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Inclusive and integrated mother, newborn and child health programming: Beyond mortality

OLCHINI, Davide
November 2017

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This policy paper describes the operational terms of Handicap International’s mandate and values as applied to Mother, Neonatal and Child Health (MNCH). Presenting the approaches and references underpinning Handicap International’s actions, choices and commitments, its purpose is to ensure consistency across its practices while taking account of different contexts. Intended as a document to guide programme staff, the paper defines the topic, describes the target populations and sets out the methods of intervention (activities and expected results) and the indicators used to monitor and evaluate. It also aims to ensure that Handicap International programmes implement all projects in accordance with the presented methods of intervention

 

The SDGs focus on a broader scope of activities and are thus slowly but surely shifting from mortality to address in a more comprehensive manner the well-being and achievement of maximum potential for children and adolescents. With a robust component in sexual and reproductive health, this represents a significant frame of reference for Handicap International’s work in MNCH as it has paved the way for integrating MNCH-related impairments into existing health services. The framework of the SDGs provides a clear vision of the importance of multi-sectorial interventions, which encompass the limit of vertically-organised health systems centred on curative aspects, to offer a more integrated and preventive package of interventions that include chronic conditions, impairments and health for all. After many years of implementing MNCH projects, Handicap International is well-positioned and firmly established as a major player in this process.

The grace of motherhood: disabled women contending with societal denial of intimacy, pregnancy, and motherhood in Ethiopia

TEFERA, Balaynesh
et al
September 2017

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Ethiopian disabled women’s experiences of intimacy, pregnancy and motherhood are reported. Qualitative, in-depth, and semi-structured interviews along with personal observations were used to explore the full experiences of participants. Interview data revealed that mothers experienced significant challenges with regard to accessibility of health centers, physician’s lack of knowledge about and problematic attitudes toward them and more general societal prejudices towards individuals with disability. The 13 participants were employed women with physical or visual disabilities, and the interviewees were from the Addis Ababa metropolitan area, Ethiopia.

 

Disability & Society, 32:10, 1510-1533

DOI: 10.1080/09687599.2017.1361385

Factsheet. Maternal health and rehabilitation

HANDICAP INTERNATIONAL;
March 2017

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Maternal health concerns the health and wellbeing of mothers from before pregnancy (pre-conception), during pregnancy (ante-natal), during and after childbirth (peri- and post-natal). Common impairments and activity limitations from obstetric fistulae, pelvic floor dysfunction, maternal depression and musculoskeletal disorders are outlined and examples of rehabilitation strategies are given. A case study of fistula in Burundi is reported.

Child health and rehabilitation. Factsheet.

HANDICAP INTERNATIONAL
March 2017

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Child health encompasses physical, mental and social well-being of children under the age of five. The leading causes of under-five deaths are pre-term birth complications, pneumonia, birth asphyxia, diarrhoea and malaria. Malnutrition contributes to nearly half of all under-five deaths. All these conditions contribute hugely to child impairments too. Common impairments and activity limitations related to child health including birth defects, cerebral palsy, developmental delays, burns, falls and injuries and road traffic injuries are outlined and different examples of rehabilitation across the care cycle are given. A case study of cerebral palsy in Haiti is cited. 

Early childhood development and child protection in emergencies

PLAN INTERNATIONAL
UNICEF
July 2016

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This purpose of this technical note is to support child protection in emergencies personnel to programme appropriately for 0 to 8-year-old children. It extends the basic content included in UNICEF’s Early Childhood Development in Emergencies: Integrated Programme Guide to help UNICEF staff and partners implement quality programmes in emergency settings. Preparedness key activities and response key activities are listed. Two case studies are presented: one from Uganda and the other from Syria.

Why do women not use antenatal services in low- and middle-Income countries? a meta-synthesis of qualitative studies

FINLAYSON, Kenneth
DOWNE, Soo
January 2013

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This article aims to inform the development of future antenatal care programmes through a synthesis of findings in all relevant qualitative studies. The findings suggest that there may be a misalignment between current antenatal care provision and the social and cultural context of some women in low and middle income countries
PLoS Med, Vol 10, Issue 1

Costs and cost-effectiveness of training traditional birth attendants to reduce neonatal mortality in the Lufwanyama neonatal survival study (LUNESP)

SABIN, Lora L
et al
2012

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"The Lufwanyama Neonatal Survival Project ("LUNESP") was a cluster randomized, controlled trial that showed that training traditional birth attendants (TBAs) to perform interventions targeting birth asphyxia, hypothermia, and neonatal sepsis reduced all-cause neonatal mortality by 45%. This companion analysis was undertaken to analyze intervention costs and cost-effectiveness, and factors that might improve cost-effectiveness"
PLoS ONE 7(4)

Fostering and managing change in Algerian nurseries

DIDIER SEVET, Claudie
November 2011

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"This report describes lessons learned from Handicap International’s programme in Algeria which aimed to enhance full participation of people with disabilities and the situation of children deprived of family care"
SD/LL 05

The roles and influence of grandmothers and men : evidence supporting a family-focused approach to optimal infant and young child nutrition

AUBEL, Judi
2011

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"This report reviews both published and gray literature from the past 25 years that addresses intra-household roles and dynamics related to infant and young child nutrition-specifically the roles and influence of senior women, or grandmothers, and men. The report examines infant and young child nutrition and other maternal and child health interventions explicitly involving grandmothers and/or men and reports on each intervention’s effectiveness"

Priority medicines for mothers and children 2011

WORLD HEALTH ORGANIZATION (WHO)
2011

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This resource presents a list of priority medicines for mothers and children to help countries and partners select and make available those medicines that will have the biggest impact on reducing maternal, newborn and child morbidity and mortality
WHO/EMP/MAR/2011.1

Preterm-associated visual impairment and estimates of retinopathy of prematurity at regional and global levels for 2010

BLENCOWE, Hannah
LAWN, Joy E
GILBERT, Clare
December 2010

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This article presents the systematic reviews and meta-analyses undertaken to estimate the risk of retinopathy of prematurity (ROP) and subsequent visual impairment for surviving preterm babies by level of neonatal care, access to ROP screening, and treatment. A compartmental model was used to estimate ROP cases and numbers of visually impaired survivors.  The authors conclude that improved care, including oxygen delivery and monitoring, for preterm babies in all facility settings would reduce the number of babies affected with ROP. They recommend that improved data tracking and coverage of locally adapted screening/treatment programs are urgently required

Pediatr Res, Vol 74, Suppl 1

Early childhood stimulation interventions in developing countries : a comprehensive literature review

BAKER-HENNINGHAM, Helen
BOO, Florencia Lopez
September 2010

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"This report reviews the effectiveness of early childhood stimulation interventions in developing countries. The report aims to answer the questions: What works in terms of early stimulation for young children in developing countries? For whom and under what conditions do these programs work and why do they work. The report is divided into several sections. Firstly, a brief discussion of the importance of early stimulation for young children in developing countries is provided. Secondly, the methods used to identify and characterize studies are provided and a review of randomized or quasi-experimental trials is presented. Thirdly, a review of the evidence for who benefits most from early interventions is presented followed by a review of program characteristics that affect the success of interventions and an examination of potential mechanisms through which interventions achieve their effects. Finally, recommendations for practice and future research are provided"
IDB working paper series

Keeping motherhood safe

May 2010

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This edition of Momentum contains articles on spacing births to reduce pregnancy-related complications, skilled birth attendants, medication to prevent eclampsia, supporting women's reproductive options, and vouchers for reproductive and maternity services

Advancing newborn health : the saving newborn lives initiative

TINKER, A
et al
January 2010

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The value of low-cost, community-based interventions and strategies in significantly reducing newborn mortality has been demonstrated by targeted research, focused on overcoming the key barriers to improved newborn survival. This research is part of Saving Newborn Lives, an initiative, which is helping to address what was previously a largely neglected area within the global health agenda but is increasingly being addressed by assistance agencies, national governments and non-governmental organisations. Building on what has been learned from this and other efforts to date, the challenge is to reach the millions of newborns still at risk

Facts for life

UNITED NATIONS CHILDREN'S FUND (UNICEF)
et al
2010

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This resource consists of 14 chapters filled with practical information about how to ensure children’s rights to survival, growth, development and well-being. The topics address pregnancy, childbirth, major childhood illnesses, child development, early learning, parenting, protection, and care and support of children. The messages it contains are based on human rights, particularly the Convention on the Rights of the Child and the Convention on the Elimination of All Forms of Discrimination against Women. The resource aims to provide families and communities with the information they need to save and improve the lives of children. Parents, grandparents, other caregivers and young people can refer to this practical source of information for answers to their questions related to childbearing and getting children off to the best start in life. The website includes a link to an interactive site for posting comments, sharing experiences and materials and discussing relevant issues

Sub-Saharan Africa's mothers, newborns, and children : where and why do they die?

KINNEY, Mary V
et al
2010

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"The aim of this paper is to present the current situation in sub-Saharan Africa for mothers, newborns, and children under age 5 years—including the progress towards the MDGs for maternal and child health, why and where deaths occur, what known interventions can be employed to prevent these deaths, and current coverage of these interventions. All data used in this review are from the most recent UN databases, national household surveys, and peer-reviewed papers where appropriate, which are referenced accordingly"
PLoS Medicine, 7(6)

Better off dead? A report on maternal morbidity from the UK All Party Parliamentary Group on Population, Development and Reproductive Health

UK ALL PARTY PARLIAMENTARY GROUP ON POPULATION, DEVELOPMENT AND REPRODUCTIVE HEALTH
May 2009

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This report makes a number of recommendations for the effective reduction of maternal morbidity. The recommendations made, in summary, are: increase political will; increase resources to sexual and reproductive health and rights; encourage equitable health care; work in partnership; improve sexual and reproductive health rights legislation and policies; make governments accountable

Child health : generating the will

WORLD VISION
2009

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This edition of Global Future explores the nature of political will and what is required to reduce rates of under-five mortality and realise Millennium Development Goals (MDG) four (to reduce under-five mortality) and five (to improve maternal health). Authors from around the world lay out the "why, who, what and how" of the actions needed to realise these MDGs and get more countries on track quickly. At the time of publication only 16 of the 68 countries with the highest rates of child death were on track to reach MDG four

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