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.

A comparison of improvements in anemia indicators in ASSIST and non-ASSIST sites in Mali

This short report describes the findings of a USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project study to assess whether improvements in anemia prevention and management among women and children in Mali were greater...

Improving the Health of Mothers, Newborns, Children, and Adolescents in Low- and Middle-Income Countries: Synthesis Report

Over its nearly eight years of implementation, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project supported USAID's global Preventing Child and Maternal Deaths and Family Planning agendas by: Testing and...

USAID ASSIST Project FY20 Annual Performance Monitoring Report

University Research Co., LLC (URC) and its partners have completed almost eight years of implementation of the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project. This report is the 16 th and final Semi-Annual...

Assessment of Effectiveness and Cost-effectiveness of the Quality Improvement (QI) Guide on QI Processes and Maternal and Newborn Care in Uganda

The quality improvement (QI) guide for mothers and babies was developed through the collaboration of Survive and Thrive Global Development Alliance (S&T GDA) partner organizations to demystify the quality improvement process and scale...

Quality of Integrated Reproductive, Maternal, Newborn, Child, and Adolescent Health and HIV Services: Assessment Toolkit

The Assessment Toolkit for Quality of Integrated Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) and HIV Services was designed by the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project to...

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

The USAID Office of Health Systems and USAID Office of HIV/AIDS tasked the USAID ASSIST Project with developing survey toolkit for assessing the quality of care of integrated reproductive, maternal, newborn, child, and adolescent health (...

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...

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