Technical Expertise: Newborn and Child Health , Maternal Health
The Egypt Healthy Mother/Healthy Child (HM/HC) Project, implemented by John Snow, Inc. between 1992 and 2005 with funding from USAID, worked to reduce the risk factors for maternal and neonatal mortality and significantly improved outcomes in nine governorates of Upper Egypt; a region that traditionally has been associated with the worst health statistics.
Interventions to reduce maternal mortality were implemented using an integrated approach involving policy, technical, management and community-based components. This integrated approach, with a special emphasis on the population with the highest risk, proved to be a successful strategy. Between 1992-93 and 2000 there was a 52 percent reduction in Egypt's maternal mortality ratio (MMR) and the magnitude of change was significantly greater in Upper Egypt (59%), than in Lower Egypt (30%). A study of factors that could have contributed to the dramatic decrease in the MMR, especially in Upper Egypt, concluded that the decline appears to be associated with the focused efforts of the Ministry of Health and Population through JSI's MotherCare and HM/HC Projects. These factors include a combination of: improved access to, and quality of maternal and reproductive health services, reduced fertility rates, antenatal care utilization and skilled attendance at delivery. Rates of improvement for several maternal health indicators were greater in Upper Egypt than Lower Egypt during the period between the two National Maternal Mortality Studies although many of the maternal health indicators in Upper Egypt still lag behind the Lower Egypt levels. The Egypt Healthy Mother/Healthy Child Project ended in 2005.