Presentation on theme: "Mainstreaming a health systems’ approach to maternal health programming: trans-disciplinary research in Rwanda and South Africa Maternal Health in South."— Presentation transcript:
Mainstreaming a health systems’ approach to maternal health programming: trans-disciplinary research in Rwanda and South Africa Maternal Health in South Africa and Rwanda (MHSAR) Project
Overview July 2012 - June 2016 South Africa and Rwanda Centre for Health Policy (CHP), Wits University School of Public Health, UWC Nijmegen International Center for Health Systems Research and Education (NICHE), Radboud University Ministry of Health, Rwanda Gauteng and Eastern Cape DoH, South Africa Aim to investigate the linkages between key health system components and maternal health
Sub- project 1a Systematic review of the impact of health system supply & demand interventions on MH health in LMICs Sub- project 1b Realist review impact of health system supply & demand interventions on MH in selected LMICs Sub- project 2a Case studies in Rwanda and South Africa using EmOC and HIV as health system probes to investigate linkages between health system components & MH Sub- project 2b Action research health system interventions to improve organisation and delivery of MH services MHSAR sub-projects
Policy Relevant Questions What has been the impact of health system interventions (health system strengthening) on maternal health? What are the most important health system factors influencing the performance of maternal health programmes? What health system interventions should be implemented to improve maternal health in South Africa and Rwanda?
Main Stakeholders Health system + MH policymakers & managers (national, provincial, district) Health professional organisations International agencies NGOs & advocacy groups Health system + MH researchers
Stakeholder Engagement Strategies Inception workshop Active partnerships with DoH/MoH Joint planning meetings Participation in annual project meetings Feedback workshops
KT Products To Date Planned Feedback workshops Media briefing WHO guidelines Academic papers Academic conferences Case study policy engagement workshops Policy briefs Academic papers Academic conferences Video?
Preliminary Key Messages Inadequate attention to HSS in maternal health Focus mostly on HR & financing building blocks Key HS resource gaps undermine performance Importance of governance & accountability in explaining variation in MH performance But require packages of HS interventions addressing multiple building blocks Systematic review filler text er text Comparative case studies filler text filler text filler text filler text filler text
KT Opportunities & Challenges Opportunities Challenges Direct involvement of MoH/DoH Policy engagement in sub-project 2b Existence of MH policy groups Involvement in WHO guidelines Balancing partnership and criticism Engaging with other stakeholders (women, media) Multiple health system levels Limited KT human & financial resources
KT Support Needed Financial support for Eastern Cape policy engagement workshops (2 nd KTNet Call) Collaboration in Rwanda case study dissemination (Sharenet small grant) Expertise for video documentary Advise on engagement with media, pregnant women