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Strategic Plan for Maternal, Newborn, Child and Women’s Health (MNCWH) and Nutrition in South Africa 2012 - 2016

As a prologue to these activities, the Research and Evaluation Division of BRAC (www.bracresearch.org) has carried out a review of the existing MNCH programmes in Bangladesh undertaken by the government, NGOs and private sectors to identify best practices and the factors behind successes and failures, thereby pinpointing gaps and challenges. This provides an evidence base to develop informed intervention components, approaches and strategies for the MNCH initiatives in the country and endow with directions for future advocacy efforts. Objectives The objective of this review is to map the programmatic landscape by documenting best practices, revisiting lessons learned, and identify gaps for informed programme design in future. . | Strategic Plan for Maternal Newborn Child and Women s Health MNCWH and Nutrition in South Africa 2012 - 2016 CONTENTS List of abbreviations SECTION A INTRODUCTION.6 MNCWH service delivery.8 Priority Health Interventions for reducing Maternal and Child Mortality Service Package 9 SECTION B PRIORITY INTERVENTIONS FOR MATERNAL HEALTH.11 1. Basic Antenatal Care.12 2. HIV testing and access to ART.13 3. Improved access to care during labour.13 4. Intrapartum Care.13 5. Post-natal care within six days of delivery.14 SECTION C PRIORITY INTERVENTIONS FOR NEWBORN HEALTH.15 1. Promotion of early and exclusive breastfeeding.17 2. Resuscitation of newborns and care for small ill newborns according to standardized protocols.18 3. Kangaroo Mother Care KMC .18 4. Post-natal visit within six days.18 SECTION D PRIORITY INTERVENTIONS FOR CHILD HEALTH.19 1. Promotion of breastfeeding and appropriate complementary feeding practices for infants and young children.20 2. Preventative services.20 3. Correct management of common childhood illnesses using the IMCI case management process. 22 4. Management of ill children in hospitals.23 5. Early identification of HIV-infected children and appropriate management.24 6. Long term health conditions in children.24 7. Improving provision of School Health Services.25 SECTION E PRIORITY INTERVENTIONS FOR WOMEN S HEALTH.26 1. Access to contraceptive services.26 2. Improved reproductive health services for adolescents.26 3. Cervical cancer screening.27 4. Gender-based violence and post-rape services.27 SECTION F PRIORITY INTERVENTIONS COMMUNITY-BASED MCH SERVICES.28 1. Provision of a package of MCH services by ward-based PHC outreach teams. 28 2. Multi-sectoral action to reduce poverty and inequity.28 3. Development of a MNCWH communication strategy.28 SECTION G MNCWH NUTRITION STRATEGIC PLAN.29 1. Vision.29 2. Mission.29 3. Guiding Principles . 29 4. Overall Goal . 29 2 SECTION H KEY STRATEGIES FOR IMPLEMENTATION OF PRIORITY INTERVENTIONS . 30 .