USAID's Flagship Maternal and Child Survival Program: Acting to End Preventable Deaths
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USAID’s Flagship Maternal and Child Survival
Program: Acting to End Preventable Deaths
On June 25, 2014, the United States
Agency for International Development
(USAID) Bureau for Global Health
announced the award of the Maternal and
Child Survival Program (MCSP), formerly
referred to as RMNCH (Reproductive,
Maternal, Newborn and Child Health,
awarded in March 2014). The Program is a
five-year, $500 million cooperative
agreement designed to advance USAID's
goal of Ending Preventable Child and
Maternal Deaths (EPCMD) by supporting
the introduction and scale-up of high-
impact, sustainable reproductive, maternal, Photo by Karen Kasmauski
newborn and child health interventions. Birthing Center at the King Fahed IBN Abdul-Azezz Women and Children Hospital in
Gusau, Nigeria.
MCSP accepts all sources of health funds
and can be accessed via field support.
While the Maternal and Child Survival Program is the principal follow-
MCSP is a five-year, on to the Maternal and Child Health Integrated Program (MCHIP),
$500 million cooperative which ended at the global level in December 2014 (though work is
ongoing through numerous Associated Awards in Yemen, Bangladesh,
agreement designed to
Malawi, South Sudan, Zimbabwe, Mozambique and Pakistan), the
advance USAID's goal of scope of this Program has expanded to reflect a changing global
Ending Preventable Child RMNCH landscape as well as shifts in USAID's own priorities. MCSP
places a greater emphasis on key, cross-cutting issues such as
and Maternal Deaths
innovation, e/mHealth, equity, quality, gender, public-private
(EPCMD) by supporting partnerships and involvement of civil society, community approaches
the introduction and and behavior change interventions. While maintaining a focus on
scale-up of high-impact, technical, high-impact interventions, MCSP works toward sustainable
scale-up to include strengthening the health systems that deliver these
sustainable reproductive,
interventions.
maternal, newborn and
child health interventions. The Maternal and Child Survival Program is a partnership led by
Jhpiego, with Save the Children Federation, Inc., John Snow, Inc., ICF
International, Results for Development Institute, PATH, CORE
Group and PSI as lead partners and Broad Branch Associates, Johns Hopkins Bloomberg School of Public
Health, Communications Initiative and Avenir Health (formerly Futures Institute) as associate partners.
In addition to contributing to high-level technical and policy
dialogue at the global level, MSCP provides tailored technical
assistance to help countries meet specific priorities and
Fast Facts
contextual needs of local RMNCH programs. This assistance
Who: Maternal and
includes:
Child Survival Program
Supporting countries to increase coverage and utilization of (MCSP)
evidence-based, high-quality RMNCH interventions at the
What: Five-year, $500
household, community and health facility levels, integrating
million cooperative
with nutrition, malaria, HIV/AIDS and water, sanitation
agreement
and hygiene (WASH) interventions as appropriate.
When: June 2014
Closing innovation gaps to improve RMNCH outcomes
through engagement with a broad range of partners and Where: A focus on 24
supporting innovative delivery strategies that enhance USAID high-priority
outreach to those most in need. countries, including
Afghanistan, Bangladesh,
Fostering effective policy, action-oriented learning and
Democratic Republic of
accountability for improved RMNCH outcomes across the
continuum of care. Congo, Ethiopia, Ghana,
Haiti, India, Indonesia,
Supporting countries to strengthen existing national health
Kenya, Liberia,
management information systems, including RMNCH data
Madagascar, Malawi,
elements, data quality and the use of data to inform
Mali, Mozambique,
programmatic decision-making.
Nepal, Nigeria, Pakistan,
Strengthening civil society, local institutions and Rwanda, Senegal, South
communities and engaging at all levels to enhance the Sudan, Tanzania,
responsiveness of health systems to local and community Uganda, Yemen and
health needs, with a focus on the linchpin role of health
Zambia
districts.
Why: To end
Enhancing district-level decision-making through rapid preventable child and
household surveys to determine coverage and health facility
maternal deaths
assessments to determine quality of facility interventions.
Applying gender-, equity- and health systems-focused
approaches to improve RMNCH service availability, access,
quality, demand, cost-effectiveness and utilization at scale.
Providing technical assistance to design, implement and/or
evaluate models, tools and approaches to address the special
needs of adolescents and youth for family planning and
maternal and newborn health services in an integrated
fashion.
MCSP: 1776 Massachusetts Avenue NW, Suite 300, Washington DC, 20036 tel: 202.835.3100 email: info@mcsprogram.org
Koki Agarwal, Director, Koki.Agarwal@mcsprogram.org; Anita Gibson, Deputy Director, Anita.Gibson@mcsprogram.org
USAID: 1300 Pennsylvania Avenue NW, Washington DC, 20523 tel: 202.712.4564
Nahed Matta, AOR, nmatt@usaid.gov; Malia Boggs, Alternate AOR, mboggs@usaid.gov
Visit mcsprogram.org to learn more.
Photo: Kate Holt/MCSP and Jhpiego
REPRODUCTIVE HEALTH
Worldwide, 225 million women currently wish to delay or prevent pregnancy, yet do not use contraceptives. The reasons for
non-use are complex, involving social, cultural and economic barriers, fears about side effects, and lack of access to a trusted
provider. Greater access to family planning will be vital to achieving global goals in maternal health and child survival.
KEY FACTS
USAID’s flagship Maternal and Child Survival Program (MCSP)’s strategic
approach for family planning (FP) centers on accelerating achievements toward
• Worldwide, 60% of women
Family Planning 2020 and Ending Preventable Child and Maternal Deaths goals by over 30 years old use
preventing unintended pregnancies, particularly those with poorer health outcomes. contraceptives, and only
This includes pregnancies occurring too soon after a birth, among high-parity 22% of adolescents use birth
control (UNFPA)
women, and among older or adolescent mothers. MCSP’s key strategies include:
• If all women waited 36 months
• Strengthening and scaling up postpartum family planning (PPFP) and integration to conceive again, 26% of
of FP along the maternal, newborn and child health (MNCH) continuum of under-five deaths would be
care; averted (Rutstein/Winter)
• Expanding method choice, including long-acting methods, in FP and PPFP • In addition to the above,
settings; and if women only gave birth
between the ages of 18 and 39
• Reaching girls, their partners and gatekeepers—whether they are mothers and had no more than three
already or not—with appropriately targeted FP information and services (and children, child mortality would
be reduced by 30% (Rutstein/Winter)
MNCH care)
Innovative approaches to increase service
availability, access, quality, demand, equity and
utilization cross-cut FP interventions and build on
prior learning regarding effective integration of FP
with delivery of other health services.
MCSP provides leadership to expand access to
high-quality contraceptive services and serves as a
global convening authority for documentation of
best practices in FP/reproductive health programs.
MCSP advocates for evidence around successful
models that ensure every contact with a woman
triggers a conversation about her reproductive
intentions. At both health facility and community
levels—in the context of care-seeking for herself
or for her child—the aim is to link women to Photo: A midwife in Nigeria counsels a client on family planning (Karen Kasmauski/
services whenever an unmet need is identified. MCSP)
Pregnancies in youth and adolescents are linked with more adverse outcomes for both mothers and infants including preterm
birth and low birth weight babies and perinatal and neonatal mortality. Moreover, rapid repeat pregnancies are more common
in adolescents. To prevent pregnancies and closely spaced births in this age group, MCSP develops interventions for adolescent
and first-time parents and equips providers to serve these women in their care. This includes an age and stage counseling
package covering healthy timing and spacing of pregnancies, PPFP, gender-equitable FP decision-making (involving males and other
gatekeepers), breastfeeding support, and infant care.
ABOUT MCSP MCSP
1776 Massachusetts Avenue NW
Suite 300
The Maternal and Child Survival Program (MCSP) is a global, Washington, DC 20036
USAID Cooperative Agreement to introduce and support high- United States
impact health interventions with a focus on 24 high-priority tel: +1 202.835.3100
info@mcsprogram.org
countries with the ultimate goal of ending preventable child and Director: Koki Agarwal
maternal deaths within a generation. The Program is focused on Koki.Agarwal@mcsprogram.org
ensuring that all women, newborns and children most in need
have equitable access to quality health care services to save lives. www.mcsprogram.org
facebook.com/MCSPglobal
MCSP supports programming in maternal, newborn and child
health, immunization, family planning and reproductive health, twitter.com/MCSPglobal
nutrition, health systems strengthening, water/sanitation/hygiene,
malaria, prevention of mother-to-child transmission of HIV, and
pediatric HIV care and treatment.
USAID
1300 Pennsylvania Avenue, NW
Washington, DC 20523
United States
tel: +1 202.712.0000
AOR: Nahed Matta
www.mcsprogram.org nmatta@usaid.gov
Programme phare de l’USAID pour la survie de la
mère et de l’enfant: Agir pour mettre fin aux décès
évitables
Photo par Karen Kasmauski
Centre d’accouchement à l’hôpital King Fahed IBN Abdul-Azezz pour les
femmes et les enfants à Gusau au Nigéria.
Le Programme USAID
pour la survie de la
mère et de l’enfant est
un accord de
coopération de cinq ans
d’un montant de 500
million de dollars visant
à accélérer les objectifs
de l’USAID et mettre fin
aux décès évitables des
mères et des enfants en
soutenant l’introduction
et la mise à l’échelle
d’interventions en santé
reproductive,
maternelle, néonatale et
infantile durables et à
fort impact.
EN BREF
Le Programme USAID
pour la survie de la mère
et de l’enfant est un
accord de coopération
de cinq ans, de $500
million de dollars
Date: Juin 2014
Où: dans 24 pays
hautement prioritaires:
Afghanistan, Bangladesh,
République,
Démocratique du Congo,
Éthiopie, Ghana, Haïti,
Inde, Indonésie, Kenya,
Liberia, Madagascar,
Malawi, Mali,
Mozambique, Népal,
Nigéria, Pakistan,
Rwanda, Sénégal, Soudan
du Sud, Tanzanie,
Ouganda, Yémen et
Zambie
Pourquoi: Pour mettre
fin aux décès évitables
des mères et des enfants
MCSP: 1776 Massachusetts Avenue NW, Suite 300, Washington DC, 20036 tel: 202.835.3100 email: info@mcsprogram.org
Koki Agarwal, Director, Koki.Agarwal@mcsprogram.org; Anita Gibson, Deputy Director, Anita.Gibson@mcsprogram.org
USAID: 1300 Pennsylvania Avenue NW, Washington DC, 20523 tel: 202.712.4564
Nahed Matta, AOR, nmatt@usaid.gov; Malia Boggs, Alternate AOR, mboggs@usaid.gov
Consulter le site mcsprogram.org pour en savoir davantage.
Photo: Kate Holt/MCSP and Jhpiego
LA SANTE REPRODUCTIVE
Environ 225 millions de femmes souhaitent éviter ou prévenir une grossesse, mais n’utilisent aucun moyen de contraception. Les raisons
de la non-utilisation sont complexes: des barrières sociales, culturelles et économiques, des craintes concernant les effets secondaires et le
manque d’accès à un prestataire de confiance. Un meilleur accès à la planification familiale sera essentiel si on veut atteindre les objectifs
mondiaux en matière de santé maternelle et de survie de l’enfant.
FAITS CLES
La stratégie du programme phare pour la survie de la mère et de l’enfant (MCSP)
de l’USAID pour la planification familiale (PF) se concentre sur l’accélération des
progrès en 2020 et Mettre fin aux décès évitables des enfants et des mères en • Dans le monde, 60% des
femmes de plus de 30 ans
prévenant les grossesses non désirées, en particulier celles associées à des mauvais
utilisent des contraceptifs, contre
résultats pour la santé ; soit une grossesse trop rapprochée, parmi les femmes à 22% chez les adolescentes (UNFPA)
haute parité et chez les mères âgées ou les adolescentes. Les stratégies clés de
MCSP sont les suivantes : • Si toutes les femmes attendaient
36 mois pour concevoir à
• Renforcer et passer à l’échelle la planification familiale du postpartum (PFPP) nouveau, 26% des décès des
et intégrer la PF dans le continuum des soins de santé maternelle, néonatale et moins de cinq ans seraient
évités (Rutstein/Winter)
infantile (SMNI) ;
• En outre, si les femmes
• Elargir le choix des méthodes, incluant les méthodes à longue durée d’action, donnaient naissance entre 18 et
dans les contextes de la PF et de la PFPP ; et 39 ans, sans avoir plus de trois
enfants, la mortalité infantile
• Atteindre les filles, leurs partenaires, influenceurs—qu’elles soient déjà mères diminuerait de 30% (Rutstein/Winter)
ou pas—avec des informations et des services de PF bien ciblées (soins SMNI).Des approches novatrices - qui s’appuient sur les acquis
antérieurs en matière d’intégration et de prestations de
services de santé efficaces - recoupent nos interventions
de PF pour accroître la disponibilité, l’accès, la qualité, la
demande, l’équité et l’utilisation des services.
MCSP assure un leadership pour élargir l’accès aux services
contraceptifs de haute qualité et agit en tant qu’autorité
mondiale en matière de documentation des meilleures
pratiques pour les programmes de SR/PF.
MCSP préconise l’utilisation de modèles qui ont porté
fruit, qui assurent que chaque contact avec une femme
déclenche une conversation au sujet de ses intentions en
matière de reproduction. Tant au niveau de l’établissement
de santé qu’au niveau communautaire - dans le cadre de la Photo: Une sage-femme au Nigéria conseille une cliente sur la planification
familiale (Karen Kasmauski/MCSP)
demande de soins pour elle-même ou son enfant- le but
est de mettre la femme en contact avec les services chaque fois qu’un besoin non satisfait est identifié.
La grossesse chez les jeunes et les adolescentes est liée à des résultats plus graves pour la mère et le bébé, y compris
l’accouchement prématuré et la naissance d’un nouveau-né de faible poids, et une mortalité périnatale et néonatale. En outre,
les grossesses à répétition de survenue rapide sont plus fréquentes pendant l’adolescence. Pour prévenir les grossesses et les
naissances rapprochées dans ce groupe d’âge, MCSP développe des interventions pour les adolescents et les nouveaux parents,
et prépare les prestataires à fournir des services aux femmes sous leur supervision. Cela comprend un paquet de counseling selon
l’âge et le stade sur la planification et l’espacement idéal des grossesses, la PFPP, la prise de décision de PF équitable à l’égard des
genres (qui implique les hommes et autres influenceurs), le soutien pour l’allaitement maternel, et les soins aux nourissons.
A PROPOS DE MCSP MCSP
1776 Massachusetts Avenue NW
Suite 300
Le Programme USAID pour la survie de la mère et de l’enfant Washington, DC 20036
(MCSP) est un accord global de coopération consistant à introduire United States
et appuyer des interventions de santé à haut impact dans 24 pays tel: +1 202.835.3100
info@mcsprogram.org
prioritaires. Il vise à mettre fin, en l’espace d’une génération, aux
Director: Koki Agarwal
décès infantiles et maternels évitables. Le point focal du programme Koki.Agarwal@mcsprogram.org
est d’assurer que toutes les femmes, tous les nouveau-nés et tous
les enfants les plus démunis aient un accès équitable à des services www.mcsprogram.org
de santé de qualité dans le but de sauver des vies.
facebook.com/MCSPglobal
MCSP appuie les programmes de santé maternelle, néonatale et twitter.com/MCSPglobal
infantile, la vaccination, la planification familiale et la santé de la
reproduction, la nutrition, le renforcement des systèmes de santé,
l’eau, l’assainissement, l’hygiène, la lutte contre le paludisme, la
prévention de la transmission du VIH de la mère à l’enfant, les soins
USAID
1300 Pennsylvania Avenue, NW
et le traitement pédiatriques du VIH.
Washington, DC 20523
United States
tel: +1 202.712.0000
www.mcsprogram.org AOR: Nahed Matta
nmatta@usaid.govYou can also read
