To mothers and newborns, as well as access, including family planning services, and ensuring easy access to the services provided, from the user’s point of view. Improve the referral system. Improve the planning and district management of maternal and neonatal health care and also family planning services Strive for an increase in the commitment of the authorities and the increased resources.
Promote and boost partnershipsObjective 2 Improve the capacity of individuals, families and communities to improve maternal and neonatal health. Promote continued health care, from housing to hospitals. Empower the community to define, seek and access specialized assistance by mobilizing community resourcesMonitoring, evaluation and accountability
Cont roll out the progress
At national and regional level, of the adoption and adaptation of the Roadmap • Monitor the mobilization of resources and the commitment of partners in implementing the Roadmap Create selected indicators for the different levels of health care and services to be provided , with phased implementation154 Opportunities for Africa’s Newborns
Phases of the development of the National Roadmap for Sub-Saharan Africa, from 2003 to July 2006Regional strategy for children’s survivalIn 2005, the African Union, concerned about the lack of progress towards the 4th objective MDGs for child survival, launched a call for an accelerated child survival strategy that was supported by WHO Member States at the 56th Regional Committee in August 2006.
WHO, UNICEF and the World Bank are currently converting this strategy into a framework of joint implementation, to be submitted to the approval of the Heads of State of the African Union. IV.2 The African regional framework for the survival of children Priority areas. The structure created by UNICEF, WHO and the World Bank in partnership with the African Union, allows for a consensus on the importance of continuing MNCH care, health systems and financing, as well as essential interventions.
Priority areas include assistance
To newborns and connection with assistance to mothers, and involves specialized assistance during pregnancy and childbirth, Post-Natal Control and improved assistance in the community and in basic and referral health services. Other priorities include the feeding of infants and children in early childhood, and nutritional supplements with micronutrients, vaccinations, malaria prevention, management of common diseases, PMTCT and assistance to children exposed to or infected with HIV.
Broad Sector Approach, (SWAp) (“SectorWide Approach”) that has promoted a rapid increase in donor investment at the national health sector level. Some African countries are making progress to save newborn lives. Although the news from Africa is often negative, there are huge differences between African countries and within each, and there are examples of successes.
- Implementation. The implementation plan describes the methods of providing services and the phasing required to achieve universal coverage through partnerships,
- accountability, clear definition of the roles to be played and monitoring and evaluation. To be included in measure packages and to implement interventions, three ways of
- providing services are proposed, which include health care in communities, proximity services and clinical assistance at the level of basic health services and units. dereferencing.
These three forms are: community-based and family-oriented services, programmable services targeted at the general population, and individual-oriented clinical services. The three phases of integration begin with the implementation of the small-scale minimum package, the resolution of limitations to improve services, and the subsequent addition of other interventions in the extended package.
The aim is to achieve maximum coverage with the complete package of interventions. Arguments in favor of investment. The arguments in favor of investment detail the estimated impact of achieving fundamental goals related to neonatal mortality and children under five years of age, while also analyzing the costs incurred with interventions and the improvement of health systems. Respecting the governmental perspective, the inputs will consist of a combination of global support and financing schemes composed of nationally owned funds.
Opportunities for Africa’s Newborns
Source: updated data from the WHO Regional Office for Africa, up to October 2006, complemented by UNFPA. At present, the monitoring measures have only detected data until the launch date. The measures that have yet to be detected are being analyzed. Development phase (July 2006) Orientation (presentation to the Ministry of Sa de, re niãoc with the interested parties and with the task orce) Pla e am to (creation and adoption of the Roadmap) D e esa and mobilization of resources (loop of the Roadmap) Op
- 155Health Sector Reform IVEThese two regional structures are based on standard models that can be adapted, financed, and then implemented in countries, not in the “vacuum”, but in the global
- context of health sector reform . A reform of this sector ranged from some decentralized decision-making processes to a definite plan to
- remodel the health sector based on an essential package on which agreement and external annual reviews were reached.
The health sector reform process makes it possible to improve certain essential, highly effective and viable MNCH interventions. If these interventions are part of the national health package and are related to objectives and budget lines subject to a regular review procedure, then the first reforms that are carried out are likely to be those related to national ownership, sustainability and responsibility. Several African countries now have a sub-committee included in their health plan’s
NMES services, which focuses its activities on the 4th and 5th MDG targets. Uganda, for example, recently added a subcommittee to the maternal and child health cluster. This sub-committee was charged with making recommendations for improving newborn care included in the national health sector’s strategic plan. In Malawi, the government and its partners have joined forces to create and fund an essential health package linked to the