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Table 7 Prioritization of Interventions for Scaling Up

From: Global report on preterm birth and stillbirth (7 of 7): mobilizing resources to accelerate innovative solutions (Global Action Agenda)

Overarching Goal: Reduce stillbirths and mortality due to preterm birth through development and application of dynamic processes that engages stakeholders for prioritization of evidence-based and context-specific interventions, delivered with high coverage and equity
  Milestones*  
Output Post-Conference (by 2010) Short-Term (by 2012) Intermediate (by 2015) Long-Term (beyond 2015) Success Metrics
A. Advocate use of evidence in prioritization among stakeholders 1. Among stakeholders, advocate the use of evidence for developing context-specific intervention priorities
2. Involve local stakeholders responsible for implementation in prioritization process
3. Inform donors
4. Contribute to the development of a generalized process for intervention priority-setting
5. Identify opportunities for using priority-setting tools in LMICs and support their implementation
6. Contribute to continuous refinement of prioritization processes and intervention tools 7. Intervention prioritization processes are mainstreamed in policy decisions throughout the world • Increase in stakeholders utilizing evidence-based processes of prioritizing interventions to reduce preterm births and stillbirths
B. Ensure inclusion of preterm birth and stillbirth interventions into existing prioritization processes 1. Utilize opportunity to raise profile of these two issues in relation to MDGs4and5
2. GAPPS to support efforts led by JHSPH to develop LiST tool, as this may be adapted to PTB and SB
3. Enhance decision support tools (e.g. LiST, CHOICE, MBB) to address potential effects on mortality and cost implications for scaling up interventions directed at stillbirths and preterm births
4. Develop process for identifying factors outside scope of existing decision support tools and incorporating these factors in estimates
5. Decision support tools that incorporate stillbirths and preterm deliveries are disseminated in LMICs 6. All countries use decision making tools • Increased, equitable coverage of selected interventions that are appropriate to the context that they are applied
C. Select best intervention candidates for scale-up in health facilities 1. Prioritization for scale-up in areas with moderate to high utilization/access to health care facilities for antenatal care and delivery 2. Scale up evidence-based intervention use within facilities providing maternal and neonatal care
3. Implement and scale up interventions that are appropriate to context and resources
4. Increase equity of access to facilities and their interventions
5. Facility-based interventions are scaled up in all appropriate areas in LMICs 6. Newly developed and existing facility-based interventions are regularly subjected to prioritization exercises to take into account changes in technology, demographics, burden of disease and costs • Successful development and utilization of advanced processes, methods and tools used to prioritize facility interventions that leads to high coverage and contributes to improving population health
D. Select best intervention candidates for scale-up in communities and homes 1. Prioritization for scaling up interventions in areas with low access to health care facilities 2. Scale up home-based care that is context- and resource-appropriate
3. Strengthen capacity for community case management of pregnancy and neonatal health to expand list of interventions that can optimally be scaled up
4. Community-basedinterventions are scaled up in all appropriate areas in LMICs 5. Newly developed and existing community based interventions are regularly subjected to prioritization exercises to take into account changes in technology, demographics, burden of disease and costs • Successful development and utilization of advanced processes, methods and tools used to prioritize community interventions that leads to high coverage and contributes to improving population health
  1. *Milestones are to be reached by no later than December of the year indicated.
A GLOBAL ACTION AGENDA ON PRETERM BIRTH AND STILLBIRTH