Integrating Health Interventions for Women, Newborn Babies, and Children: a Framework for Action

8887 Words Oct 1st, 2014 36 Pages
Series

Alma-Ata: Rebirth and Revision 7 Integrating health interventions for women, newborn babies, and children: a framework for action
Björn Ekman, Indra Pathmanathan, Jerker Liljestrand
Lancet 2008; 372: 990–1000

See Editorial page 863
This is the seventh in a Series of eight papers about Alma-Ata: rebirth and revision Lund University, Lund Sweden (B Ekman PhD); Kuala Lumpur, Malaysia (I Pathmanathan PhD); Ystad, Sweden (J Liljestrand PhD) Correspondence to: Dr Jerker Liljestrand, Götgången 12 27144 YSTAD, Sweden jerker@ystad.nu

For women and children, especially those who are poor and disadvantaged, to benefit from primary health care, they need to access and use cost-effective interventions for maternal, newborn, and child
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Recent Lancet Series on maternal, newborn, and child health1–3 have showed that evidence-based, cost-effective interventions can improve health outcomes in mothers,

Key messages • Maternal, newborn, and child health is at the centre of primary health care and cannot be effectively improved and sustained by vertical approaches • District health teams need to plan for incremental additions to maternal, newborn, and child health, within primary health care and linked to referral units • Private efforts should be integrated where possible • Vulnerable groups should be prioritised at the district level • Actions in health-related sectors (eg, social and legal protection, water and sanitation, and transport and communications) should be promoted • Development of human resources needs to adhere to a comprehensive approach from training to practice, including shifting of tasks to ensure efficiency • Care for mothers, newborn babies, and children should, in principle, be free for poor clients at the point of provision • District health-management teams need support to strengthen their capacities to plan, cost, budget, implement, monitor, and evaluate interventions for maternal, newborn, and child health • National governments should support district-level health care, through strategy, policies, training, and supervision • Global initiatives need to identify a feasible agenda based on priorities that will support countries to improve outcomes in maternal, newborn, and

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