1. 2014 ROTARY INTERNATIONAL CONVENTION
Sustainable Global Grant
Projects in the area of
‘Maternal and Child Health’

2. Sustainability
— The Precondition for Global Grants —
Examples of Sustainable MCH projects
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3. Sustainability in development aid
• Development aid projects often not sustainable
• Beneficiaries‘ needs / involvement are by-passed
• Synergies with other stakeholders are not used
• Results are not measurable (ad hoc / long-term)
• Projects are not “owned” by the beneficiaries
► Scaling up = proof for sustainability
► Continuous scaling up = can be included in system

5. Sustainability in Global Grants
• Community needs ?
• How were these needs identified? Provide data
• How was local community involved in planning?
• Does project align with current/ongoing local initiatives?
• Describe training, outreach, or educational programs
• How will you measure your impact?
(Indicators, monitoring and evaluation)
• Local participation
• Continuity of services / maintenance / local funding

6. MCH and Sustainability
• Improvement of women's health incl. family planning
services
= very cost-efficient, profitable investment for
improvement of overall living conditions
• Immediate social, ecological and health benefits
• Savings education/health outlasting one generation
• MCH Improvement contributes to all MDGs

7. Access to FP
could save the
lives of 80,000
mothers and
600,000
newborns p.a.
Sustainable
savings for health
systems
Fewer 'drop-
outs'‚ lower
fertility, improved
education
opportunities
Empowerment of
women
Less poverty and
hunger
Source: UNFPA
Sustainable impacts of MCH

8. Sustainable Single Interventions
Provision of mosquito nets (LLIN):
• Threefold effect:
1. Prevention of malaria
2. Motivation for polio vaccination
3. Promotion of antenatal care
• LLIN remain effective for several years, low-
maintenance
• Easy documentation, measurable results /
indicators

9. Sustainable Single Interventions
Provision of vitamin sachets:
• Reduction of infant/child morbidity + mortality
• Long-term impact on risk of lifetime illness
• Best linked with community awareness and
provider training
• Documentation in health facilities

10. Sustainable Comprehensive Approach
• Core project:
introduction of quality assurance in obstetrics +
awareness
• Satellite projects / single interventions:
– Mosquito nets
– Solar power + water supply
– Magnesium sulfate, PMTCT
– Birth kits, anti-shock garments
– Fistula surgeries, micro credits
– IUDs, FP provider training

11. training of health
staff/audit
Maternal
Mortality
Ratio
(MMR)
- 60%
Contraceptive Prevalence Rate
(CPR)
10% 20%
equipment of obstetrical
departments
prenatal care and
postnatal care
quality of process
Stakeholder satellite project:
Preventing Mother-to-Child
Transmission of HIV
(PMTCT)
Rotary/stakeholder satellite project:
24,000 mosquito nets
(protection from malaria)
For more information about the project visit www.maternal-health.org
quality of structure
Quality Assurance
in obstetrics
Project contributes to our
new Area of Focus
‘Maternal & Child Health’
and to all UN Millennium
Development Goals
(MDGs)
close collaboration
with governments &
traditional/religious
leaders
Rotary/stakeholder satellite project:
water/solar power supply
for hospitals
Stakeholder satellite project:
delivery kits, magnesium
sulfate, anti-shock garments
attended births
information
about
child spacing
1.500 patients
repaired & rehabilitated
35% >50%
awareness
campaigns,
community
dialogues
MDG
access to
family planning
(no abortion)
reduction of
morbidity
e.g. fistula
quality of outcome
Rotary satellite project:
micro credits

12. Sustainable Comprehensive Approach
• Measurable indicators:
- Reduction of MMR, PMR
- No. of conducted community dialogues
- No. of attended deliveries in hospitals
- Training of health personnel/community health workers
• Regular documentation / evaluation during and after
project implementation
• Clear set of milestones and goals
• Overall goal: inclusion in health system
“Sustainability of the sustainability” (TRF)