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.

Setting Up a Self-Sustaining Quality Improvement Network in India

In May 2016, Kalawati Saran Children’s Hospital (KSCH) began using QI approaches to improve maternal and newborn care in their facility. This approach was very helpful for them in improving processes of care, and they achieved impressive results in outcomes in a short period of time.

Guide de la mise en œuvre et des bonnes pratiques de pré éclampsie et éclampsie au Mali

Suite aux études et enquêtes de base réalisées dans la région de Kayes du Mali concernant les questions essentielles de santé maternelle, il a été recommandé de travailler à améliorer la qualité du dépistage et la prise en charge de la pré-éclampsie et l’éclampsie dans les points de prestations des services d’accouchement de ladite région.

Virtual versus in-person quality improvement coaching support in India: A brief analysis of resource expenditures

In December 2016, ASSIST started providing support to health workers of three hospitals in Meghalaya – a day’s travel from ASSIST’s office in New Delhi. To meet the challenge associated with providing on-site coaching to these facilities, ASSIST began providing virtual coaching to using WhatsApp and phone calls.

Functionalizing a Hospital Maternal and Perinatal Death Review (MPDR) Committee: An Experience of Anaka Hospital in Nwoya District, Northern Uganda

Uganda’s maternal mortality rate is 438/100,000 live births with most of the maternal deaths resulting from hemorrhage and obstructed labor, while the neonatal mortality rate is 27/1,000 live births with the majority of deaths resulting from infections, birth asphyxia, birth injuries, and complications of prematurity. The Saving Mothers Giving Life (SMGL) Initiative, a partnership between the US and Uganda governments was launched to accelerate a reduction of maternal and newborn mortality rates in selected districts of Northern and Western Uganda.

Pages