MNCAH

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Maternal, Newborn, Child and Adolescent Health (MNCAH)

Anecca is committed to improving the health and well-being of women, newborns, children and adolescents across sub-Saharan Africa. Our MNCAH program focuses on reducing preventable maternal and child deaths by strengthening health systems, enhancing service delivery, and expanding access to essential care especially in underserved and hard-to-reach communities.
We work with Ministries of Health and District Health Teams to deliver life-saving interventions aimed at reducing maternal and neonatal mortality in line with the Sustainable Development Goals. The program approach combines evidence-based, culturally responsive and client-centred care across the continuum from pregnancy to early childhood emphasizing quality antenatal care, skilled birth attendance, postnatal follow-up, immunization, nutrition, family planning, and early childhood development.
Anecca supports a comprehensive package of high-impact interventions aligned with national strategic priorities to improve maternal, newborn, child, and adolescent health outcomes. The areas of support include: maternal, newborn, child and adolescent health.

MNCAH Services

Maternal Health

• Strengthening midwifery competencies and referral systems to ensure safe deliveries.
• Functionalising Basic Emergency Obstetric and Newborn Care at Health Center IIIs and Comprehensive Emergency Obstetric and Newborn Care at Health Center IVs.
• Expanding antenatal care and postnatal care content to incorporate mental health.

HIV/TB Services

Newborn Health

• Improving care for low birth weight and preterm infants through Kangaroo Mother Care, use of corticosteroids, and newborn resuscitation.
• Addressing underlying causes of newborn morbidity and mortality such as adolescent pregnancy, poor maternal nutrition, malaria, and inadequate ANC attendance.
• Ensuring structured follow-up and developmental monitoring for small and sick newborns.

PMTCT Services

Child Health

• Sustaining and expanding high-impact child health interventions such as Integrated Management of Newborn and Childhood Illnesses (IMNCI), paediatric HIV services, and immunisation.
• Integrating facility- and community-based child health services for continuity of care.
• Focusing on the prevention and management of malnutrition and anaemia in children.
• Strengthening the delivery of long-term, primary care services for children.

PMTCT Services

Adolescent Health

• Scaling up adolescent-friendly health services across both public and private health facilities.
• Strengthening multi-sectoral linkages between health, education, and social protection to address structural determinants of adolescent health.
• Integrating mental health and psychosocial support into school and community programs.
• Meaningful engagement of adolescents in the design and implementation of policies and programs.
• Enforcing and advocating for policies that prevent child marriage and sexual and gender-based violence (SGBV), while ensuring support for survivors.

PMTCT Services

Key achievements

Key achievements

Success Stories, News & Events

Enhancing Viral Suppression Among Children and Adolescents Living with HIV in a Nomadic Community: A People-Centered Metrics Approach

TRANSFORMING LIVES AND BUILDING RESILIENCE FOR PEOPLE LIVING WITH HIV
Homebased adherence counselling Learning session in Abim District

Background:
Children and adolescents living with HIV (CALHIV) in nomadic communities face unique challenges in accessing and adhering to antiretroviral therapy (ART), resulting in suboptimal viral suppression rates. This intervention explores the implementation of a people-centered metrics approach to improve viral suppression among CALHIV within one year in a nomadic community.
Intervention:
A comprehensive people-centered metrics was designed to address the multifaceted barriers to effective HIV care among CALHIV. The metrics includes a combination of interventions involving healthcare providers, community health workers, families, and the community itself. These interventions focus on interviewing the clients on their perception of the quality of care and in turn give the health workers the feedback which they utilize to make changes in the clinic. The community health workers made weekly contact with the non-suppressed CALHIV to monitor adherence. At the beginning of the intervention, 61 non suppressed CALHIV were enrolled into the metrics and followed up monthly.
Some of the key changes included:
Improving ART adherence, enhancing access to healthcare services, reducing stigma, and fostering community support and providing feedback to both healthcare workers and the clients.

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Engaged ART Clinic in-charges from 8 health facilities, counselors and lay workers.
Reviewed previous action plans and progress.
Shared feedback from client interviews.
Discussed case scenarios of non-suppressed CALHIV and their management.
Developed action plans for the next one month.

Results:
The implementation of the people-centered metrics initiative in the nomadic community demonstrated significant improvements in viral suppression rates among CALHIV. Key outcomes included:
Improved ART Adherence: Through the provision of tailored adherence support and counseling, there was a notable increase in CALHIV adhering to their medication regimen.
Stigma Reduction: Community sensitization programs and support groups led to a reduction in HIV-related stigma, facilitating open discussions and improved mental health among CALHIV.
Enhanced Access to Care: community-based healthcare workers increased the availability and accessibility of healthcare services to CALHIV.
In a period of one year the number of CALHIV patients with non-suppression decreased from 61 CALHIV (in October 2022) to 15 non suppressed clients by September 2023.
Community Empowerment: Engaging the community in the care and support of CALHIV created a nurturing environment that encouraged treatment continuation.

Conclusion:
The people-centered metrics approach proved effective in improving viral suppression among CALHIV in a nomadic community, achieving over 50% increase in viral suppression rates within one year.

Lessons learnt.
Improving viral load suppression for children and adolescents living with HIV requires a holistic approach that considers medical, social, and psychological aspects of care.
Providing age-appropriate counseling and support services is crucial.
Involving parents or caregivers in the care of children and adolescents with HIV is essential.
Implementing adherence support programs, such as reminder systems, peer support groups, can help children and adolescents adhere to their medication regimens consistently.
Collecting accurate and up-to-date data on pediatric HIV cases, treatment outcomes, and program performance is crucial for assessing progress and making informed decisions.

Events: Anecca Strategic Plan Launch

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Events: Anecca