Maternal-newborn health: Quality, equity, and dignity for all

By Amy Boldosser-Boesch, FCI Program of MSH; Olive Cocoman, WHO; Mary Kinney, Save the Children; Betsy McCallon, White Ribbon Alliance; Kadi Toure, PMNCH

Originally appearing on the Healthy Newborn Network blog, this article provides an update to a previous post on maternal and newborn health integration.

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The Global Strategy for Women’s, Children’s and AdolescentsHealth (Global Strategy) calls for ending all preventable maternal and newborn deaths and stillbirths. Greater quality of care is needed to preserve and protect the health of both mothers and babies, especially for those living in areas that are hardest to reach and where crisis prevails. At the Women Deliver conference in May, maternal and newborn health experts and advocates united to launch a powerful, integrated advocacy campaign focused on quality, equity and dignity of care for all mothers and babies.

This advocacy campaign supports UN agencies’ technical efforts to lay the groundwork for a strong, country-focused drive for quality maternal and newborn care. The World Health Organization (WHO) developed a set of quality of care standards for maternal and newborn health and is preparing a roadmap for implementation and scale up. Successful implementation of this roadmap requires an intentionally linked advocacy movement to support country implementation, influence supportive global and national policies and investments, and to unify all stakeholders in joint action through a strong communications campaign. This new maternal-newborn health advocacy effort emphasizes the human rights-based goals of equity, universal coverage, access to quality care services, and dignity and respect for all women and babies. The effort takes forward the implementation of the Every Newborn Action Plan (ENAP) and Strategies towards Ending Preventable Maternal Mortality (EPMM) to achieve the goals of Global Strategy.

During a campaign launch side event on Tuesday, May 17, 2016, maternal and newborn health experts and providers shared information about the WHO maternal and newborn health quality of care framework and highlighted different country experiences of successful improvements for quality, equity, and dignity for mothers and babies. Some highlights from the session:

  • Dr. Costello agreed to take on the “Kangaroo Mother Care challenge” – practicing KMC with a baby doll for 24 hours – to demonstrate the challenges that mothers face when practicing KMC. Quality of care includes ensuring support from communities and trained health workers to new mothers to care for their babies, especially if they are born too soon.
    Dr. Costello agreed to take on the “Kangaroo Mother Care challenge” – practicing KMC with a baby doll for 24 hours – to demonstrate the challenges that mothers face when practicing KMC. Quality of care includes ensuring support from communities and trained health workers to help new mothers care for their babies, especially if they are born too soon.

    Anthony Costello, Director Maternal, Child and Adolescent Health, WHO, proposed that a related advocacy campaign on quality, equity and dignity for all mothers and babies, linked to WHO vision of the Quality of Care Framework, would improve measurable commitment by all stakeholders and drive greater access to care among those who need it most. He called for ‘Half in Five’ – a target of cutting facility deaths of mothers and newborns in half in the next five years by improving quality of services.

  • Clementina Elukil, a young midwife providing care in a community clinic in rural Uganda, spoke passionately about the realities facing health workers with constrained resources. Using herself as an example, she delivers 30 babies per month, works 7am to 10pm and through the night if needed. She walks as much as six kilometres just to get water to clean her delivery area. She needs more support from the health system.
  • Gloria Quansah Asare, Deputy Director-General of the Ghana Health Services, underscored the importance of focusing on the full continuum of care and ensuring that advocacy is part of the Health Sector strategy.
  • Anisa Omar, Program Manager, Adolescent Health in the Neonatal, Child and Adolescent Health Unit, Kenya Ministry of Health, stressed that reproductive, maternal, newborn, child and adolescent health is a health system issue requiring improved access to commodities, health worker capacity and retention, as well as strong leadership, management and governance skills.
  • Aparajita Gogoi, the National Coordinator for White Ribbon Alliance, India and Executive Director of Center for Catalyzing Change, highlighted the inherent connection of quality and respectful care, which are brought together in the Respectful Maternity Care charter in India. She shared findings from the pilot study of the Mobile Monitor for Quality of Maternal Care model.

The session was organized by the World Health Organization (WHO), the Partnership for Maternal, Newborn and Child Health (PMNCH), the FCI Program of Management Sciences for Health, Save the Children, White Ribbon Alliance on behalf of Every Newborn and Ending Preventable Maternal Mortality management teams.

 

 

 

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