Project Partners

Projects that have been funded by the Health & Nutrition Innovation Fund:

CUP LogoCommunity Uplift Program

CUP is National Level Non-Profit Organization which is registered with Securities and Exchange Commission of Pakistan (SECP) under Section 42 of the Pakistan Companies Ordinance 1984 on January 29, 2001. Their website www.cup.org.pk shows the programmatic focus, which includes “health and family planning” and geographical focus is in KPK.  CUP’s work over the past fourteen (14) years is a success story with implementation of successful projects funded by reputable donors such as ADB, World Bank/PPAF, USAID, UN/WFP, JSI (PAIMAN), Care International, CRS, ICMC, ARC/PRCS, CAFOD-UK, CECP-USA, Plan International, Mercy Corps, UNICEF, UNDP, Concern Worldwide and now DFID.

CUP Random Photo

 

Citizen-Led Performance Monitoring of Health and Population Service Facilities

CUP Pakistan was  awarded a DFID funded project titled; Improvement in Quality of Family Planning, Reproductive & Maternal Health Services through Citizen-Led (Women-Led) Performance Monitoring of Health and Population Service Facilities in District Peshawar” (15 April 2015-15 February 2016). This was an innovative pilot project that  closely worked with the Departments of Health and Population Welfare of KPK in order to provide citizen feedback for improvement of BHUs and Family Welfare Centers Services. This citizen feedback was  through a citizen (women) led assessment of mutually agreed sample of BHUs, Family Welfare Centers (FWCs), LHWs, and Mother Child Health Centers (MCHC) through the application of the Citizen Score Card (CSC) monitoring/assessment tool. After completion of the Pilot the project has been scaled up in all 44 BHUs of Charsadda since July 2016.

Download CUP Project Presentation

 

HANDS LogoHealth and Nutrition Development Society 

HANDS was founded by Prof. A.G. Billoo (Sitara-e-Imtiaz) in 1979. HANDS has evolved in 34 years as one of the largest Non-Profit Organization of the country with integrated development model. HANDS has a network of 30 offices across the country and has access to more than 16.2 million population nearly 20,274 villages/ settlement in 34 districts of Pakistan. HANDS strength is 18 volunteers Board Members, more than 1502 full time staff and nearly one million community based volunteers of 5205 medium and small size organizations. HANDS Pakistan is registered under Societies Act, is certified by Pakistan Center of Philanthropy (PCP) and Tax exempted by Income Tax Department Government of Pakistan. HANDS has qualified the Institutional Management Program (IMCP) of USAID of management standards. HANDS is accredited with European Union. HANDS also possess membership with Humanitarian Accountability Partnership (HAP). HANDS International recently established its office in London, United Kingdom. HANDS International–UK is registered as Non-Profit Organization in Companies Act 2006 of England and Wales.

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MARVI Nutrition Integrated Model

The MARVIs model is suggested for implementation and promotion of Nutrition program in districts Mansehra of Khyber Pakhtunkhawa province. This will improve the access to Nutritional services for the women and children in areas where there is no LHW. The special focus of the improving nutrition interventions would be on Adolescent girls, Pregnant and lactating women, to break the vicious cycle of malnutrition. The malnourished women give birth to low weight, which consistently affect the life time stunting and growth retardation. The improved nutritional status of mother during pregnancy contributed in low incidence of low birth weights, improved status of lactating women, helps promotion and continuation of breast-feeding. The mother education about the child feeding and regular growth monitoring helps in improving the dietary care of the infant and children. This will expectedly improve the nutritional status of the children. The linkages will be developed with Public sector health facilities and health programs for higher and other health services and care. The HANDS social marketing approach would facilitate these MARVIs to establish the business health models through promotion and sale of RH and food products. This will also help to ensure the improve availability and access to health commodities and essential medicines, and food security. This social marketing program of HANDS will continuously engage these even after the project life. This social enterprise will ensure the sustainability of the trained and skilled community based health work force for continuous health services and health and nutrition promotion. The Pilot phase of the project has been concluded.

Download HANDS Project Presentation

 

I-SAPS logoInstitute of Social and Policy Sciences

Institute of Social and Policy Sciences (I-SAPS) is a Policy Research and Advocacy institute working across Pakistan in a number of research areas (details at www.i-saps.org). The Institute is mandated to undertake multi-disciplinary research, develop human resources, inform public policies and engage stakeholders in informed policy dialogues for sustainable development. Research and policy support and services offered by the Institute are available to public, private and development sector organizations.I-SAPS has implemented and is currently undertaking various initiatives for policy improvement, institutional strengthening, transparency in financial flows and improvement in the governance of various service delivery sectors, including education and health.I-SAPS has provided its services to public, private and development sector organizations, which include; Department for International Development (DFID), World Bank, United Nations Children’s Fund (UNICEF), United Nations Development Program (UNDP), Federal and Provincial Governments of Pakistan, Punjab Resource Management Program (PRMP) and National Disaster Management Authority. Our other development partners include; GTZ/GIZ, Oxfam GB, Management System International (MSI), Results for Development Institute (R4D), ActionAid Pakistan, Open Society Institute (OSI), SavetheChildren UK and US Agency for International development (USAID).Community Health Partners for Empowerment, Voice and Accountability at Local LevelI-SAPS is implementing the initiative ‘Community Health Partners for Empowerment, Voice and Accountability at Local Level’, a 2 year (2015-2017) project supported by Health and Nutrition Innovative Fund (HANIF) under EVA-BHN.

I-SAPS Random Photo
Community Health Partners for Empowerment, Voice and Accountability at Local Level

Significant numbers of women are still faced with risks emanating from pregnancy, delivery and postnatal complications. Pakistan’s maternal and neonatal indicators are improving but the current situation reveals a grim picture and targets set under the MDGs 4 and 5 are far from being achieved.[1]Large proportion of births (52%) in Pakistan occur at home (PDHS 2012-13), and overall only 39% births are attended by skilled health personnel (World Health Statistics 2010). The provision of care by a fully competent Skilled Birth Attendants (SBAs)[2] during pregnancy, delivery and in the postnatal period can significantly contribute to saving the lives of mothers and new-borne. Punjab is a well performing province, however, only 74 percent[3] women are receiving one antenatal visit from SBA during pregnancy indicating lost opportunities for identifying and managing high risk cases. In the existing scenario, there are supply side as well as demand side challenges including accountability and oversight of local services that are significant contributor to high maternal, neonatal and child mortality rates. Communities and service users, especially marginalized groups[4], lack authority and voice to influence the health service delivery.

In the above context, there is need to introduce interventions in both supply and demand side of maternal and child health care at local level. On “Supply-side” there is need to provide mentoring support and enhanced skills to CMWs. On “Demand-side” the aggregated voice and accountability by the communities is the important missing link which this intervention will fulfill.

Project Objectives

  • To strengthen midwifery capacities and emergency referral services for the rural mothers by using available guidelines, information products and facilities provided under Integrated RMNCH
  • To strengthen bottom-up demand-side decision support system for improved health services at district level

Project Innovation

The project has been designed based upon the lessons learnt from a successful “Mappay Model” in education sector. Mappay Model demonstrated that a vibrant interface and linkage established between higher level community committees and relevant government departments at district level can build an environment of mutual trust and collective decision making, creating a vertical decision support system which facilitates the district management to take informed decisions.

CHP-EVA Project will engage communities for improved oversight and accountability of health services at local level. The project will create a bottom-up voice and accountability mechanism by creating Tehsil and District Health Support Committees as institutional platforms along the entire service delivery chain. These Health Committees will work as vertical support system and facilitate the district health department by providing required information and feedback for improved governance and service delivery.

The pilot phase of the project has been concluded.

[1]UNDP. (2013). Human Development Report 2013: The Rise of the South: Human Progress in a Diverse World, Pakistan. UNDP.Retrieved, from http://hdr.undp.org/sites/default/files/Country-Profiles/PAK.pdf. And  WHO. (2013). WHO Eastern Mediterranean Region: Pakistan statistics summary (2002–present). Retrieved from http://apps.who.int/gho/data/node.country.country-PAK.

[2]Health care workers trained in pregnancy, delivery and newborn care

[3]MICS Punjab 2011

[4]Marginalized groups include poorest of the poor, women, ethnic groups and minorities.

Download I-SAPS Project Presentation

 

IRD Logo


Interactive Research and Development

IRD mission is to improve the well-being of vulnerable communities through innovation in research and health delivery. From humble beginnings in Karachi, Pakistan as a health research organization, IRD is now headquartered in Dubai, operates in 15 different countries including: Pakistan, Bangladesh, Indonesia, South Africa, Tajikistan, Ghana, Kenya and Congo, and touches the lives of over 70 million people.  The IRD team leverages process, research and technology innovations to address global health delivery gaps right from the birth of the child to adulthood. Our teams work to link private and public health practitioners to ensure impact in hard to reach communities and build long lasting relationships with key stakeholders for sustainable and meaningful change. Our managers and associates have world-class training and leverage their local and global networks to further improve and develop solutions for health and social concerns.

eIMCI: electronic Integrated Management of Childhood Illnesses
IRD eIMCI
With Pakistan’s staggering contribution to the under 5 mortality at 38.1%, seven out of ten deaths are due to five childhood diseases occurring singly or in combination:  malnutrition, acute respiratory infections, diarrhea, measles and malaria. There is a dire need for detecting and managing these early childhood illnesses. eIMCI program aims to reduce childhood malnutrition by implementing an expanded and electronic version of Integrated Management of Childhood Illnesses (eIMCI) guidelines in an outreach setting to prevent and improve the management of common, and potentially life threatening illnesses including malnutrition in children, especially females, up to 5 years of age.eIMCI combines open source technology such as Android smartphone technology, smart decision support algorithms and Interactive Reminders under latest IMCI guidelines to facilitate front-line workers and reduce human dependency and chance of human screening and data entry error. eIMCI, therefore, presents a unique solution to service delivery problems by leveraging  fast evolving technology and utilizing the latest IMCI guidelines. Furthermore, by engaging existing public healthcare providers already working in the community (LHWs), we are further strengthening the supply side by building capacity to reach more children within the same low-resource setting without additional extensive investment in human resources and infrastructure.

The pilot phase has been concluded.

Download IRD Project Presentation

 

jhpiego_logo_rgb-1Johns Hopkins Program for International Education in Gynecology and Obstetrics

Jhpiego (formerly ‘Johns Hopkins Program for International Education in Gynecology and Obstetrics’) is an international, non-profit health organization affiliated with The Johns Hopkins University. For 40 years and in over 155 countries, Jhpiego has worked to prevent the needless deaths of women and their families. Jhpiego develops strategies to help countries care for themselves by training competent health care workers, strengthening health systems and improving delivery of care. Jhpiego designs innovative, effective and low-cost health care solutions to ensure a level of care for women and their families. These practical, evidence-based interventions are breaking down barriers to high-quality health care for the world’s most vulnerable populations.

In Pakistan, Jhpiego has been working since 1997 and is addressing critical public health issues through collaboration with national and local government, training institutions, private practitioners and health educators. Jhpiego has a history of working with UNICEF under Averting Maternal Death and Disability Program, Futures Group International under Key Social Marketing funded by USAID, International Rescue Committee under the USAID-funded Primary Healthcare Revitalization, Integration and Decentralization in Earthquake-affected areas (PRIDE) Project, Population Council on the USAID-funded Family Advancement for Life and Health (FALAH) Project, providing technical assistance to reposition FP as a health intervention and ensure provision of high- quality FP services. Currently in Pakistan, Jhpiego is working on the following: 1) Packard Foundation funded project to strengthen and sustain postpartum Family Planning (FP) services in Punjab Province; 2) the MNCH services component of USAID/Pakistan’s five -year Maternal and Child Health Program; and 3) the SUKH initiative funded by three foundations i.e.; Packard, Gates and Aman Foundations to provide family planning services to 1 million urban and peri-urban population of Karachi.

Postpartum Family Planning in KP

In its HANIF project, Jhpiego is proposing a model in Khyber Pakhtunkwha (KPK) that will increase FP access and utilization of services, ultimately contributing to a decrease in the unmet need for FP and an increase in Contraceptive Prevalence Rate. The project will build upon the strengths of Jhpiego’s Punjab model, namely: 1) utilization of the “no missed opportunities” strategy within the existing system, given the rapidly increasing rate of facility-based deliveries; 2) integration of Postpartum Family Planning (PPFP) services with the MNCH services; and 3) expansion of FP choices and accessibility for women.

Therefore, Jhpiego in collaboration with the Department of Health (DoH) and the Population Welfare Department (PWD), will pilot the PPFP model in the Mardan district of KPK province. The project aims to demonstrate successful interventions for PPFP services, and to generate evidence thereof, within the cultural and socio-political context of KPK. As a result, service providers in the health facilities and communities will be able to provide counseling and high-quality PPFP methods, including PPIUCDs and implants. Clients will be counseled on uptake of a modern method of PPFP during antenatal care (ANC), labor and delivery (during latent phase of labor), and postpartum visits to the facility. If the client consents, FP methods will be provided immediately after delivery and during the postpartum period. The proposed duration of the full project including the pilot and implementation phase is 24 months, and we plan to reach approximately 3,500 postpartum women in Mardan.