Transcript RMCH Programme Presentation

Reducing Maternal and Child
Mortality through strengthening
Primary Health Care in SA
(RMCH)
Dr. Gugu Ngubane
Futures Group
What is RMCH?
• RMCH is a three year programme funded by the United Kingdom’s
Department for International Development (DFID).
• It was designed with NDOH to support national priorities in health
sector as indicated in the Presidential National Service Delivery
Agreement for Health
• The main aim of RMCH is to provide support for the National
Department of Health (NDOH) to improve the quality of, and access
to, reproductive, maternal and child health services for women and
children living in poorer, underserved parts of South Africa.
RMCH Focus areas
•
Strengthening the district’s oversight to improve RMCH services, by
training district clinical specialist teams (DCSTs).
•
Strengthening the delivery of ward-based PHC outreach, including
school health and obstetric and neonatal emergency services, by
training community health workers in provision of basic obstetric and
neonatal services.
•
Supporting the improvement of demand and accountability for RMCH
services at the community level, by engaging civil society
organisations (CSOs) and through provision of a grants mechanism.
•
Supporting the development of new knowledge around removing
barriers to uptake and access of RMCH services by building district,
facility and community level capacity in data demand and use
Cap ric or n
Wa te rb er g
B Pla ti nu m
NM M o lem a
Eku r hu le n i
G S ib an d e
K Kau n d a
J T G aetsew e
Fe zil e Dab i
s
ce
an
Fr
Siya nd a
T M o futsa n yan e
Le jw elep u tsw a
rd
aa
B
Uth u n g u lu
Uth u ke la
uM g u n gu n d lo vu
eT he kw in i
Xh ar iep
Pixl ey ka Sem e
Ug u
A Nz o
O T am b o
Am ath o le
Cen tral K aro o
Provincial boundaries
RMCH districts
N
W
E
S
By who?
• Futures Group leads a partnership with
– Health Systems Trust (HST),
– Save the Children UK (SCUK) and
– Social Development Direct (SDD).
Partnership Approach
•
•
Guided by strong policy base – Maternal, Child and Women’s Health Strategy and
Ten Point Plan and NHI
Integrated Approach linking Inputs, Outputs and Outcomes (theory of change)
National level (NDOH)
Social determinants
• Poverty
• Gender norms
• Violence
DFID/Futures Partnership
Support to NDOH,
districts, services, and
communities
• Secretariat, Programme
Steering Committee
• Mentoring/technical
support /training for
• DMT and specialist
RMCH teams
• School health
• Ward PHC/CHW
• Roll out/
institutionalisation of
ESMOE
• CSOs to promote
demand and
accountability
• Data demand and use
to address barriers
• CSO grant management
6
National policies
Service delivery
District level
District
Management
Teams
RMCH specialist
teams
School health programmes
Ward PHC , including CHW
RMCH
outcomes
OB and neonatal emergency
care in facilities and
communities
Community level: civil society accountability and client demand
Districts
enabled to
oversee
improvements
in services
Access and
quality
improved
Demand for
and use of
services
increased
Health
outcomes
improved
What are the expected results?
• Reduced maternal and child mortality with
estimated 3000 maternal and 25,000 neonatal
deaths prevented and 700,000 DALYs through
improved quality of, and access to RMCH
services by women and girls in underserved
districts of South Africa
Maternal Mortality Ratio :
Infant Mortality Rate:
Under 5 Mortality Rate:
2010 baseline:
2015 target:
2010 baseline:
2015 target:
2010 baseline
400/100,00
310/100,00
53/1000
35/1000
104/1000
2015 target
20/1,000
7
Contact information
• Dr Gugu Ngubane – Team Leader (Futures Group)
• Caroline Mbi-njifor - Deputy Lead: Operations and Finance (Futures
Group)
• Petro Rousseau – Deputy Lead: Technical (HST)
• Melinda Van Zyl – Acting Programme Director (SCUK)
• Khathatso Mokoetle – Demand and Accountability Advisor (SDD)
• Dr Nombulelo Skeyile – MCH Technical Advisor (Futures Group)