Reproductive Health

Biography

Biography: Bongs Lainjo

Abstract

Problem Statement:

Maternal and infant morbidity and mortality remain a global challenge and based on latest reports, mitigation efforts have not been encouraging. Unsustainable fertility rates continue to rise unabated in developing many countries. Inability to address these challenges has many implications.

Reasons for these dismal performances include limited access to quality services, qualified staff, poor logistics management and lack of commodities.

These poor outcomes prompted the author to develop the model: RH Analysis and Planning System (RAPSYS).

Methodology:

The participatory model is based on pilot-tested results. It is defined by key determinants – utilization, demand, access, supply and procurement; cross cutting components – coordination, supervision, funding, advocacy, capacity building M and E; and all driven by an enabling environment. The systems use expert experience to develop effective strategies including: qualitative assessment, Delphi ranking, action plan, commodity projection and monitoring framework.

Findings:

 There is adequate evidence that the conventional approach in program design and implementation continues to show different levels of understanding of the expected outcomes. This model has help vulnerable countries in streamlining their interventions, making them more result-based, efficient, effective, sustainable and accountable. It has been successfully implemented in ten Asian countries – Afghanistan, Iran, Bhutan, Sri-Lanka, Bangladesh etc.

Conclusion:

There is convincing evidence that the complications involved in designing development interventions have become more convoluted, unstructured, and poorly coordinated producing in many cases inadequate and dismal outcomes. The relevant tasks are daunting with resources becoming more and more limited. This framework is part of an initiative to help refine current processes and procedures.