2. Community Foundation Haitian Health Foundation: 24 years in Jeremie Health workers selected by village 104 villages: 200,000 population High level of community ownership Health “posts” for rural women and children Census based and computerized health information system Feedback and decision-making with communities Village health committees, mothers’, fathers’ and youth groups
6. Adaptation Negotiation based on existing capacity and feasibility Needs assessment incorporated in Facilities Assessment Evaluation incorporated in ongoing data collection system for HFF Reduced consultation and costs Adapting training cascade and modules
11. PBS NOW Series “Saving Haiti’s Mothers” In 18 months 600 women/newborns transported
12. Mortality Reviews Committee meets 4 times/year MoH Director HHF staff Ministry of the Condition of Women Health Agent Head Nurse Hospital Maternity Traditional Birth Attendant Community Representatives Annual Regional Review Feedback to local communities
13. Post Partum and Newborn Care Health Agent home visit within 3 days Nurse consultation in clinic and village sites CRS and private donor food support during pregnancy and lactation
14. Challenges Increased facility deliveries Respectful treatment at delivery Unstable political environment Maintaining activities in ongoing crises Cost of training
15. Integration Sustainability Community mobilization Combined with MWH Emergency Evacuation Mortality Review Training, supervision, improvement Facilities improvement
16. Surprises andRecommendations Community adoption and vigilance Evacuation and health committee member observation at delivery Integrate Incorporate in other MNH activities One of most sustainable interventions
17. HBLSS is an important part of the continuum of CARE for mothers and newborns!
Editor's Notes
Training cascadeCommunity: TBAs, mothers, fathers, leaders
Training cascadeCommunity: TBAs, mothers, fathers, leaders
People know to get care
HBLSS gave people skills and knowledgeOrganized communities for evacuationEvery community has a plan: who will do what in an emergency, call ambulance, get money, etc.
