Email drganju@saveamother.org for more information or to get an updated version of the presentation.

1. SAVE A MOTHER www.saveamother.org Development Dialogue 29 Jan 2011 ShibanGanju

2. Presentation outline Background of maternal mortality ‘Save a Mother’ program Impact and obstacles Future plan Take home message

3. World’s Mothers Report 2008 India ranked 66th among 71 “less developed countries” Over 53% of births in India were NOT attended by a skilled health professional Uttar Pradesh has one of the highest maternal mortality rates in the world.

4. Causes: Maternal Mortality Anemia Hemorrhage during birth Sepsis Difficult labor

5. Save a Mother started in Nov 2007 Sultanpur, UP Population: 3,643,105 Maternal Mortality Ratio (MMR): 500 published (645 - our finding) National average: 300 USA MMR: 8.9

6. Sultanpur, UP

8. Train health activists: one per village

9. What do health activists do?

10. Train villagers in preventive health care

11. Tack and follow every pregnant woman

12. Connect her to public health system for antenatal and postnatal checkup.

14. Health activists promote health in seven steps Regular meetings in the community Personal hygiene Best practices in pregnancy Infant care Cooperation with public health workers Child immunization and nutrition Adolescence development.

15. Heath activists facilitate Antenatal check up 100 iron tablets, nutrition Immunization Institutional delivery

17. What has SAM done since April, 2008 SAM works in: Sultanpur Jhansi Raebareli Amethi Azamgarh (UP) Chikbalapur in Karnataka

20. Collateral benefits

21. Cost Approx Rs.5000 per village per year All volunteers except field workers All funds go for field work Out source non core activities Administrative expenses close to ZERO.

22. Obstacles Volunteer attrition Motivation of field workers Finding partners Building leadership mind set Financial resources

23. Failures Azamgarh and Chikbalapur Cause: Our inability to link with an appropriate NGO

24. Future plan : Innovations in public health Innovate “plug & play” modules of health care solutions, which are scalable. Define how innovations can moderate the rise of health care costs. Create new organizational practices, which can improve delivery of affordable care. Identify resources needed to meet future public health challenges.

25. Save a Mother: mission To develop affordable health care solutions.

27. Save a Mother: Model Simple Scalable Sustainable Speed

28. Operating Strategy Link with existing NGO Out source non-core functions Deploy ‘plug and play’ modules Do impact analysis Improve the program Replicate & scale up

29. Concept Diagram: collaborative cluster

30. Areas of interest in mid term Health literacy Maternal and reproductive health Child care Infections: Malaria, TB, HIV, Hepatitis, Diarrhea Malnutrition Eye and oral care Rehabilitate disability Mobile health care delivery Health care finance ICT and health care, Medical Kiosks Organization structures & health activism

32. Take home message: JOIN US. One who plunged into deep waters, found it Scared of drowning, I waited at the shore. Kabir, Sufi mystic, India: 1440-1518 Just do it Nike, Capitalist saint, USA

33. Thank You www.saveamother.org