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Service Delivery

In countries with a maternal and newborn health focus, MCSP prioritizes and promotes a core package of interventions provided on the day of birth in health facilities. The package includes action-oriented tools and strategies to improve the management of maternal and newborn complications, such as:

  • Postpartum hemorrhage;
  • Pre-eclampsia;
  • Maternal/newborn infection;
  • Birth asphyxia; and
  • Preterm birth.

For example, MCSP is developing job aids, checklists and other implementation materials to assist providers to introduce and integrate new World Health Organization guidelines into their routine practice. Guidelines on preterm birth will be complemented by the development of a program implementation guide to document a comprehensive approach to the management of this problem. Similarly, in the area of postpartum hemorrhage, MCSP continues its global leadership begun under MCHIP by developing, updating and disseminating key global guidelines and recommendations, as well as improving the availability and access to essential maternal health commodities (such as misoprostol and oxytocin).

In addition, the Program contributes to strengthening the antenatal and postnatal platforms of care, with an emphasis on integrating nutrition, family planning and infectious diseases. Because infections often cause serious intrapartum and postpartum complications for both mothers and babies, we focus greater attention on the impact of infections on MNH—such as HIV, tuberculosis, malaria, sexually transmitted infections, and bacterial infections.

We recognize the need for a comprehensive strategy that spans the continuum of care from community to facility. As a result, MCSP is refining and promoting an integrated implementation strategy for community-based services including and newborn sepsis, and provision of family planning services.

Pregnant woman being examined by a midwife in Uganda