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

8887 Words Oct 1st, 2014 36 Pages

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

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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