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Saving Newborn lives Initiative-aka Hala Project - Nipccd

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3 Feasibility for Govt. system to<br />

implement<br />

(could the Govt. system assimilate<br />

this intervention relatively easily,<br />

does it match well with current Govt.<br />

systems and capacities, does it<br />

require a minimum of new learning,<br />

new inputs, and change)<br />

4 “Dependencies” (what does the<br />

intervention’s success depend on?<br />

For eg. strong PRI/local self<br />

government institution, strong<br />

supervision system, lots of<br />

dedicated NGOs in the area, a<br />

charismatic leader. Does the<br />

intervention have a minimum and<br />

practical no. of dependencies?)<br />

a) <strong>Project</strong> notes<br />

The intervention utilizes the existing resources available within the Govt. health<br />

system and in the community. The training of Lady Health Workers (LHWs) was<br />

built –upon the standard training being provided under the LHW program in<br />

Pakistan (the LHW program is one of the flagship programs of the Govt. of<br />

Pakistan). In the intervention clusters, a total of six extra days were added to the<br />

standard curriculum to enhance the basic newborn care and community<br />

mobilization components. This is a feasible approach for scale up under the LHW<br />

program. The intervention shows that LHWs can deliver effective interventions for<br />

maternal and newborn care in collaboration with traditional births attendants,<br />

another resource existent in communities. The community mobilization<br />

components like selection of community volunteers, formation of CHCs, group<br />

education sessions, organization of emergency transport funds are additional<br />

activities for LHWs<br />

b) Originator’s comments:<br />

a) <strong>Project</strong> notes<br />

The project does not create a parallel infrastructure and attempts to deliver the<br />

interventions within the existing health system. Support of the Govt. is critical for<br />

expandability as it utilizes the LHWs for delivery of interventions. Community<br />

mobilization activities such as selection of community volunteers, formation of<br />

CHCs, group education sessions, organization of emergency transport funds<br />

require support dedicated LHWs willing to take additional workload. Since training<br />

of LHWS and TBAs is an important component, capacity to train staff and<br />

availability of resources for the same is a practical requirement<br />

b) Originator’s comments:<br />

6

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