PRRINN-MNCH is a Maternal, Newborn and Child Health (MNCH) and routine immunization programme as well as a Primary Health Care (PHC) programme.
MNCH: Our programme’s focus is on MNCH services through developing Comprehensive Emergency Obstetric Care (CEOC) clusters serving around 500,000 people. However, this entails much more than immediate service needs. Systems that directly impact on these MNCH services – such as drug supply, transport management and infrastructure maintenance systems – need reinforcing.
Routine immunization: Routine immunization is often an entry point into primary health care. However, in the PRRINN-MNCH states, routine immunization coverage is low, indicating a lack of access to PHC services. The programme is working with all stakeholders at all levels to ensure that routine immunization services are available and that vaccines arrive safely, on time, to the people that need them.
PHC: Stakeholders, development partners and the programme team all realise that to strengthen MNCH services it is necessary to address PHC services as a whole. Many Nigerians acknowledge that PHC services (largely run by local government) are the weak link in the health chain. Thus, for sustainable outcomes, it is important to strengthen supply-side services within the broader context and not in isolation.
Therefore, the remit of the programme is also:
- to engage with the governance aspects that affect how the MNCH services are organised and resourced
- to understand and influence how human resources are managed
- to work on demand side aspects to ensure that services become more accessible and of a higher quality
- to strengthen the information services so that plans and decisions can be evidence-based.
(See the case studies page for explanation of above terms.)
Underpinning this is an operational research agenda that will pilot appropriate approaches in Learning Local Government Areas (LLGAs) and roll out success across the states.
The brief of the in-country team and the consortium partners is to work closely with all stakeholders to ensure that the work of the PRRINN-MNCH programme is closely aligned and supports stakeholder plans and activities.