Maternal, Newborn, and Child Health

Mother with baby

In the last 20 years, great strides have been made in reducing child and maternal deaths.  However, child and maternal deaths still remain unacceptably high. In 2013, 6.3 million children died before their fifth birthday, and even now some 800 women and girls die each day in the process of giving life, largely from preventable causes. Strengthening essential system functions to reliably deliver high quality, life-saving interventions for leading causes of maternal, newborn, and child mortality is a major part of USAID’s Ending Preventable Child and Maternal Deaths (EPCMD) strategy. The USAID ASSIST Project supports the global EPCMD agenda by:

  • Testing and implementing innovative, cutting-edge quality improvement and service delivery approaches in maternal, newborn, and child health (MNCH), such as collaborative improvement, process redesign, and integrating routine and complications care across system levels
  • Developing, testing, and disseminating technical frameworks, approaches, and tools that can increase the efficiency, effectiveness, cost-effectiveness and sustainability of health system strengthening and quality improvement initiatives in support of the USAID EPCMD strategy, including strategies to integrate gender considerations in care delivery
  • Building government and implementing partner capacity to apply improvement methods across health system levels (community, clinic, hospital, district, regional, central) to improve, scale up, and sustain high-impact, low-cost, people-centered MNCH and family planning (FP) services for leading causes of maternal newborn and child morbidity and mortality in USAID priority countries
  • Strengthening frontline health worker and manager skills, motivation, and performance through integrated clinical and quality improvement (QI) capacity building and through engagement of health workers in making improvements in their local health care systems and processes
  • Supporting the development and testing of MNCH quality of care indicators, strengthening routine health information systems to enable regular tracking of quality measures at service delivery level, and promoting accountability at global, national, and sub-national levels

Drawing on extensive experience support the planning, implementation and evaluation of MNCH improvement programs in different countries and regions, USAID ASSIST also contributes to global learning about gaps in care processes and how to best support health system functions to deliver high-impact, cost-effective MNCH services to decrease preventable maternal and child deaths.

Assessment of Quality of Reproductive, Maternal, Newborn, Child, and Adolescent Health Care in Uganda and Kenya

The USAID Office of Health Systems (OHS) and USAID Office of HIV/AIDS (OHA) in Washington tasked the Applying Science to Strengthen and Improve Systems Project (ASSIST) team to develop a survey toolkit for assessing the quality of...

Key Findings of the Assessment of Quality of Reproductive, Maternal, Newborn, Child, and Adolescent Health Care in Uganda and Kenya

The USAID Office of Health Systems (OHS) and USAID Office of HIV/AIDS (OHA) in Washington tasked the Applying Science to Strengthen and Improve Systems Project (ASSIST) team to develop a survey toolkit for assessing the quality of...

Coûts des activites d’amélioration de la qualité des soins maternels, neonatals et de l’anemie au Mali

Le présent rapport court est un résumé des activités qui ont été menées et leurs coûts dans le cadre du projet ASSIST au Mali. Ces informations seront bénéfiques dans le cadre de la mise à échelle du projet et son extension à d’autres...

Quality of self-assessment and medical record data in facilities with quality improvement teams: A cross-sectional study in India

To better understand the quality of the data teams are collecting and using to guide their improvement work, this report is a study to assess the validity of the data compared to observation of actual practice. Three sources of data were...

Ghana Situational Analysis of Inpatient Care of Sick Newborns and Young Infants

The Situation Analysis for Inpatient Care of Newborns and Young Infants in Ghana is part of the USAIDled global initiative to understand the status of inpatient care of sick newborns and young infants (NYI) in low-and-middle-income...

Working Together: A Regional Approach to Improving Skin-to-Skin Contact and Well-baby Care in the Eastern and Southern Caribbean

Morgan Mickle

WI-HER, LLC

By Morgan Mickle, Gender Specialist, WI-HER, LLC

“A third of low birth weight babies die within the first twelve hours after delivery, largely because they get cold very quickly, causing them to stop feeding and leaving them more susceptible to infection.” – Maternal and Child Survival Program (1)

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