Infant and Child Health

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This special study for Save the Children’s Saving Newborn Lives (SNL) program provided an opportunity to return to two countries, Indonesia and Mali, four years after SNL ended its in-country activities. The study has three components: two case studies which investigate what has happened to the momentum for and institutionalization of newborn health in Indonesia and Mali, and a synthesis report that draws lessons from the two case studies.

What is utilization-focused evaluation and how does EnCompass use this approach?

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Over the last 15 years, newborn health has garnered increased attention, and individuals, organizations, and communities of organizations have emerged to work on newborn health and survival at both global and country levels. Save the Children’s Saving Newborn Lives (SNL) program commissioned EnCompass LLC to conduct a series of five organizational network analyses (ONA) to gain insight into the current functioning of newborn communities in Bangladesh, Malawi, Nepal, Uganda, and at the global level.

Image of a nurse with infant

Since 1984, the DHS has collected and disseminated high-quality data that helps decision makers plan, monitor, and evaluate population, health, and nutrition programs. The DHS has conducted some 260 surveys in over 90 developing countries on infant and child mortality, fertility, maternal health, child immunization, and malnutrition levels.

Woman with child

EnCompass was an evaluation and learning partner for Save the Children’s Saving Newborn Lives (SNL) program, a globally recognized leader in newborn health supported by the Bill & Melinda Gates Foundation. SNL works in 18 countries to advocate for and bring high-impact newborn services and practices to scale. One of EnCompass’ responsibilities was to ensure that monitoring and evaluation approaches and activities consider the impacts of all global, regional, and national stakeholders.

Infant Health Check Up

EnCompass designed and implemented the evaluation of the quality improvement methodology, the improvement collaboratives model. This innovative rapid improvement approach to healthcare planning and delivery is focused on monitoring, knowledge sharing, and the refinement of standards to address local operational obstacles. The evaluation team documented the collaboratives model in 14 countries as applied to maternal health, HIV/AIDS, and hospital-based pediatrics.

image of two nurses

EnCompass designed and implemented 17 field-based studies to understand and document costs, and to assess and improve the cost-effectiveness of specific quality improvement approaches and methodologies applied by improvement collaboratives in Africa, Latin America, and Asia. Studies focus on HIV/AIDS and maternal, child, and neonatal health initiatives.

Photo c/o USAID via Creative Commons

Children eating a meal

Save the Children provides comprehensive training and critical job aids to community volunteers in Africa working with families with children, especially those affected by HIV and AIDS.  EnCompass developed a 7-day workshop and training manual for these volunteers and a 5-day train-the-trainers workshop and manual for the program managers to facilitate the workshop.

Photo c/o USAID via US Government Works

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In 2001, HCI developed a framework consisting of seven elements contributing to the institutionalization of improvement at the national, regional/provincial, district, and service delivery levels. This technical report presents the findings from a preliminary assessment of institutionalization across 15 HCI-supported countries, followed by a discussion of HCI’s recommendations for future research and implementation activities to promote sustained institutionalization of improvement at all levels of care in each assisted country.

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