Innovative collaborations for improving MNH care quality and access

Traditional aid models have created dependency, silos, and a lack of collaboration amongst local organizations, especially those implementing maternal and newborn programs in crisis settings. Every Pregnancy challenges this approach through a unique transformative blended funding model. This combines institutional philanthropic support with grassroots giving to ensure programs are owned and sustained by local communities.

Recent interruptions in global health financing have disrupted household surveys, highlighting the need for timely, sustainable data sources. While population-based surveys remain vital for tracking health outcomes and equity, the role of routine health facility data has grown. As part of the Countdown to 2030 (CD2030) collaboration, we developed a harmonized system to extract and analyze reproductive, maternal, newborn, child, and adolescent health (RMNCAH) indicators from national DHIS2 platforms. CD2030 system standardizes indicator definitions, ensures data quality, and produces consistent outputs across countries. Implemented in 34 sub-Saharan African countries, it enabled national and subnational coverage estimates. Comparisons with similar-year surveys showed close alignment for institutional deliveries and Penta-3 vaccination in most countries (median absolute difference = 7 percentage points). This harmonized platform offers a sustainable solution for strengthening RMNCAH monitoring by integrating routine and survey data to support timely and actionable health system performance tracking.

To accelerate progress towards SDG 3, Uttar Pradesh prioritized private sector engagement (accounting for 25.3% of institutional deliveries (NFHS 5)). Recognizing public sector improvements alone are insufficient to achieve targets, initiative addressed key private sector gaps like weak governance, lack of standardized care, fragmented reporting, and limited collaboration. Implemented across 30 voluntarily participating private maternity facilities, intervention focused on institutionalizing Quality Improvement by adapting national quality standards implemented through local QI agency to ensure uniformity, standardizing Quality Assurance through district government and establishing public private interface through common platforms. As a result, facilities scoring ≥70% on 15 performance standards increased from 3% to 83%. Over 90% adopted clinical governance practices like client satisfaction and infection audits. Public Private interface meetings initiated periodically which provided catalytic environment for QI in private sector. System wide impact requires institutionalized QI mechanisms and regular reporting by all private facilities on national data systems.