Professional Documents
Culture Documents
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WHO vision
Preamble:
Efforts towards Universal Health Coverage
aim to provide all mothers and newborns with
access to the health care system
Every mother and newborn receives quality care
throughout pregnancy, childbirth and
the postnatal period
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for
Labour and
childbirth care
Suspected maternal
and newborn sepsis:
Early antibiotic
treatment
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Postnatal newborn
care
Postnatal maternal
care
Labour difficulty:
augmentation, assisted
delivery or CS.
PPH: therapeutic
uterotonics, blood
transfusion, surgery
Preterm/LBW newborn:
Kangaroo Mother Care,
BF support
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Equitable delivering health care which does not vary in quality because of personal
characteristics such as gender, race, ethnicity, geographical location, or socioeconomic status;
People-centered providing care which takes into account the preferences and
aspirations of individual service users and the cultures of their communities
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Structure
Health system
Process
Quality
of Care
PROVISION OF CARE
1. Evidence based practices for
routine care and management
of complications
2. Actionable information
systems
3. Functional referral systems
EXPERIENCE OF CARE
4. Effective communication
5. Respect and dignity
6. Emotional support
Outcome
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Responding to contextual
differences
Selection of effective
intervention strategies
Roadmap for continuous and
sustainable quality improvement
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PLAN
5. Implementation
of interventions
ACT
DO
7. Refinement
of strategies
STUDY
PDSA cycle
Identify interventions and set
PLAN
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Act
Plan
Study
Do
goals
DO
STUDY
ACT
Research
1. Establish leadership group
WHO Guidelines
5. Implementation
of interventions
ACT
DO
7. Refinement
of strategies
STUDY
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Capacity Strengthening
Newborn resuscitation with bag and mask is effectively initiated in the newborn not breathing at
birth, within one minute after birth, if no spontaneously breathing after additional stimulation.
Quality measures/criteria:
Input
Evidence of local arrangements to ensure newborn resuscitation is initiated without delay in the
newborn not breathing spontaneously at birth
Availability of updated policy, procedure or guidelines consistent with WHO guidelines in
the delivery areas of maternity services
Proportion of health facilities with functional bags and masks (two neonatal mask sizes) in the
delivery areas of maternity services, at all times and in sufficient quantities, consistent with the
expected number of deliveries
Proportion of health facilities with health workers with skills in basic newborn resuscitation, as
demonstrated by positive pressure ventilation with bag and mask simulated on a manikin,
present at all times, in sufficient quantities and consistent with the expected number of deliveries
Output:
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