37.
38.
Pregnant women 1. Adequate diet
6. Deworming
2. Iron/folate supplements
7. Access to maternal health services including: antenatal care; postnatal care; skilled birth attendants; prevention of maternal-tochild HIV transmission; screening for HIV, tuberculosis, sexually transmitted infections
3. Tetanus toxoid immunisations 4. Malaria prevention and access to treatment 5. Birth preparedness, healthy timing and spacing of delivery Children 0-24 months 1. Appropriate breastfeeding
7. Oral rehydration therapy/zinc
2. Essential newborn care
8. Prevention and care seeking for malaria
3. Hand washing with soap
9. Full immunisation for age
4. Adequate complementary feeding
10. Prevention and care seeking for acute respiratory infection
5. Adequate iron 6. Vitamin A supplementation
11. Deworming (+12 months)
CASE STUDy The 7-11 ADAPT changing lives in Ethiopia This three-year, AusAID-funded project’s goal is to contribute to the reduction of maternal, neonatal, infant and under five years mortality and morbidity in target areas of Tigray Regional State, Ethiopia. The target population comprises 31,700 pregnant and lactating women, 14,600 children aged 0-11 months and 46,295 children aged 12-59 months. The desired project outcomes are to improve essential healthcare and services for mothers, newborns and young children; to improve services and maternal health practices to prevent infections and diseases in infants and young children; to strengthen referral systems for mothers and children with acute or emergency health conditions; and to improve management, monitoring and evaluation. The project started in October 2011 and is a good example of designing a project to conduct data collection, identify gaps and prioritise interventions. During the design workshop the community, district and regional partners reviewed the findings from the assessments and data collection to determine the project’s priorities. This involvement has set a firm foundation for future collaboration with the district and regional health staff and the local women’s development organisation. For example, the Woman Development Army received training in maternal, newborn and child health issues. Now they are eager to provide information to mothers on MNCH topics in local communities. This form of local ownership of the 7-11 Framework sets the foundation for success. Communities are empowered with information, education and strategies to improve the health of pregnant and lactating women and children under five years. A mother and child wait for a check up at a World Vision-supported health clinic in Ethiopia. Photo credit: Ilana Rose/World Vision