MANSI has been designed to facilitate efforts to achieve the Millennium Development Goals with particular focus on reducing neonatal and infant mortality. The objectives are: 1) to improve mother, newborn, and child health by implementing a home-based neonatal and childcare model designed by Society for Education, Action, and Research in Community Health (SEARCH); 2) to demonstrate a statewide collaborative model for the corporate sector in India to improve the health status of the community in general; and 3) to develop interventions for creating demand on newborn, child, and maternal care among rural and tribal populations.
In order to scale MANSI, the American India Foundation will adopt a combination of system improvement, capacity building, and demand generation and service provision strategies. This includes facilitating development of management and monitoring systems as well as systems for data collection and analysis, strengthening of state level training and supply systems to Sahiyya, capacity building of Sahiyya Sathi on supervision and monitoring, and improving effective implementation and management of the home-based neonatal and childcare model. The three T's, Timeliness, Technology, and Transparency, will be tested for feasibility and cost effectiveness.
Tata Steel Rural Development Society (TSRDS) will implement the project and will influence the corporate sector in long-term, health related efforts within the community as well as assist in providing the cost of any activity outside the allocated government funds. SEARCH will provide technical support for building capacities of program team and for suggesting system level improvements. The local government of Jharkhand will adopt the suggested changes and will make systemic changes for a wider replication.
The above approach will be replicated in new geographies with current and new partners, including local state government authorities.
MANSI will be a public-private partnership implementation model that will start after receiving initial government approvals. During the preparatory phase (first 4 months) studies and assessments will be conducted to assess the knowledge and skill gaps in various categories of service providers. The next four to six months will focus on recruitments and capacity building of trainers, supervisors, and service providers. During this period design and development of materials in local dialects and demand generation at the community level will also start. MANSI will also explore how technology can improve monitoring and data capturing. Finally, after determining the baseline vital rates, and stakeholders' analysis, MANSI will proceed to roll out the program with the help of the respective state government and partners.
Despite India's rapid economic growth in the last decade, the nation has the highest number of newborn, child, and maternal deaths in the world. In 2012, over 779,000 babies in India died in their first month of life, accounting for more than a quarter of the global burden. India's maternal and child death rates are high with 212 maternal deaths per 100,000 births and 56 deaths per 1,000 live births, respectively.
In 2009, American India Foundation (AIF), in partnership with TSRDS, SEARCH and Government of Jharkhand, launched the Maternal and Neonatal Survival Initiative (MANSI). MANSI's aim was to create an effective and sustainable public-private partnership model to reduce maternal and infant mortality. The key approach was to improve the existing healthcare system and train the local female community health workers, known as Sahiyyas.
MANSI was developed as a CGI commitment in 2009 and completed successfully. It was implemented in Saraikela; a Jharkhand district that has one of the highest rates of maternal and child mortality combined with low access to health care services. Since the beginning of the project, MANSI has provided newborn care to 6,163 neonates and has provided prenatal care and counseling to 7,318 pregnant mothers. MANSI has reduced the neonatal mortality rate by 32.7 % and the child and infant mortality rate by 26.5%. Other significant improvements include increased institutional deliveries, as opposed to home deliveries, from 20.7% to 79.2% and higher percentage of newborns being weighed at birth, from 29.4% to 94.7%.
As a result of this tremendous success, American India Foundation now aims to scale the program by more than 15 times by entering new geographies with new and existing partners.
The MANSI project provides the following partnership opportunities to all interested individuals and institutions:
1) Cofunding, the opportunity to fund the MANSI project to save the lives of mothers, newborns and children; 2) technology, MANSI would like to use technology to scale up the projects to new heights; 3) research, AIF seeks to partner with universities and research agencies willing to test successful innovations for saving mother and child; 4) advocacy and awareness, MANSI has been championing the cause of saving lives at birth. AIF would love to raise more awareness and see more stakeholders' partner with us on this issue.