Strengthening Communities through Integrated Programming (SCIP)
From 2009 to 2015, across 15 districts of Nampula province, Pathfinder and its partners implemented the USAID-funded Strengthening Communities through Integrated Programming (SCIP) project. In close collaboration with the government, SCIP aimed to improve families’ health and overall wellbeing by delivering this targeted package of interventions:
- Expand access to information and services for sexual and reproductive health, maternal and child health, HIV, malaria, clean water, sanitation, and hygiene.
- Create a bridge between communities and distant health facilities—mobilizing community leaders to promote healthseeking behavior, improving referral systems, and deploying mobile outreach brigades to deliver health care locally.
- Build the skills of clinical providers and help facilities secure supplies and resources, so clients can access the quality, lifesaving care they urgently need.
Communities faced urgent and complex challenges. SCIP supported the government and communities to implement multisectoral solutions that have transformed the health and lives of families across Mozambique’s most populous province.
SCIP directly improved family planning services through the distribution of contraceptive methods (the project distributed more than 17 million contraception methods, including pills, IUDs, condoms, injectibles, and implants). The project also coordinated supply levels with health authorities at the district, provincial, and national levels.
The project saw incredible progress in terms of maternal health: more than 3.7 million antenatal care visits with a skilled provider and more than 700,000 deliveries were performed at health facilities.
Increasing community access to safe water by repairing and/or constructing a greater number of water sources was an integral part of SCIP. Project staff conducted trainings on the importance of safe water, and expanded the number of localities with integrated water and health committees in five districts of Nampula province. The project repaired or constructed more than 270 water sources and constructed nearly 50,000 latrines.
Finally, SCIP dedicated considerable effort to training communities in conservation farming techniques. These Young Farmer Clubs invested in the future generation of farmers who are motivated to use improved farming techniques, and integrate orphans and vulnerable children into an existing support network. SCIP provided training to members on improved conservation farming techniques and food handling, use, and storage. In the five years of SCIP, more than 28,000 orphans and vulnerable children were trained as young farmers.
SCIP has also trained more than 500,000 community health workers, physicians, nurses, and midwives in family planning and reproductive health, child and maternal health, and other integrated services.
Fortalecimento de Sistemas Integrados de Saude e Comunitarios Para a Melhoria do Acesso e Uso de Contraceptivos na Provincia de Nampula, Mocambique
This Portuguese translation of a Pathfinder technical brief discusses a retrospective programmatic analysis undertaken by the Strengthening Communities through Integrated Programming (SCIP) project team in Mozambique.
Integrated Health and Community Systems Strengthening for Improved Contraceptive Access and Uptake in Nampula Province, Mozambique
Implemented in northern Mozambique, Pathfinder’s SCIP project achieved notable increases in a key contraception indicator over its lifecycle. Recognizing the opportunity to learn from this finding, the project team conducted a retrospective programmatic analysis, which is described in this technical brief.
This issue of Pathways explores Pathfinder's SCIP project and our success in reaching over four million Mozambicans with sexual and reproductive health services.
A Holistic and Coordinated Approach to Community-based Family Planning across Projects in Mozambique
This technical highlight provides a brief overview of shared, salient project components employed by the SCIP and ESD-FPI projects for generating demand and improving supply of contraceptives.
Pathfinder is developing and implementing a community-based model that supports the health and rights of young women of reproductive age by addressing the four prongs of PMTCT.
Bolstering Multisectorial Action to Address Gender-based Violence and Sexual and Reproductive Health
This project, funded by the Norwegian Ministry of Foreign Affairs, strengthens and scales up a multisectoral approach to primary and secondary prevention of gender-based violence and unsafe abortion in Gaza, Inhambane, Cabo Delgado, and Maputo provinces.
PAST PROJECT: Pathfinder reduced violence against women by establishing networks and building on government capacity and civil society responses. This project increased access to health, social, and legal services for women and girls.
With funding from the Fogarty International Center of the National Institutes of Health, Pathfinder has begun a new project to test the effectiveness of a mobile phone-based continuing medical education strategy among Vietnamese community-based physician assistants.
Several laws and policies address gender violence in Mozambique, including a 2009 law on domestic violence and a new penal code that came into force in June. Yet many problems remain.