AID cooperative agreement no. 521-0194-A-00-5036-00 to Centre Haitiano Arabe for mobilizing mothers for child survival project

(1) The Association des Oeuvres Privees de Sante (AOPS) will extend primary health care (PHC) and CS services formerly provided under projects 5210169 and 5210181 to an additional 500,000 persons (including 120,000 women of childbearing age and their 160,000 children aged 0-5) by providing subgrants and TA to 10 rural HPVO"s. AOPS and its affiliated HPVO"s will also: train 15,000 mothers of high-risk children in basic CS interventions such as oral rehydration therapy, breastfeeding, weaning food preparation, infection control, etc.; and establish central family planning (FP) stations to promote contraception. (2) The Complexe Medico-Social de la Cite Simone (CMSCS) will implement a three-pronged SP. A comprehensive infection control program will provide a variety of pre- and postnatal and infant care services to pregnant women in Cite Simone. A FP program will promote contraception among all married women aged 15-49 (especially those at high risk) and all sexually active men. The SP will also fund construction of training center for Haitian maternal/child health care professionals. The center will also house CMSCS"s Division of Research and Evaluation. (3) The Mirebalais Area Community Health program (MARCH), a division of EYE CARE/Haiti, will create a FP program to encourage high-risk pregnant women to delay a next pregnancy. A special training program for traditional birth attendents (TBA"s) will also be developed, focusing on risk recognition during pregnancy. (4) The Pignon Hospital (PH) will implement a prenatal care program to reduce the incidence of premature delivery and intrauterine growth retardation. PH staff will educate approximately 7,000 expectant mothers in self-monitoring, recognition of premature contractions, and postpartum FP. Additionally, PH personnel will conduct a baseline survey on pregnancy and contraceptive prevalence, along with a prospective pregnancy and birth cohort study of 333 pregnant women in collaboration with CMSCS and MARCH. (5) HAC, AOPS, and EYE CARE will collaborate to create the Child Health Institute (CHI), which will help coordinate and provide technical support for the entire project and serve as a center for operational CS research. AOPS will procure an appropriate facility to use for the CHI.