On the health systems level, the approach aims at improving not only the access to, but also the quality of essential and emergency care....

On the health systems level, the approach aims at improving not only the access to, but also the quality of essential and emergency care. This objective involves national health policy as well as district level management of infrastructure, supplies and financing. Furthermore it includes the assessment of local needs and surveillance of health system performance.

Different factors determine why women do not reach skilled care during pregnancy, childbirth and after birth including quality and availability of services as well as costs, distance, available transport, family decision-making processes and lack of support. To better respond to women and newborn’s health needs and to increase the utilization of available health services, programmes need to implement interventions to improve health in the home and to involve women, families and community actors, including other sectors, to identify key problems and solutions to reaching care.

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