Implementation of strategies to improve programme effectiveness lead to an improvement in maternal and child health outcomes in South Africa

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dc.contributor.author Bhardwaj, S.
dc.contributor.author Pattinson, Robert Clive
dc.contributor.author Kauchali, S.
dc.contributor.author Dlamini, N.
dc.contributor.author Marshall, C.
dc.contributor.author Van der Merwe, M.
dc.contributor.author Barron, P.
dc.date.accessioned 2019-07-31T11:05:21Z
dc.date.available 2019-07-31T11:05:21Z
dc.date.issued 2018-03
dc.description.abstract Over the last few years, the South African (SA) National Department of Health has led the design, implementation and monitoring of key strategies to improve maternal, newborn, and child health outcomes. The strategies have resulted in the reduction of maternal, under-5 and infant mortality rates in SA. Here, we examine the strategies using a framework to understand the determinants and actions that influence the quality of care, coverage and resultant programme effectiveness in saving the lives of mothers and children. Three case studies from the field, namely, the Essential Steps In Managing Obstetric Emergencies, undernutrition in young children and breastfeeding are illustrated through applying the framework and demonstrating how improved quality of care and coverage achieved better health outcomes for pregnant women and children under 5 years of age. These case studies highlight different aspects of the framework, including improving healthcare workers’ skills, ensuring implementation of standard protocols and strengthening management accountability within facilities and across the districts. We also highlight how these aspects collectively improved the overall programme impact. The paper concludes that the framework would be strengthened through addition of critical cross-cutting aspects related to targeting and sustainability of actions. en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.department Paediatrics and Child Health en_ZA
dc.description.librarian am2019 en_ZA
dc.description.uri http://www.samj.org.za en_ZA
dc.identifier.citation Bhardwaj, S., Pattinson, R.C., Kauchali, S. et el. 2018, 'Implementation of strategies to improve programme effectiveness lead to an improvement in maternal and child health outcomes in South Africa',South African Medical Journal, vol. 108, no. suppl. 1, pp. S44-S49. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.other 10.7196/SAMJ.2018.v108i3.12812
dc.identifier.uri http://hdl.handle.net/2263/70840
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2019, South African Medical Association. All rights reserved. This article is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject Children en_ZA
dc.subject Pregnant women en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Maternal health en_ZA
dc.subject Child health en_ZA
dc.title Implementation of strategies to improve programme effectiveness lead to an improvement in maternal and child health outcomes in South Africa en_ZA
dc.type Article en_ZA


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