Reproductive, Maternal, Newborn, & Child Health

Central Potosi Child Survival and Maternal Health Project

Location: Bolivia

Donor: USAID

Partners: Esperanza Bolivia, NUR University

Duration: 1999 - 2003

The Central Potosi Child Survival and Maternal Health Project aimed to improve maternal and child health conditions in the Nor Chichas and Linares provinces of the Potosí department of Bolivia. The principal objective of the project was: to reduce morbidity and mortality among children 5 years and younger, and among women of reproductive age (15-49), especially due to obstetric-related causes.

MCDI supported the practical implementation of the Government of Bolivia's policy of a "Seguro de Maternidad y Niñez" (a maternal and child health social safety net), a policy in effect beginning in July 1996 but not yet fully operational in the project zone. The project targeted districts in the highlands of the country which is known for some of the lowest child survival and maternal health status indicators.

The project served a beneficiary population of approximately 16,000 children aged five and under, and 24,000 women of reproductive age. Under the umbrella of an Integrated Management of Childhood Illness (IMCI) approach, MCDI trained auxiliary nurses, community health volunteers, and Ministry of Health personnel to promote access to standardized case management of pneumonia and diarrheal episodes, increase recognition of signs of trouble, increase recognition of danger signs by caretakers and EOC/IPCC to include preventive care, safe delivery, adequate newborn care and timely action in case of complications.

In addition, this component helped train community health providers in the promotion of postpartum visits which included Vitamin A supplementation and counseling on newborn danger signs, immunizations, family planning, breastfeeding, etc. The project also sought to improve vaccination coverage rates among children under five years of age and women of reproductive age by supporting improvements in the quality of existing immunization services and coverage rates, while improving the technical quality and program coverage in areas of prenatal care, obstetric first aid, post-partum care, and emergency case management.

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