Toliara Region Expanded Impact Project (TREIP)(2006 - 2011)
TREIP will build upon previous child survival projects to improve the quality of services at health facilities and support the MoH at the district level.
The innovative approaches that MCDI has already pioneered in the region include the recruitment and training of community volunteers, a peer-to-peer mothers program, the child-to-community approach to health promotion, community-based distribution of health products, and the creation of co-operatives to fund health care. TREIP has already demonstrated success in the areas of pneumonia case management, diarrhea case management and knowledge of danger signs, breastfeeding, immunization coverage, and birth spacing.
The funding granted by USAID is approximately $2.5 million over 4 years.
TREIP has the following objectives:
- Improve breastfeeding practices in mothers of children 0-5 months
- Improve feeding practices in mothers/ caretakers of children 6-23 months
- Improve malaria prevention practices of pregnant women and mothers of children 0-23 months
- Improve malaria care and treatment-seeking behaviors in mothers of children 0-23 months
- Improve diarrhea prevention and treatment practices in mothers of children 0-23 months
- Expand immunization coverage of children 0-23 months and pregnant women
- Expand community and household IMCI in the project region
- Strengthen the capacity of communes
- Strengthen the capacity of the Regional Health Office and the District Management Team in program planning & design, program management, supervision and quality assurance
In addition to the community-centered approach to IMCI, the project supports refresher training for clinical workers in IMCI, as well as enhanced supervision of clinical workers to reinforce the training. TREIP is establishing links between communities and health care facilities by instituting monthly reporting and supervisory meetings between CHWs and health facility personnel, and it is facilitating outreach visits by health facility supervisors to TREIP area communities.
