In view of the potentially catastrophic costs to pay for emergency obstetric services, the governments of Zambia and Burundi joined in 2006 at least twelve other sub-Saharan African countries that have a regime of total or partial exemptions from parental fees for newborns and for children. Zambia has completely abolished fees, while Burundi has instituted exemptions for caesarean under 5 years old.
In Section V, in each of the country profiles, information on the moderating fees for MNCH services is shown.FIGURE IV.1 In many African countries, it is families who bear the costs of healthCreate an Operational Plan and take actionThe effective plans that lead the implementation of demanding political actions and also good governance. With good policies, but without ownership, investment of time, money and energy is unlikely to continue the actions.
With good policies
but bad governance, actionsthey may be misdirected and a better health system cannot be built over time, or inequalities may increase. An effective participatory process should reach consensus through a phased operational plan and catalyze the integration of MNCH services by bringing together health services. maternal and child health, as well as malaria, HIV and others. To be effective, two parallel and interdependent processes need to be involved (Figure IV.2).
- A participatory political process that identifies and engages key stakeholders, promoting a facilitating policy environment and resulting in agreement on
- the resources needed for implementation should include the following main stakeholders: stakeholders – In principle, this group should include the group of national or local
- broad-based partnerships that integrate MNCH services, headed by the national government and that includes the relevant elements of the
Ministry of Health for MNCH and those of other ministries, relevant partners and donors , non-governmental organizations (NGOs) and groups promoting the interests of women. This method facilitates the acceptance of a planonational for MNCH services and the harmonization of donations and other financial inputs that encourage the construction of a stronger national health system that over time manages to meet the needs of MNCH services.
Nuclear group – Name become a team and given terms of reference to carry out a situation analysis. It is important that this team includes individuals with extensive experience and competence in programs, policies and data handling, as well as representatives from various districts with MNCH services. Source: Reference3. For more information on out-of-pocket expenses and other financial indicators, see country profiles and notes to data, in Section V0% 20% 40% 60% 80% 100% Percentage of out-of-pocket fees on health expenses
Opportunities for newborns
born in Africa 159IVFIGURE IV.2 Description of the process for creating and implementing an operational strategy and planA process for creating a strategic and operational plan that uses data to work systematically and in the following way, all steps of the program management cycle : Step 1. Conducting, in the context of MNCH services, an analysis of the situation regarding the health of newborns2nd Step.
- Create, approve and finance a national strategic plan included in existing national plans and policies3rd Step.
- Implement interventions and improve the health system4th Step. Monitor the process and evaluate the results, costs,
- and financial inputs. These steps can be adapted to each specific country or location,
depending on the state of the existing NMES planning process.For example, if the Roadmap is already an active governance document, the priority may be an integrated operational plan for improving newborn health services that links, in a phased implementation plan, the Roadmap, the Integrated Care Strategy for Childhood Illness. (IMCI), and other relevant existing policies. Steps 1 and 2 would therefore be less important and would fundamentally ensure that there are no major gaps or flaws when reviewing the content of existing policies.
It will be useful to set a deadline for completing each step, and for completing the report. On the CD accompanying this publication there is a situation analysis guide and some other guides, still in the form of an outline, to help carry out the work along all these steps. This material is being used in a series of workshops to help teams in each country advance the process of improving the health of newborns in their countries.
15 Furthermore, the CD contains some examples
Of national situation analyzes and plans. Source: Adapted reference16 DEFENSESDECAUSEASINTERINTERESESIdentification of a core group (preferably using or reinforcing an existing group) to guide the creation of the newborn health strategy and a broader representative groupAssessment of technical resources and other resources necessary for the creation of strategies by the core groupCreation of the strategy project under the leadership of the nuclear group: Step 1:
- Carry out a situation analysis on newborn health in the context of the MNCH Step 2: Create, adopt and finance a national strategic plan (Draw up a
- list of interventions according to their priority, placing them on packages and executing them in phases) Meeting to reach consensus
- with a g wide group of stakeholders to present and complete the draft strategy and operational plan.Disclosure of the plan3th Step:
Implement interventions and improve the health system4th Step: Control the process and evaluate the results160 Opportunities for Africa’s newborns1st Step. Conducting a situation analysis on neonatal health in the context of MNCH and defining national goals for the reduction of TMN in view of the goals of the ODMAs evidence-based information not only reinforce policies and programs, but also promote dialogue around the cause defense.
Equal data can be used differently for different audiences. Often, mortality rates alone are not enough to influence policy makers, but modifying rates to present them in the form of the number of deaths per year or per day helps to convert the statistics from abstract concepts to the reality of the day. postpone. It is difficult to ignore the fact that a quarter of a million babies in Nigeria die every year, for example.