Under the Patronage of the Gezira State Governor MAIN PARTNERS 10 areas for interventions were identified 1. Village midwife 2. Labour room & theatre 3. Intensive care 4. Blood replacement 5. Neonatal care 1. Training 2.Antenatal Care 3.Manuals & Protocols 4.Health Education 5.Evaluation There is special emphasis on INTRA NATAL CARE specially at the level of VILLAGE MIDWIVES and THE RURAL HOSPITALS without ignoring the other interventions DelPHE / Year for Three Years Activities Supported by DelPHE 1/ Training of jonier and senior staff 2/ Ddistribution of midwifery kits 3/ Resporical Visits 4/ supervisory visits. 5/ Production of training books and film 6/ Development of 37 emergency protocol Other training courses Challenges and Successes 1/progressive reduction of MMR & NMR 2/Gaining a strong political commitment 3/ Harmonized team working (Edu. & Health) 4/ Raised community awareness & participation 5/ Internal & external recognition 6/ Upgrading of Midwifery Service 7/ Absorption into SMOH activities 8/ Inputs, processes, outputs and impact Sustainability Is discussed through 4 dimensions: Technical Political Societal Economical Sustainability Technical: Continuation of the in service training course Extension of the Initiative Involvement of the RH directorate in all activities Development of MM & NM Inquiry forms Political: Patronage by the Governor posting of obstetric consultants in rural H. absorption of VMW in paid jobs Inclusion of upgrading of rural H. in the early budget of the SMOH Sustainability Social: Community mobilization and participation Rural hospitals support committee Economical: Financing the courses by the Minster of Health Involvement of other NGOs Lesson learnt 1/ Effective MM reduction is achieved through focusing on INTRANATAL care 2/ Improvement existing service is more effective than starting a new line. 3/ Strong partnerships gives highest outputs with the least cost. Contact us Web site: uofg.edu.sd Mohamed Elsanousi Deputy president U of G Personal e mailMobil