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Maternal survival : improving access to skilled care. A behavior change approach

February 2005

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This summary is based on the CHANGE Maternal Survival Toolkit, available online at: and on CD-ROM. It explores ways of influencing behaviours and encouraging use of health services and health professionals during childbirth and the postpartum period. A number of factors can prevent pregnant women from accessing skilled care, often putting themselves and the child at risk. They include availability of health services and high costs but also, and crucially, local culture, family and community behaviours and traditional practices. The CHANGE Project's approach and this document stress locally appropriate, behaviour-based interventions that integrate what is happening in homes, communities and health facilities. This tool is aimed at organisations and individuals working in the field of mother and child health, and willing to look at maternal and child survival issues from a behaviour change perspective

Universal birth registration : a universal responsibility


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This publication is the final report arising from a Plan International campaign on universal birth registration. Article 7 of the United Nations Convention on the Rights of the Child states that 'the child shall be registered immediately after birth and shall have the right to a name and the right to acquire a nationality'. Most recent statistics estimate that 36 percent of children are currently not registered. Without a birth certificate, children may have difficulty proving to officials that they are eligible for assistance at times of personal and national crisis. They may have problems accessing human rights such as care and education. They can be at risk of exclusion and not fulfilling their potential by operating at a disadvantage within social, cultural, economic and political spheres. This campaign aims to ensure that evey child is registered at birth

The 'rights' start to life


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This is a publication produced by the United Nations Children's Fund and is a statistical analysis of birth registration. Birth registration is a fundamental human right and an essential means of protecting a child's identity. This objective of this study is to present available empirical evidence to understand which factors are associated with children who obtain a birth certificate. By analysing levels of birth registration in the context of other health, education and poverty indicators, the study points to opportunities to integrate advocacy and behaviour change campaigns for birth registration with early childhood care and immunisation. By linking birth registration to early childhood care programmes, a legal hurdle can become a helpful referral to promote improved health, education and protection for disadvantaged children and their caretakers. Particular references to ethnic groups and minorities appear on page 12 and on page 22

Safe motherhood initiatives : critical issues

BERER, Marge

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This book raises critical issues arising from the national and international policies, programmes and services whose aim is to prevent maternal mortality and morbidity. It analyses where safe motherhood initiatives stand today, what has been achieved and what remains to be done, and offers perspectives on making pregnancy, childbirth and abortion safer for women in future. The book reviews work in Bangladesh, Indonesia, Kenya, Uganda, Vietnam, India, Tanzania, Mexico, Nigeria, Bolivia, Ghana and South Africa

Postpartum care of the mother and newborn : a practical guide

WORLD HEALTH ORGANIZATION (WHO). Division of Reproductive Health (Technical Support). Maternal and Newbron Health/Safe Motherhood Unit

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"This document reports the outcomes of a technical consultation on the full range of issues relevant to the postpartum period for the mother and the newborn. The report takes a comprehensive view of maternal and newborn needs at a time which is decisive for the life and health both of the mother and her newborn. Taking women's own perceptions of their own needs during this period as its point of departure, the text examines the major maternal and neonatal health challenges, nutrition and breastfeeding, birth spacing, immunization and HIV/AIDS before concluding with a discussion of the crucial elements of care and service provision in the postpartum. The text ends with a series of recommendations for this critical but under-researched and under-served period of the life of the woman and her newborn, together with a classification of common practices in the postpartum into four categories: those which are useful, those which are harmful, those for which insufficient evidence exists and those which are frequently used inappropriately."


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