 and poor people are not proportionately benefiting from publically funded health care.

Martin Taylor from MannionDaniels played an instrumental role in designing this health systems strengthening program, which intends to strengthen health financing and workforce systems in order to improve maternal and child health outcomes.  The program has been designed to fulfil these outcomes through outputs that include:

1: Ministry of Health using evidence-based data and up to date information for national level policy decision making.

2:  Twenty districts/city health offices in five provinces to implement  health financing  and human health resources policies and programs more effectively and efficiently

3: Primary health centres and village health posts in twenty districts/cities in five provinces having empowered qualified health workers  and sufficient resources to deliver quality and free primary  health care services and referral.

4: Government run accredited nursing and midwifery study programs to produce qualified nurses and midwives for the selected primary health care and village health posts.

5: Universities, research institutes and civil society organizations to deliver evidence-based data and advocacy to policy-makers and provide Technical Assistance and training to districts.

The program impact, outcome and outputs were negotiated with strong Indonesian Ministry of Health ownership and leadership and will be measured beyond the life of the project by improved maternal mortality rate and improved under-five mortality rate.