MCSP India- PY 4 Annual Report

Agency for International Development (USAID) cooperative agreement aimed at introducing and supporting high-impact health interventions in 27 priority countries. The ultimate goal of MCSP is to prevent child and maternal deaths by addressing major causes of maternal, newborn, and child mortality, such as postpartum hemorrhage, birth asphyxia, and diarrhea. In India, MCSP focuses on contributing to universal access to quality contraceptive services, thereby contributing to the Family Planning 2020 commitments. The program provides technical support to the Ministry of Health and Family Welfare (MOHFW) for adolescent health and creates a network of Health and Wellness Centers across intervention states for provision of comprehensive primary health care, leading to universal health coverage. MCSP-supported areas in India cover 38,934,513 people, which is approximately 3.2% of the country's population. The program operates in five states: Assam, Chhattisgarh, Maharashtra, Odisha, and Telangana, with a focus on high-focus states and six north-eastern states. MCSP engages governments, policymakers, private sector leaders, healthcare providers, civil society, faith-based organizations, and communities in adopting and accelerating proven approaches to address major causes of maternal, newborn, and child mortality. Key accomplishments in MCSP's fourth year include a 10 percentage point increase in postpartum family planning acceptance at 52 focus facilities, with 5.3% of total postpartum women delivering at these facilities accepting either progestin-only pills (1.9%) or Centchroman (3.4%). The program also demonstrated the strengthening of quality of family planning services delivered through the public health system, with 83% of progestin-only pill acceptors and 61% of Centchroman acceptors continuing the method at six months. MCSP strengthened the Fixed Day Static (FDS) approach and service assurance at 135 facilities, with 97% of clients receiving services on their designated days. The program also implemented the Clinical Safety Checklist (CSC) at 144 facilities, which standardizes care received by each patient using evidence-based best practices and promotes shared teamwork and reduced reliance on memory. In addition, MCSP developed a Standard Operating Procedure (SOP) for Prevention and Management of Complications related to Female Sterilization Surgery in the state of Odisha, which was reviewed and approved by the Odisha Technical Working Group (TWG) and received immediate approval for scale-up and implementation across the state. The program also institutionalized quality family planning services supported at 186 facilities through regular assessment, technical support, and advocacy. Overall, MCSP's efforts in India have contributed to improved access to quality family planning services, strengthened the public health system, and promoted the adoption of proven approaches to address major causes of maternal, newborn, and child mortality.