Application of SEED-SCALE for community maternal-child health in rural Peru: Focus on SEED

A maternal-child health project was conducted in rural Peru from 2005 to 2009 by Future Generations with a grant from USAID using a strict application of the SEED-SCALE Methodology in an area covering 120,000 inhabitants living in 258 indigenous communities. The project was implemented in communities by working through the national health system and local government, strengthening each of these partners for collaborative management and local governance as part of the SEED-SCALE Methodology. The entire SEED-SCALE methodology was rigorously applied at two different levels to develop the SEED model for subsequent scaling-up: at the level of health system, and at the community level. The presentation will show the operational aspects of how the SEED-SCALE Methodology was applied in each of its four principles, five criteria, and seven annual steps under field conditions in each of the two levels. Evidence of success of this program will be presented with selected results from the final project evaluation on impact on maternal-child health indicators, changes in communities, changes in the health service delivery system, and changes in local government in relation to their new roles and responsibilities for protecting mothers and children and in overall community development.