Moving Integrated, Quality Maternal, Newborn and Child Health and Family Planning and Reproductive Health Services to Scale (MOMENTUM) is a suite of projects, funded by the U.S. Agency for International Development, that aims to accelerate reductions in maternal, newborn and child mortality and morbidity in high-burden countries by increasing host country commitment and capacity to provide high-quality, integrated health care. Each of the projects has a specific focus area; together they provide a comprehensive, flexible package of support for countries as they overcome context-specific health challenges towards sustainable development. The five-year, Jhpiego-led MOMENTUM Country and Global Leadership project focuses on: 1) providing targeted technical and capacity development assistance to our missions, partner countries and local organizations; and 2) contributing to global technical leadership and policy dialogue for improved maternal, newborn and child health, voluntary family planning and reproductive health outcomes. Jhpiego’s 12 sub-partners under this project are: Save the Children, Johns Hopkins University International Vaccine Access Center, The Manoff Group, Quicksand, Matchboxology, BAO Systems, Avenir Health, McKinsey and Company, PACT, Institute for Healthcare Improvement, Christian Connections for International Health and Ubora Quality Institute.

USAID India with the MOMENTUM Country and Global Leadership: India-Yash project is focused on family planning and reproductive health (FP/RH) for young populations. The project especially supports the FP/RH needs of Indiaʼs vulnerable youth in urban and rural areas. This project is catalyzing lessons learned and promoting adaptation of evidence-based, high-impact interventions demonstrated in USAIDʼs previous investments on FP/RH for youth, as well as demonstrating other innovative models to leapfrog young peopleʼs FP/RH outcomes. The project is envisaged to further promote evidence-based, high-impact interventions in digital innovations, youth centric advocacy, private sector interventions and building local and additional partnerships.

With funding from the U.S. Agency for International Development (USAID), RISE is working in select countries, including India, to address the COVID-19 pandemic. In line with ministry of health priorities in each country, RISE’s COVID-19 response support may include: assisting in the planning and rollout of national vaccine plans, including ensuring health care workers are prepared to implement and monitor this plan; providing focused and clinically relevant capacity building for clinicians providing COVID-19 case management; strengthening the oxygen ecosystem; and supporting health care workers in oxygen conservation, rationalization and non-invasive respiratory care.

RISE is a five-year global project—funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and USAID—that works with countries to achieve a shared vision of attaining and maintaining epidemic control, with stronger local partners capable of managing and achieving results through sustainable, self-reliant and resilient health systems. The project is led by Jhpiego with the following partners: ICAP at Columbia University, Management Sciences for Health, Anova, BAO Systems, Johns Hopkins University Center for Public Health and Human Rights, and Mann Global Health. For the COVID-19 ventilator technical assistance effort, RISE is also collaborating with the University of California San Francisco, World Federation of Societies of Anesthesiologists (via the GH STAR project), FHI 360 (via the EpiC Project) and Johns Hopkins University emergency medicine and critical care staff.

This three-year project, funded by the Bill & Melinda Gates Foundation, is strengthening the delivery of comprehensive primary health care in the entire state of Bihar. Jhpiego works with the Government of Bihar to ensure availability of a skilled health workforce, the creation of a sustainable capacity-building system, upgraded health care infrastructure and responsive health systems enabling improved health outcomes in the state. The project strives to integrate reproductive, maternal, newborn, child and adolescent health services as a part of essential primary health care and strengthened linkages to ensure a continuum of care for various essential health services. By the end of the project, 10,049 health facilities will be transformed into operational Health & Wellness Centres, catering to the health needs of the approximately 120 million population of Bihar.

The three-year project, funded by the Bill & Melinda Gates Foundation, seeks to strengthen the delivery of comprehensive primary health care in the state of Uttar Pradesh. Jhpiego works with the National Health Mission-Uttar Pradesh to ensure availability of a skilled health workforce, the creation of a sustainable capacity-building system, upgraded health care infrastructure and responsive health systems enabling improved health outcomes in the state. The project strives to integrate reproductive, maternal, newborn, child and adolescent health services as a part of essential primary health care services and strengthen linkages to ensure a continuum of care for various essential health services. By end of project, 21,113 health facilities will be transformed into operational Ayushman Bharat -Health & Wellness Centres, catering to the health needs of the population of Uttar Pradesh.

With funding from Unilever, Jhpiego is working to expand the reach and impact of healthy hygiene behaviors among targeted communities for the improved health and wellbeing of nearly 132 million people in four states (Madhya Pradesh, Chhattisgarh, Jharkhand, and Nagaland). The project uses a multi-pronged approach to demonstrate community-level campaigns designed to promote healthy hygiene behaviors among targeted communities and enhance access to safe water and sanitation. In addition, the School Health and Wellness Program platform and Health and Wellness Centers under the Government of India’s flagship Ayushman Bharat program are being leveraged to improve knowledge, attitudes and practices among school children and within communities through delivery of specially curated content on water, sanitation and healthy hygiene behaviors.

Funded by the Children’s Investment Fund Foundation, the Born Healthy program is testing a proof of concept to transform the way antenatal care (ANC) is provided in Rajasthan State. The program is an attempt to devise an evidence-based ANC model with a special focus on identification and management of maternal infections as well as strengthening targeted supplementation of iron and calcium during pregnancy. Jhpiego is testing a model of improved ANC—called group antenatal care—that also uses technology in the form of point-of-care diagnostics to make testing and treatment of key high-risk maternal conditions efficient, cost-effective and readily available. Strengthening identification and tracking of high-risk pregnancies is also a key focus area. The program is also incorporating digital records for ANC services at maternal, newborn and child health care site sites through the Community Health Integrated Platform under the state-level “Nirogi Rajasthan” campaign to enable decision support for appropriate management and referral of high-risk pregnancies. While the program has initially been introduced in 125 facilities across 14 blocks of four districts of Rajasthan (Bundi, Dholpur, Karauli and Udaipur), it aims to achieve pan-country scalability by informing ANC guidelines for the country.

Takeda Pharmaceuticals supports the Jhpiego-led, five-year Integrated Women in Health Network (iWin) project, which addresses systemic and operational challenges in the delivery of maternal and newborn care in India. The iWin project is doing this by leveraging new advancements, technology and finance to create a maternal and child health unit that will: 1) create an integrated platform for delivery and access to antenatal, postnatal and intrapartum care services across the public health system; 2) integrate machine learning and predictive analytics; 3) integrate point-of-care diagnostics; 4) leverage innovative financing tools and long-term partnership mechanisms to increase domestic resource mobilization and facilitate government participation and buy-in; and 5) empower auxiliary nurse midwives and Accredited Social Health Activists to deliver client-centered, continuous and coordinated antenatal and postnatal care. Consortium partners include Intellecap and Accenture Development Partnerships.

This four-year project, funded by the Bill & Melinda Gates Foundation, builds on the PMA2020 project, which used innovative mobile technology to support low-cost, rapid-turnaround surveys monitoring key health and development indicators. PMA is enhancing this survey platform to generate high-quality data and ensure that governments, donors, managers and advocates use this data to make decisions regarding family planning programs. In addition to scaling up the survey platform for more widespread use, this project supports expanding it to include additional technical areas. Co-led by Jhpiego and the Bill & Melinda Gates Institute for Population and Reproductive Health, this project is operational in several African and Asian countries, including India. Among the surveys that PMA has carried out in India to date, a survey to assess the impact of COVID-19 on family health and economic conditions was the first of its kind.

With partners Khushi Baby and Accenture Development Partnerships, Jhpiego is designing and prototyping a replicable, scalable digital platform across the continuum of care (from pregnancy to immediate postnatal period till discharge). This project, which seeks to demonstrate the feasibility of digital integration on overall service delivery across the continuum, is integrating and testing two apps—the Khushi Baby app (for the antenatal period) and the ASMAN app (for the intranatal period)—as a connected suite in a digital platform. This platform leverages data collected across the continuum for predictive analytics, initiation of risk stratification of pregnancies and preparation of the health system to provide targeted, coordinated care to those with a higher likelihood of complications. The intelligent continuum of care platform will be driven by two strategic and interlinked pillars: 1) improve and automate measurements across the continuum through integration of point-of-care diagnostic devices; and 2) ensure an integrated, longitudinal tracking platform for pregnant women (during the antenatal, intrapartum and postnatal periods) and newborns. This project is funded by the Bill & Melinda Gates Foundation.

Under this initiative, funded by the Bill & Melinda Gates Foundation, Jhpiego is facilitating and providing technical assistance to the Government of India to establish a new cadre of Nurse Practitioners in Midwifery (NPMs) and Midwifery-Led Care Units to transform maternal and newborn health care in India through provision of knowledgeable, skilled, compassionate and woman-centered care. This work includes: 1) establishing an educational framework at the national and state levels for production of skilled, competent and empowered NPMs by supporting three National Midwifery Training Institutes and four State Midwifery Training Institutes (three in Uttar Pradesh and one in Bihar); 2) leading the development of a standardized learning resource package for NPM educators and NPMs for use across all National and State Midwifery Training Institutes in the country; 3) providing technical inputs on the scope of practice for NPMs, examination guidelines for NPM educators and selection criteria for NPM educators and NPMs; 4) providing technical assistance to Uttar Pradesh and Bihar in the effective roll-out of midwifery services by facilitating the formation of a state-level roadmap for midwifery and state task force for midwifery and the establishment and operationalization of Midwifery-Led Care Units; and 5) facilitating the creation of a favorable policy and regulatory environment for NPMs in collaboration with the Ministry of Health, Indian Nursing Council and other stakeholders.

With funding from the Bill & Melinda Gates Foundation, Jhpiego is assisting the Government of Uttar Pradesh to operationalize Health and Wealth Centers for comprehensive primary health care. Project objectives are to: 1) enable the government to facilitate strengthened and robust health systems that accelerate transformation of 21,113 Health and Wealth Centers in the next three years; 2) integrate reproductive, maternal, newborn and child health, nutrition and adolescent health services within comprehensive primary health care services through Health and Wealth Centers, thereby improving quality of services for women, mothers and children; 3) provide technical support to design and implement continuum-of-care models in demonstration districts; and 4) co-design a robust and responsive primary health care system in close collaboration with the government and key partners to cater to public health emergencies.

This multi-country project is catalyzing the introduction and adoption pathways for quality-assured drugs to treat postpartum hemorrhage (i.e., heat-stable carbetocin, tranexamic acid and misoprostol) through engagement and coordination with country governments and key stakeholders. The project aims to reduce maternal mortality and morbidity by making sure the right drug is in the right place at the right time for the right indication. Funded by Unitaid, AMPLI-PPHI is led by Jhpiego and supported by consortium partners PATH and the International Federation of Gynaecology and Obstetrics (FIGO). In addition to operating in four target countries (the Democratic Republic of Congo, Guinea, Kenya and India), an additional 13 other influence countries are benefitting from country and learning exchanges as well as from the sharing of project learning, resources and tools. For more information, please visit the project website.

With funding from the U.S. Agency for International Development through John Snow, Inc., Jhpiego is demonstrating a comprehensive model of differentiated care services for TB patients at the primary health care level. The model links the primary health care level with secondary and tertiary care levels in ensuring a continuum of care for TB patients. Technology is at the core of this model and is used to strengthen linkages in the continuum of care. Jhpiego is measuring the preliminary impact of the model and generating evidence on its operational feasibility and the barriers and facilitators for its scale-up.

With support from Johnson & Johnson through Janssen India, Jhpiego is providing planning, implementation and capacity building support to service providers on drug resistant TB (DR-TB) interventions. These service providers disseminate information with a focus on improving quality and access to DR-TB patients in the community and reduce loss to follow-up among them. The project also makes concentrated efforts to improve the management of adverse drug reactions among the DR-TB patients by strengthening existing district DR TB centers and linking them with specialists using proposed technology solutions. In addition, a digital dashboard is being built for real-time monitoring and tracking of the project progress.