Impact on maternal, neonatal and child health
Project Title: ProSalud Location: Equatorial Guinea Client: BG Group Date: October 2010 - December 2015
Montrose is implementing a multi-faceted health programme, called Project ProSalud, which has had a positive health impact on women and children living in communities in Centro Sur Province, Equatorial Guinea
Maternal, neonatal and child health in Centro Sur Province on the mainland of Equatorial Guinea was poor. For example, there was a high prevalence of childhood stunting and anaemia, institutional deliveries were rare and outpatient attendance at health centres was low. The primary health care system faced many challenges including poorly maintained health infrastructure, lack of trained health workers, stocks out of essential medicines, limited access to potable water, inadequate treatment-seeking behaviour and limited support supervision of health centres by district and provincial health staff. Montrose was contracted to implement a major maternal and child health and water and sanitation programme to address these issues.
Project ProSalud covers the whole of Centro Sur Province. The project consists of five key elements:
- Improve quality of primary health care services for women and children through renovation works in ten health facilities, health worker trainings, support supervision, supply of medicines and equipment, and Child Health Days
- Behavioural change at community level
- Improved access to safe water in health centres and communities
- Improved sanitation in health centres and communities
- Small Grants Scheme working with local civil society
The project has a rigorous monitoring and evaluation component and has conducted population-based health surveys to measure outputs, outcomes and impact. Through this the project has been able to demonstrate a significant health impact.
The project has made significant progress in child health including for immunization, prevention of malaria and reduction in stunting. Likewise, excellent progress has been made in the area of reproductive and maternal health with improved services which are now increasingly utilised by the pregnant women in the province. Highlights include:
- A decrease in childhood stunting from 37% to 21%
- A reduction of the two week fever prevalence from 42% to 31% and for acute respiratory illnesses from 17% to 8%.
- A decrease in the prevalence of malaria parasites in children 6-59 months of age from 33% to 25% and of the malaria transmitting gametocyte type of the parasite from 9% to 3%.
- Ante-natal care services accessed by 95% of all pregnant women in the province with 60% attending at least the recommended four times;
- Assisted deliveries risen from 46% to 68%, post-natal care risen from 48% to 70%, and post-natal examination of the new-born risen from 33% to 65%.
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