A preventive malaria program led by Jhpiego receives high praise in an independent review for its community-focused, sustainable approach that has saved the lives of thousands of pregnant women.
The Transforming Intermittent Preventive Treatment for Optimal Pregnancy (TIPTOP) project, operating over 5 years in four malaria-endemic, sub-Saharan African countries, introduced a community-based approach that contributed to significantly increasing uptake of antimalarial preventive therapy – IPTp3 – among eligible pregnant women and without detracting from their antenatal care (ANC) in project districts in the Democratic Republic of Congo, Madagascar, Mozambique and Nigeria. TIPTOP’s ‘no missed opportunities’ approach afforded all eligible pregnant women access to IPTp in both their communities and at ANC. The project, led by Jhpiego with a consortium of partners—ISGlobal and in coordination with Medicines for Malaria Venture and the World Health Organization and funded by Unitaid—also produced learning on the feasibility, acceptability and cost effectiveness of the approach and its impact.
Independent evaluators for Unitaid verified the success of the project and its use of community health workers. The review by BroadImpact looked at relevance, coherence, effectiveness, efficiency, impact and sustainability of the project. The reviewers applauded TIPTOP’s involvement of local partners in designing the project and its ability to sustain itself, once the project ended.
Here’s a sampling of what the reviewers had to say:
“The intervention is poised to be sustainable, with sustainability factored in at design stage, including its co-creation with Ministries of Health (MoH), involvement of scale-up partners in site selection and implementation through country health systems.“
“… largely effective and increased coverage of IPTp through a community-based approach, with TIPTOP (Jhpiego) surpassing its life of project targets.”
“…comprehensive learning systems set up by the project led to increased interest beyond project countries to take up the intervention.”
“ … the low cost of this intervention creates a higher likelihood for inclusion in country budgets.”
“…well integrated into existing community health systems, leveraging existing personnel and structures.”
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