... Guatemala - Honduras - Nicaragua - El Salvador - Bolivi

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Regional Maternal Mortality Initiative (LAMM)

• POLICY AGENDA PRESENTATION
• Dr. Virginia Camacho Hubner
• Regional Advisor
• Maternal Mortality Reduction Initiative
• Pan American Health Organization
• World Health Organization

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The Latin America Maternal Mortality Initiative
(LAMM)

• LAMM is a joint effort for maternal mortality
  reduction, between PAHO, the Quality Assurance
  Project and USAID with a focus on
• Policy development for EOC implementation
• Power of Partnerships
• Skilled Attendance at Birth
• Increasing utilization, quality and availability
  of maternal health services
• Maternal mortality surveillance system

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Increased Utilization of Maternal Health Services
Generate Community Demand
Develop Policies Plans
Access to Quality Services
H y p o t h e s I s
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Countries in the Initiative

• Based on the highest maternal mortality ratios in
  the Region
• Dominican Republic - Haiti - Guatemala - Honduras
  - Nicaragua - El Salvador - Bolivia - Brazil -
  Peru -Ecuador and Paraguay

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Why PAHO?

• WHO Regional Office Part of global strategies
  (Bolivia, MPS), Disseminate State of the Art,
  promote evidence based policies and practices.
• Neutrality (No Foreign Interest)
• Infrastructure Presence in Countries
• Financial Transparency (Audit)

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Why PAHO? Technical Excellence

• Examples
• Dissemination of State of the Art (e.g., EOC-
  IMPAC)
• Surveillance
• Health Sector Reform
• PAHO and World Bank Haiti - Bolivia - Brazil
• Needs assessments, case studies, include maternal
  health in the HSR

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Why PAHO?Contributes With Own Resources
(Multiplier)

• Examples
• Legislative Framework in Safe Motherhood
• Maternal Health Profiles in the 11 countries of
  the Initiative
• Health Systems
• Pool internal PAHO resources
• Maternal mortality trends
• Case studies on Maternal Mortality ( successful
  experiences)

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WHY PAHO? Access to Government and Policy
Dialogue

• Examples
• Engage NGOs in advocacy dialogues Family Care
  International in Haiti and DR, Bolivia
• QAP- Development site in Bolivia
• PAHO facilitated dialogue at the Central and
  Local levels to support the value of having a
  demonstration site
• First Ladies
• Interagency coordinating committee at national
  level

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Why PAHO? Intercountry Coordination

• Example
• Coalition building Regional Interagency Task
  Force on Maternal Mortality Reduction
• The Power of Partnerships (PAHO, World Bank,
  IDB, USAID, UNICEF, UNFPA, Family Care
  International and the Population Council)
• Promote a Consensus Statement Common Strategy
  on maternal mortality reduction

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Why PAHO?Cross - Fertilization Among Countries

• Examples
• QAP methodology Demonstration sites for
  improved maternal health care
• Feasible, cost-effective, simple to replicate
• Case Study visit- Honduras
• EOC Implementation at local level
• Visits to maternal waiting homes