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Reducing Maternal and Child Mortality through strengthening Primary Health Care in SA (RMCH)
Dr. Gugu NgubaneFutures 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
Siyanda
Pixley ka Seme
Xhariep
Waterberg
G Sibande
Central KarooAmathole
NM Molema
Lejweleputswa
Capricorn
T Mofutsanyane
J T GaetseweFezile Dabi
A Nzo
B Platinum
K Kaunda
O Tambo
Uthukela
Ugu
Uthungulu
uMgungundlovu
eThekwini
Ekurhuleni
RMCH districtsProvincial boundaries
N
EW
S
By who?
• Futures Group leads a partnership with– Health Systems Trust (HST), – Save the Children UK (SCUK) and – Social Development Direct (SDD).
Partnership ApproachPartnership 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)
6
RMCH out-
comes
National level (NDOH)National policies
Service delivery
District level District
Management Teams
RMCH specialist teams
Social determinants• Poverty
• Gender norms• Violence
Community level: civil society accountability and client demand
School health programmes
Ward PHC , including CHW
OB and neonatal emergency care in facilities and
communities
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
Districts enabled to
oversee improvements
in services
Access and quality
improved
Health outcomes improved
Demand for and use of
services increased
What are the expected results?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
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Maternal Mortality Ratio : 2010 baseline: 400/100,00 2015 target: 310/100,00Infant Mortality Rate: 2010 baseline: 53/1000 2015 target: 35/1000Under 5 Mortality Rate: 2010 baseline 104/1000 2015 target 20/1,000
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)