Maternal and child malnutrition in Egypt contributes to low birth weight, stunting, stillbirths, and congenital malformations. Current supplementation (Iron & Folic Acid only) leaves gaps in maternal and neonatal health. Pathfinder will introduce multiple micronutrient supplementation (MMS) to 50k women in two governorates, working to: Improve maternal and newborn health, reducing anemia and maternal mortality in mothers, and low birth weight, stillbirths, and congenital malformations in babies. Increase stunting prevention when extended to infants after 6 months. 

Project Activities

• Pathfinder will pilot MMS in two governorates (Minya and Marsa Matrouh), reaching 50,000 women of reproductive age through 1,500 clinics and communities 
• Provide MMS to women before and during pregnancy to improve maternal and newborn health 
• Strengthen the health system by testing digital supply chains, provider training, and updated service protocols
• Engage communities with awareness campaigns to increase understanding and uptake of MMS
• Generate evidence and lessons for scaling up nationwide under Ministry of Health and Population leadership

Maternal Health Context in Egypt

• Health expenditure makes up 4.6% of Egypt’s GDP
• 37.90% of married women aged 15-49 have anemia
• 76.9% of women show persistent vitamin deficiencies 

Futures with Choice seeks to increase equitable access to quality SRH services for adolescents through demand creation, awareness-raising, community engagement, and linkages to education and livelihoods. The project focuses on strengthening the health system for improved quality of care and data-driven service delivery that expands contraceptive options; strengthens mobile outreach and referral systems; and offers more appropriate adolescent-friendly services.

Project Activities

Norms Transformation and Demand Generation

• Hold small-group dialogues with 14,000 adolescents (girls and boys).
• Hold community dialogues with parents, leaders, influential figures, and men.
• Offer digital (SMS-Biz, SmartHealth AI, Facebook) and school-based sensitization.
• Organize Adolescent Action Groups for civic engagement.
• Support home visits to families.

Access, Choice, and Quality

• Train 350 providers in client-centred SRH and self-injection.
• Support 360 SRH mobile brigades reaching 9,000 beneficiaries.
• Improve school-based SRH.
• Strengthen referral networks for SRH, safe abortion care, and gender-based violence services.
• Pilot chatbot (SmartHealth AI) in Massinga.

Health Systems and Policies

• Strengthen leadership of government in implementation of the National Family Planning Strategy.
• Implement Management Standards Compliance assessments in 10 districts.
• Improve data quality.
• Develop data-driven decision-making skills (dashboards).
• Integrate climate resilience components into SRHR/FP.

The HER Future project improves SRHR outcomes among women and young people aged 10–24, including people with disabilities. This includes strengthening access to gender-responsive SRHR services, expanding delivery of age-appropriate comprehensive sexuality education (CSE) to in- and out-of-school youth, and advancing a supportive social and policy environment for sexual rights.

Health systems strengthening

• Train health care providers using blended learning, mentorship, and the Beyond Bias model to deliver youth-friendly, gender-responsive, and disability-inclusive SRHR services.
• Strengthen health facilities through a hub-and-spokes mentorship system, supportive supervision, and procurement of essential equipment.
• Deliver integrated SRHR mobile outreach services to hard-to-reach communities, including contraceptives, STI screening, and gender-based violence support.

Youth empowerment & community engagement

• Co-design youth-friendly service spaces and feedback mechanisms with adolescents and youth using digital platforms.
• Implement multi-channel social and behavior change interventions (radio, social media, community dialogues) to increase adolescent youth sexual and reproductive health awareness and counter harmful norms.
• Train and empower community health workers and youth champions to provide SRHR education, mobilize communities, and support referrals.
• Roll out age-appropriate CSE and CSE+Nutrition programs in schools and communities, including teacher training and youth-led peer education.
• Integrate life-skills and empowerment approaches such as Sports for Development and theatre for development.
• Strengthen multisector coordination through Collective Impact Working Groups and school–community–health facility referral networks.
• Develop and disseminate culturally appropriate IEC materials in local languages for adolescents and youth.
• Implement community accountability tools, including health scorecards and community dialogues, to improve service quality.
• Expand youth access to SRHR information through digital innovations (chatbots, mobile apps, online CSE content).
• Promote economic empowerment through VICOBA groups, entrepreneurship training, and climate-smart livelihood opportunities for youth and young mothers.

Policy & advocacy

• Build leadership and advocacy capacity of youth, community leaders, and health managers to champion sexual and reproductive rights and influence policy.
• Strengthen gender-based violence/violence against children prevention and response systems, including legal aid, survivor-centered referrals, and community protection committees.

This project seeks to ensure provincial health departments in Punjab, Khyber Pakhtunkhwa, Sindh, and Balochistan offer quality postpartum and postabortion family planning services. Qadam-Ba-Qadam works with Departments of Health and Population Welfare, strengthening their capacity to institutionalize and scale up high-impact practices that ensure women can access quality postpartum and postabortion family planning services. This initiative supports the integration and scale-up of postpartum and postabortion family planning within the roll-out of universal health coverage to improve reproductive health and maternal and newborn health outcomes.

Project Goals

• Integrate and institutionalize postpartum and postabortion family planning in provincial Departments of Health by 2025.
• Strengthen health system capacity to implement gender-transformative social and behavior change strategies to generate demand for postpartum and postabortion family planning.
• Improve and better utilize postpartum and postabortion family planning data for decision-making by 2025.
• Adopt and scale up of postpartum and postabortion family planning through strengthened technical engagement with World Bank and Global Financing Facility.

Project Activities

• Integrate and institutionalize postpartum and postabortion family planning in provincial health systems. This includes strengthening the adoption and scale-up of high-impact practices, strengthening coordination and management platforms, and creating an enabling policy environment for the provision of postpartum and postabortion family planning services.
• Strengthen health system capacity to implement gender-responsive social and behavior change communication strategies to generate demand for postpartum and postabortion family planning. This work is done with both the federal Ministry of Health and provincial health partners.
• Improve use of data for decision making. This activity focuses on ensuring postpartum and postabortion family planning data are integrated into centralized national reporting systems, and that provincial health departments include relevant indicators in their data collection and management.
• Document implementation learnings to inform relevant stakeholders about adoption and scale-up of postpartum and postabortion family planning. The project assists the World Bank and Pakistan government with ensuring integration of postpartum and postabortion family planning in projects funded by the Global Financing Facility and International Development Association. Learnings are informing the government’s roll-out of universal health coverage, particularly the inclusion of postpartum and postabortion family planning.

• Conducting regional assessments on the status of adolescent- and youth-friendly health services and barriers of out-of-school youth to accessing sexual and reproductive health care.
• Implementing standardized adolescent- and youth-friendly health service provision approaches and generating evidence to complement assessments.
• Testing community-based interventions to reach out to out-of-school adolescents and youth with tailored sexual and reproductive health information and services. 
• Engaging key stakeholders to ensure ownership, scalability, and sustainability.
• Engaging adolescents and youth in a meaningful way.
• Supporting the establishment and strengthening of different service-delivery approaches (separate and mainstream) in public health facilities.
• Exploring alternative models in private health facilities, youth centers, and workspaces.
• Enhancing the capacity of health care providers in range of adolescent and youth health service-delivery areas.  
• Providing basic equipment and furniture to optimize quality of care.
• Documenting and facilitating knowledge-sharing.

EMPOWER Activities

Strengthen public-sector health system capacity to deliver maternal health/FP services:

• Ensuring quality of care.
• Integrating FP services in other services (maternal, newborn, child health and HIV).
• Performance monitoring and support for procurement
• Quantification, supply planning and stock monitoring.

Mentor health workers in maternal health/FP:

• Mentoring health workers on basic and comprehensive emergency obstetric and newborn care, administration of long-acting reversible contraceptives, etc.
• Conducting integrated outreaches.
• Supporting Village Health Teams to conduct home visits.
• Preventing fistula.

Tackle myths and misconceptions about FP to drive demand generation.

• Partner with media including development of radio drama.
• Provide psychosocial support through the toll-free helpline.
• Use Interpersonal communication including community dialogues, drives, and targeted demand generation through existing platforms and structures.

Adolescent girls and young women face increased difficulties accessing sexual and reproductive health information and services, including access to contraception and abortions. Heightening their risk of unintended pregnancy and poor health outcomes.

The project strives to enhance their ability to exercise their sexual and reproductive health and rights. Additionally, it aims to improve their access to quality youth-friendly counseling and services, while strengthening policies and guidelines by centering their rights.

MORE CHOICES aims to support sustainable, government-led efforts to improve sexual and reproductive health (SRH) outcomes and enhance the quality of life for women and girls. It also seeks to strengthen financial resource management through greater accountability and stakeholder involvement.

The initiative targets adolescent girls and young women aged 10–24 in the Cabo Delgado Province, in Mecufi, Metuge, Ancuabe, and Pemba; in Maputo City, in KaMaxaquene, KaMubukwana, KaMavota, and Nlhamankulu; and in Maputo Province, in Matola, Marracuene, and Boane. It is implemented in 47 health facility (HF), 43 secondaries schools and 9 Internal Displaced People (IDPs) centers.

Activities

• Training of Health Providers: With extensive training in SRHR, mentorship and formative supervision to strengthen the respective Health district directorates (SDSMAS) in offering highly qualitative SRHR services expansion including adolescent youth friendly services (AYFS), family planning (FP), CAC and SGBV services by fostering community-Health Facility (HF) and HF-based integration.
  
• Intensive Support of SRHR Outreach: Investing in activities focusing on displaced populations. Hosting communities by expanding the SRHR coverage to the most vulnerable communities.
  
• Coordinating interventions with SDSMAS (Serviço Distrital de Saúde Mulher e Ação Social) and SDETJ (Serviço Distrital de Educação, Juventude e Tecnologia): Multiplying mobile brigades at schooling settings to close progressively the SRHR information and service delivery gap for the VYA (very young adolescent) and adolescents.
  
• Complementing SDSMAS Efforts to Equip Health Facilities: Providing them with medical equipment and supplies, data logbooks, IEC materials mitigating the chronic lack of essential supplies.
  
• Coordination with SDETJ: By expanding comprehensive SRHR education sessions by involving teachers at secondary schools to promote adolescent’s SRHR agency in seeking and adopting positive prevention SRHR behaviors and raising parents’/guardians’ awareness about AGYW rights boosting like this an enabling environment for adolescent’s agency and choice.
  
• Expand Gender-Based Violence (GBV) Screening: At all health facility and IDPs centers including through community health workers (CHWs) maximizing identification and referral of SGBV cases including CEFM and sexually assaulted.
  
• Radio Broadcasting and Debates: Enaging with media for the dissemination of information on SRHR, GBV, Abortion, FP and Contraception and community-based demand generation involving SRHR champions, including influent community and youth leaders, to further contribute to the creation of an enabling environment.

J-Matassa Activities

• Youth leadership and empowerment
• Access to and use of SRH services 
• Enabling and sustainable environment for SRHR 
• Institutionalization and sustainability. 

Conducted in collaboration with state governments, the initiative takes a holistic strategy to supporting current health systems and personnel, providing high-quality, sustainable, and gender-responsive healthcare for all. The project aims to strengthen the capacity of Community Health Extension Workers (CHEWs) and Junior Community Health Extension Workers (JCHEWs) to deliver integrated Primary Health Care (PHC) services, improve service access and quality, and provide evidence for scalability and policy changes to strengthen Nigeria’s health workforce. 

Project Activities

• Stakeholder Engagement Workshops
• Work Planning workshops
• Development of a TSTS Framework 
• Development of a Clinical Mentoring Training Plan 
• Development of an M & E Plan 
• Strengthening/Development of a network-of-care 

Implemented by Pathfinder, Natview Foundation for Technology Innovation, Data Science Nigeria, and GRID3 with funding from the Gates Foundation, GeoST4R deploys two digital tools: the Geospatial Microplanning Toolkit (GMT) and the Snackable Chatbot. GMT automates geospatial microplan creation and modification, while the chatbot facilitates real-time access to microplans and commodity quantification. 

GeoST4R Activities

• Deployment and Use of the Geospatial Microplanning Toolkit (GMT): The GMT is a mobile application designed to enhance immunization service delivery by utilizing geospatial data for improved digital microplanning. 

• Implementation of the Master Settlement Registry: The Master Settlement Registry (MSR) is a digitized version of the harmonized master list of settlements (MLoS), describing officially recognized settlements with codifications from Ward, LGAs, and State using descriptive and spatial metadata representations. 

• Deployment of the Snackable Chatbot: The Snackable Chatbot is a conversational mobile digital solution designed to enhance health facilities’ microplanning design processes and provide real-time field intelligence for the strategic deployment of interventions. It supports healthcare workers by offering on-demand visibility of their updated microplans and session plans, including access to demographic data and required commodities. Additionally, it automates the commodities quantification process, which is often error-prone during microplan creation. 

• Establishment of the Decision Support Dashboard: DSD is an advanced multi-interactive geospatial platform that integrates various operational and microplanning datasets. This tool enables stakeholders to visualize RMNCHN variables on a map, offering interactive insights crucial for decision-making. 

• Data Management: The data management component of the grant focuses on setting up and operationalizing the centralized geo data bank for accessing microplanning resources through the GMT, Snackable Chatbot and Decision Support Dashboard. 

• Stakeholder Engagement and Utilization Support: This workstream focuses on engaging stakeholders at both the facility and state levels to address challenges related to the adoption and utilization of investment products. It also emphasizes creating linkages between the outputs of different workstreams and their impact on improving planning and resource allocation at all levels.