- Maternal, Newborn Child Health & Nutrition (MNCHN)
- Maternal, Newborn Child Health & Nutrition (MNCHN)
Globally, 90% of the complications that lead to maternal deaths and two third of infant deaths are absolutely preventable. Lives of mothers and infants can be saved through low-tech, evidence-based, cost-effective interventions. Safe pregnancy, motherhood and childhood are basic human rights as well as an imperative indicator for social and economic progress of any country. MAMTA works towards outcomes that include increased accessibility and availability to maternal/newborn healthcare services.
MAMTA focuses on an integrated model of health care from birth throughout childhood. World Health Report 2005 and The Lancet Neonatal Survival Series stresses upon a continuum of care approach which is an integral part of MAMTA’s operational strategy. A healthy pregnancy begins before conception and continues with prenatal care through 1000 days of the newborn’s life. While we aim for women and children to have access to high-quality maternal and child health services, we also work with health functionaries, opinion leaders and communities to understand and address the challenges contributing to high maternal and child death rate. In the process we empower the mother to confidently take health based decisions for herself and her child. Through the evidences generated, MAMTA also imparts policy and programmatic guidance for comprehensive strategies at national and international platforms.
- PRE PREGNANCY
- Pre Pregnancy
Pre pregnancy is an important life stage as the very foundation of healthy adulthood and parenthood can be laid if proper care is provided to women. Pre-pregnancy care can bring down many adverse outcomes originating during and after pregnancy.
MAMTA’s MNCHN program engages with women in pre pregnancy stage and continues to intervene at the antenatal, neonatal and child health care phases to provide holistic care. Interventions for pre pregnancy are mainly aimed at the youth and focus on their reproductive health to maximize better health outcomes.
Interventions focus on strategies that prepare the families and the young people about their reproductive health and choices. It also helps young couples make informed decisions on planning a healthy family.
- ANTENATAL CARE
- Antenatal Care
Maternal health is one of the key factors that contributes towards survival and good health of the mother and the baby. In the continuum of care approach, pregnancy is a significant phase that decides the health pattern of the unborn baby and can speed up the mother’s post natal recovery.
As it is proven that investing in antenatal care is a tested and effective method for improving MNCH outcomes, MAMTA interventions emphasize on strategies recommended by WHO that include four antenatal care visits, consumption of 90 or more iron-folic acid (IFA) tablets, administration of two or more Tetanus Toxoid (TT) injections and preparedness for delivery.
- POST PARTUM AND NATAL CARE
- Post Partum and Natal Care
Post delivery period is crucial for optimum growth of the infant and speedy recovery of the mother. It is observed that soon after the birth, all focus and attention moves from the mother to the infant which affects and neglects the mother’s health also leading to maternal mortality in many cases. Maternal and child mortality can be reduced to a significant extent with proper care and nutrition. Care during this stage helps the mother to cope up with the hormonal and physical changes and equips her in taking care of the new born. MAMTA’s interventions incorporate recommended and tested strategies of basic care and support for mother and newborns and also address community barriers such as old myths, lack of knowledge, illiteracy etc that often lead to maternal and infant mortality.
- EARLY DAYS AND YEARS OF LIFE
- Early Days and Years Of Life
The early years of life are fundamentally important for a child’s overall health, growth, development and learning. Proper care imparted in this period initiates and promises healthy and strong foundation for later years. Understanding the stages of child development helps parents/caregivers identify the right support required for the child's optimal growth and development.
MAMTA’s MNCHN interventions focus on high impact health and nutrition models of care for new born and infants. The interventions concentrate on
- Improving the survival rates for children between 0-5 years.
- Reducing levels of malnutrition in children.
- Improving new born and maternal health outcomes with the support of community and government stakeholders.
- Village Health & Sanitation Committee started to support & monitor the health services
A Gram Panchayat named Mansoor pur tingawan falls in Mallawan block of Hardoi district, having a population of about 1200. The basic health services like immunization, ANC, PNC and services regarding ICDS department were not regular in the hamlets of the panchayats. The request for provision of these basic services was raised time and again in the Village Health and Sanitation Committee meetings after MAMTA Sure Start project team oriented the VHSC committee members on maternal new born and child health issues.
Having meetings and orientations with the critical members of the community such as the Pradhan, changed the service scenario in the panchayat. Based on his Interest and orientation on essential services, the pradhan in a VHSC meeting during discussion on community based monitoring system instructed the front-line service providers to make efforts for better MNCH care in the area. The Sure start team of MAMTA along with the Pradhan and front-line workers steered the village health planning process. As a result of this process, the monitoring and review of essential health services has been taken up in a big way in the panchayat. The Anganwari Workers and the ASHAs are coordinating and providing the required services. ANM is regular in her health services in every hamlet. When the Sure-start team and the Pradhan visited Lakadaha during VHND people appreciated the efforts.
- Reaching the unreached and saving lives
MAMTA initiated the ‘Strengthening community based mechanism for enhancing maternal and child health in Bihar’. Many cases of negligence of pregnant mother’s health and lack of awareness on ANC were discovered during the project. One of the case was that of Meena (name changed). Meena came in contact with the community worker when she was 3 months pregnant with her second child. During the interaction it was discovered that her family wanted her to deliver at home, however the family and Meena were counselled on the merits of Janani Suraksha Yojana by the MAMTA community Worker and her pregnancy was registered. Meena immediately went for ANC and started her IFA tablets. She did go for institutional delivery and has become mother of a healthy baby.