Expanding the Life Cycle Continuum of Care

The USAID Mikolo Project supported community health volunteers (CHVs) and basic health centers to ensure a continuum of care throughout an individual’s life, with a special focus on maternal, newborn, and child health, including family planning (FP) and reproductive health, antenatal and postnatal care, newborn infection prevention, vaccination promotion and follow-up, nutrition, growth monitoring, and integrated management of childhood illness.

A total of 130,240 children under five with diarrhea were treated with oral rehydration therapy, and 302,158 children under five with pneumonia were taken for appropriate care. The treatment rate for confirmed malaria cases in children under five treated with artemisinin-based combination therapy (ACT) increased from 34% in 2014 to 93% in 2018. Oral rehydration therapy stock-outs decreased from 49% in 2013 to 4% in 2018; ACT stock-outs decreased from 20% in 2013 to 5% in 2018. A total of 2,987,746 children under five registered with a CHV for growth monitoring and promotion activities.

Regarding maternal health, the percentage of women who completed at least four antenatal care (ANC) visits during their pregnancy increased from 17% to 36% over the life of the project. In addition there were 66,465 continuing users of FP in 2014 compared to 150,557 in 2018.