1. © Plan International Community monitoring of children’s health by “Sponsor Mothers” in Senegal Diaguily Koita, Plan Senegal, Ryan Lander, Plan International, USA

2. © Plan International 2 Introduction Plan International: A child-centered community development organization founded more than 70 years ago. Works with more than 3.5 million families across 50 countries each year.

3. © Plan International 3 Plan Senegal In Senegal since 1992, Child Centered Community Development, Plan works in five districts now. The goal that will drive Plan Senegal is : Girls, boys and youth, especially the most vulnerable, live as active citizens for the fulfillment of their rights with reliable access to basic services in a safe environment The objective of this presentation is to share Plan Senegal’s experience around a study pilot at health hut level concerning the monitoring of children’s health by the sponsor mothers.

4. © Plan International 4 Community Health Project 1. Rates of Child under 5 mortality and maternal mortality are high ( EDS2005 ) : - Child under 5 Mortality Rate : 121 per 1000; and - Maternal Mortality Rate : 401 per 100 000 live births 5 2. Community Health Project implemented in 9 districts (2011 – 2012) 3. Baseline study - 39% of children aged 12-23 months were fully immunized ; - 25% of pregnant women receiving 4 antenatal care visits; - 33% of U3 children were monthly weighed.

5. © Plan International 5 Pilot Study : Community monitoring of Children’s health by Sponsor Mothers Learning Objectives Assess if mothers of children under five are the first level of monitoring of children that are in their community ; Identify scopes for working with community members (other mothers) in intervention and assistance of families whose children appear in need of help.

6. © Plan International 6 Strategies 1.Extensive behavior change communication activities; 2. Capacity building for community mothers ; 3. Monthly community meeting.

7. © Plan International 7 Results

8. © Plan International 8 Conclusion Keys to success: Leaders advocacy : It’s important to have the support of all community leaders for mother’s participation ; Health technical support : Training an supervision of mothers by the health post nurse is necessary to realize activities ; Mother’s confidence in themselves: It is important that every mother feels confident to play its role as sponsor, but also as a team member can submit a quarterly report and answer the various questions relating to children's health.

9. © Plan International 9 Recommendations 1.Share process with all staff of Plan 1.Present the results of the study to health regional management to improve supervision 3. Scale-up through community health projects

10. © Plan International 10 Thank You! Diaguily Koita Monitoring Evaluation and Research Advisor Plan Senegal diaguily.koita @plan-international. Org Ryan Lander Plan International, USA. Ryan.Lnder@plan.usa.org