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  1. 1

    Planning and implementing an essential package of sexual and reproductive health services: Guidance for integrating family planning and STI / RTI with other reproductive health and primary health services.

    Williams K; Warren C; Askew I

    [New York, New York], Population Council, 2010 Oct. [56] p.

    The goal of this guidance document is to provide a framework for developing an essential sexual and reproductive health (SRH) package. It focuses on two priority areas: 1) integrating family planning into maternal and newborn care services, and 2) integrating services for preventing and managing sexually transmitted infections / reproductive tract infections into primary healthcare services. This guidance document comprises three sections. The Introduction explains and justifies why the development and implementation of an essential SRH package should be planned and framed within the World Health Organization's six Building Blocks of Health Systems. The second section presents the "How To" steps and checklist tools for planning, implementing and scaling up, including specific examples for the two priority areas indicated above. The third section provides the evidence-base supporting the recommendations and action-points proposed in each tool. This evidence-base includes key findings and summary recommendations from a literature review (in matrix format) and a bibliography of the references included in the literature review.
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  2. 2

    Integrating maternal and child health services with primary health care: practical considerations.

    Hart RH; Belsey MA; Tarimo E

    Geneva, Switzerland, World Health Organization [WHO], 1990. iii, 92 p.

    The introductory chapter in this book notes that it is aimed at program managers and that it examines the integration of maternal-child health services (including family planning) with primary health care. The book identifies barriers to such integration, clarifies the issues involved, and provides examples of current innovations in the field. Chapter 2 provides background information on maternal and child health and primary health care. The third chapter gives an overview of program-related issues such as putting integration in place, the use of static versus mobile health units, expanded coverage, utilization of the work-force, appropriate technology, support services, cost effectiveness, using the epidemiological concepts of relative and attributable risk, health systems research, community relations, and finances. Chapter 4 considers how to plan integrated services at the community, health center, district, and national levels. The summary contained in the final chapter points out that the integration of maternal-child health services within primary health care will lead to wider health coverage, more efficient use of personnel, and greater cost effectiveness.
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  3. 3

    Training in maternal-child health / family planning.

    United Nations Population Fund [UNFPA]

    New York, New York, UNFPA, 1990. [4], 13 p. (Programme Advisory Note)

    UNFPA has published this Programme Advisory Note to orientate its field officers and other program staff to practical issues and obstacles in the design and implementation of maternal and child health/family planning (MCH/FP) training. It serves as a manual for needs assessment, project formulation, project monitoring, and evaluation. This Note emphasizes training activities for MCH/FP services in the community, at health centers, or in the smaller hospitals. It provides a brief description of the characteristics of countries with successful MCH/FP services (e.g., a clear straightforward policy pronouncing political commitment to MCH/FP). The Note begins with addressing issues and problems in MCH/FP training as they apply to health policies, including strategies and planning for training; curricula; and teaching and assessment methodology and materials. Integration of FP, MCH, and primary health care services, decentralization, definition of job descriptions, forecasting human resource needs, and multiplier/cascade training fall under the category of health policy-related issues and problems in training. Curricula-related issues revolve around coordination with job descriptions and between learning objectives and topics and learning objectives and teaching methods, integration of MCH/FP within curricula, time allocation, control of curricula and the process of curricula development, and in-service training. Teaching and assessment methodology and materials-related issues include the need for teacher training, appropriate teaching methods, teaching facilities, teaching/learning materials, and assessment methods. The Note then covers the role of external support and technical assistance for MCH/FP training, specifically technical capacities of donor agencies, cooperation, and modality of support. The modes of support include support for within country courses, fellowships to attend overseas courses and study tours, technical advisors, and supporting teachers.
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  4. 4

    Care of mother and baby at the health centre: a practical guide. Report of a technical working group.

    World Health Organization [WHO]. Division of Family Health. Maternal Health and Safe Motherhood Programme

    Geneva, Switzerland, WHO, Division of Family Health, Maternal Health and Safe Motherhood Programme, 1994. [3], 55 p. (Safe Motherhood Practical Guide; WHO/FHE/MSM/94.2)

    This report is designed for health planners and program managers to improve access to health and to decentralize maternal and newborn health care. It covers secondary care services that traditional birth attendants (TBAs), midwives, and other nonphysician health workers in health centers can perform. Specifically, it defines the tasks and skills required to provide comprehensive care of mother and infant at the health center and in the community. It also looks at the role of the health center in training, supervision, and continuing logistic support for community based care. The first chapter examines the health center's role in maternal health and the 3 approaches to integrated care: vertical integration, integration across time, and horizontal integration. The next chapter reviews the essential elements of obstetric and neonatal care, including sexually transmitted diseases and HIV/AIDS. Topics discussed in the chapter on developing and maintaining a functional referral system include referral protocols, functional links with referral centers, obstetric first aid, maternity waiting homes, transport and communication, and reception of referred cases in referral centers. Institutional support mechanisms (chapter 4) are training; teamwork and supervision; logistics, maintenance, and essential drugs and supplies; management, communication, and interpersonal skills; and data collection and research. Topics included in the chapter on community support systems are TBA training and retraining, integrating the TBA into the health care system, IEC, and community support mechanisms for the health of mothers and newborns. The last chapter revolves around evaluation and monitoring, including estimating catchment area and coverage, monitoring quality of care for mothers and newborns, performance indicators, record keeping, and home-based maternal records.
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