Client(s): Save the Children
Technical Expertise: Newborn and Child Health
The MINI 2 project builds on work addressing the high level of neonatal mortality in Nepal started under the original MINI project, in which community health workers, first-level health facilities, families, and communities worked together to ensure that they could correctly identify and manage neonatal infections in Morang district of Nepal. MINI 2 will create a model for the Ministry of Health and Population (MOHP) to expand these services throughout the country, to advance toward significantly decreasing neonatal mortality. The project is also working to determine how much external support is needed to maintain program performance and/or to initiate this model in other districts.
JSI is collaborating with partners to define the best integrated approach for improving neonatal health and survival in Nepal. Specific objectives include: identifying the most efficient model for scaling up community-based management of neonatal sepsis, and determining the effect on community health worker performance and program coverage with decreased external supervision and support; testing and finalizing a set of tools and materials that the MOHP will use for the expansion of this model to additional districts; provide technical expertise and catalyze the integration of community-based treatment of neonatal sepsis into the Community-based Integrated Management of Childhood Illnesses (CB-IMCI) program of the MOHP, and provide support for replication of the modified MINI 1 model in new districts; and monitor and document the challenges of implementation of MINI 1 model in hill regions, where there is limited or non-existent transportation, and to define viable alternatives for appropriate management of neonatal infections at the community level in this setting.
The MINI 2 project is funded by the Bill & Melinda Gates Foundation and is implemented by JSI Research & Training Institute, Inc., through a subgrant, and in close collaboration with, Save the Children/US.