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| Project Title: |
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| Applicants |
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* Please write applicants names, their roles and affiliations, and contact details.
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| Project Location |
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* Please provide the following information about the proposed project location(s):
- Country, region, and location name(s)
- Area (in km2)
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Population
- Total population
- Female population
- Females under 35 years of age
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Infra-structure
- Roads
- Public transport
- Private transport
- Water
- Electricity
- Telecommunications
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Learning institutions (numbers and nature)
- Primary
- Secondary
- Higher Education
- Level of poverty
- Level of malnutrition
- Safety (civil unrests and other conflicts)
- Governmental policy and regulatory frameworks relating to maternal health.
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| Existing health systems |
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* Please provide the following information about existing health systems
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Health facilities
- Teaching Hospitals
- District General Hospitals
- Smaller health facilities and clinics (with obstetric theatres)
- Smaller health facilities and clinics (without obstetric theatres)
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Healthcare workers
- Traditional Birth Attendants
- Skilled Birth Attendants
- midwifes and obstetrically-trained nurses
- primary care physicians
- hospital doctors
Medicinal Drug availability
Equipment availability
Charities functioning in the project location(s)
Existing maternal mortality/morbidity reduction projects and programmes
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| State of maternity care provision |
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* Please provide the following information about the state of maternity care provision (estimates if no definite data available):
- Number of maternities
- Number of maternal deaths (per year)
- Causes of maternal deaths (quantitative and qualitative information if available)
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UN Process Indicators (context specific help button to show how to estimate these)
- Amount of EmOC services available.
- Geographical distribution of EmOC facilities
- Proportion of all births in EmOC facilities
- Met need for EmOC services
- Caesarean sections as percentage of all births
- Case fatality rates.
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| Project Details |
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* Please describe in less than 5000 words your project’s:
- background,
- objectives,
- specific targets,
- needs,
- proposed implementation programme,
- monitoring proposals,
- evaluation plans,
- support from the community, collaborators, and government
- risk management steps, and
- plans for sustainability
- Help required from Ammalife (select all relevant options)
- Evidence appraisal
- Project development
- Project implementation
- Project monitoring and evaluation
- Funding
- Research and Research Funding
- Training
- Advocacy
- Specific needs (eg equipment, materials, human resources etcetera)
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| Project Budget |
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* Please provide a detailed account of the projected monetary needs with justifications. The needs may include:
- human resources,
- buildings,
- vehicles,
- equipment,
- medicinal products,
- stationary,
- utilities,
- servicing and maintenance
- managerial, financial and administrative services.
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| Project Schedule |
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| File 1 |
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| File 2 |
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| File 3 |
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| File 4 |
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| File 5 |
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| File 6 |
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