The document reviews maternal anemia programs within the Child Survival Grants Program (CSGP) to identify effective components and barriers. It finds that while programs integrated recommended anemia interventions like iron supplementation and deworming, implementation challenges remained. Outcomes like anemia reduction were achieved in few projects. It recommends CSGP programs improve monitoring of iron tablet receipt and quality of antenatal care to better address maternal anemia.
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Maternal Anemia within Child Survival Grants Program: Lessons Learned and a Way Forward? - A Selected Review
1. Maternal Anemia within Child Survival Grants Program: Lessons Learned and a Way Forward? - A Selected Review - SilvanaFaillace, A2Z Project April 26, 2010 Baltimore, United States
Addressing anemia rather than iron deficiency anemia specifically, but in many countries iron deficiency is the primary cause. Often the terms are used interchangeably and this is one factor in anemia programs having established a reputation as failing propositions. Barriers are known, need to address the surmountable ones, Root causes in poverty (lack of resources) & inequality (including gender bias) Immediate causes in low awareness, health management, logistics, weak communications Access, preferably through ANC where quality of care is a major issue, Motivation determined by many factors, some are resulting from lack of resources and inequality. motivation can be strengthened in many ways quality of communication materials, this includes job aids. Training materials, and educational materials for clients -- two sets specially designed for each target group -- provider, and client Clearly programs must be modified to fit the country context. For example, IPT may not be necessary in all contexts
ANC is a key outcome of most of the CSGP programs reviewed. However, high ANC coverage does not immediately guarantee high IFA coverage or compliance.