Every Preemie will support implementation learning and research in four demonstration countries: Bangladesh, Ethiopia, India, and Malawi.  The Implementation Research projects are:

Bangladesh: test a simple method of gestational age estimation during pregnancy using a tape measure and weight scale;

Ethiopia: evaluate the strength of implementation of a multi-partner maternal and newborn health service delivery model from the community to the district hospital level in three districts (settled, semi-settled and urban);

India: assess the safe and effective use of antenatal corticosteroids (ACS) among women in imminent preterm labor, including pre-referral first dose of ACS by auxiliary nurse midwives (ANMs); and

Malawi: test the effectiveness of a community mobilization model designed to better link communities to health services from the household to the facility level with particular focus on improving post-discharge home-based care of small/early babies.

Support to these countries will include: a) extensive stakeholder engagement; and b) grants of up to $100,000 to local or international organizations to support and build Implementation Research capacity, including monitoring and evaluation of process and outcomes. Support may also include small grants of up to $10,000 to local organizations to catalyze commitment and engagement among local organizations and/or professional associations. Evidence-based learning from each of these four countries will be used to catalyze national and global dialogue and to expand the uptake of successful approaches for improved PTB/LBW outcomes at the country level and beyond.

Where additional resources become available, Every Preemie can provide technical support to other USAID priority countries. Examples of country specific technical support include the revision of policy, standards and protocols, curricula development, health provider training and support, essential evidence/implementation research, and/or support for health management information systems. For example, in Malawi, Every Preemie will provide technical support for the implementation of a community-based model that integrates PTB/LBW newborn care into community networks, referral systems and health services, extending Malawi’s Every Newborn Action Plan strategy from the facility to the community and household level.


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