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.

La prise en charge de l’anémie chez les femmes enceintes, allaitantes et les enfants de moins de 5 ans (in French)

Selon l’Enquête Démographique et de Santé EDSM- V, la région de Sikasso affiche une situation nutritionnelle préoccupante avec des taux de malnutrition aigüe globale souvent dépassant le seuil d’alerte. Toutes choses qui ont causé un taux...

Tested Changes to Improve Newborn and Child Health Care Services

The USAID ASSIST Project is working with the Ministry of Health to increase access to quality health care with a focus on HIV/AIDS and Maternal Newborn and Child Health services through using a quality improvement (QI) collaborative...

Improving Maternal and Newborn Care in Northern Uganda Change Package

A synthesis of the most robust, high-impact and evidence-based changes that resulted in facility and community-level improvements in the processes and systems of providing maternal and newborn care services Uganda’s maternal and newborn...

Améliorer les Soins des Mères et des Nouveau-Nés

Ce guide décrit six étapes pour améliorer les soins de santé et raconte une histoire sur la façon dont le personnel d’une structure a suivi ces six étapes pour dispenser de meilleurs soins. Dans cette histoire, le personnel a décidé de...

Using a scientific approach to improve early identification of complicated labour cases

In May 2016, the head of the department of obstetrics and gynaecology at Shaheed Suhrawardy Medical College Hospital (SSMCH) in Dhaka, Bangladesh initiated an effort to use improvement methods to increase the early identification of labour...

What we learned while improving care for 180,000 babies annually in India

Nigel Livesley

Regional Director for South Asia, USAID Applying Science to Strengthen and Improve Health Systems (ASSIST) Project, University Research Co., LLC (URC)

Evaluation of a quality improvement intervention for obstetric and neonatal care in selected public health facilities across six states of India

In India, in recent years, there has been a great increase in the number of women delivering in health facilities; however, the quality of obstetric and neonatal care within these facilities is often quite poor, which contributes to...