A major focus of the India Philanthropy Report 2014 by Bain & Co is on the criticality of addressing basic social and health issues especially reproductive, maternal, newborn, child and adolescent health (RMNCH+A) to reduce maternal and child mortality.
It is important to understand stakeholder ecosystems involved in RMNCH+A to achieve the desired outcomes. The report analyzes what comprises successful ecosystems and the stages of ecosystem development involved in meeting these societal challenges. Over the past few decades, there was a coordinated response and multisector participation for similar challenges. For a clearer perspective of the RMNCH+A issues, specific examples from the HIV, polio and microfinance ecosystems have been used.
The Indian government has made strategic investments in reproductive, maternal, newborn, child and adolescent health (RMNCH+A) to reduce maternal and child mortality. The RMNCH+A approach traces women’s well-being through their lifespans, including infancy, childhood and adolescence, and provides a “continuum of care”. The “+” refers to the recent focus on adolescent health because of the growing realisation that measures applied in adolescence prevent complications for mothers and their children. Unlike previous efforts to fight HIV and eradicate polio, the urgency of addressing the RMNCH+A challenge has not translated into substantial efforts to build this ecosystem. Therefore it is imperative to create an ecosystem of strong participants from the public, private and philanthropic sectors. In the past, much of the efforts to improve women’s and children’s health have had limited support, but government agencies and nonprofits have begun to develop an understanding of the services or interventions, as it is commonly referred to in the sector, to pinpoint areas of maximum impact.
The Philanthropy Report 2014 seeks to inform the next level of ecosystem building required to address the RMNCH+A challenge in India.
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