Table 8 Community-Based Strategies and Constraints
Overarching Goal: To achieve the maximum reduction in stillbirths and neonatal deaths due to preterm births by implementing effective community-based approaches at high coverage within the continuum of maternal and newborn care. We aim to achieve by 2020, a one-third reduction in stillbirths and two-thirds reduction in neonatal mortality due to preterm birth in 68 high mortality countries | |||||
|---|---|---|---|---|---|
| Â | Milestones* | Â | |||
Output | Post-Conference (by 2010) | Short-Term (by 2012) | Intermediate (by 2015) | Long-Term (beyond 2015) | Success Metrics |
A. Deploy, strengthen and sustain community health workers (CHWs) at scale | 1. Endorse community-based intervention packages as essential to addressing these problems at scale 2. Strengthen the Global report on preterm birth and stillbirth with evidence-based community mechanisms (done) 3. Map current packages delivered by community-based MNH workers in different countries | 4. Create global consensus on community-based intervention packages for scale-up 5. Study process of current community-based interventions to expand evidence base for delivery and scale-up 6. Introduce community-based packages in at least 10 countries | 7. Introduce community-based packages in remaining Countdown countries | 8. All LMICs have sufficient numbers of well-trained, eguipped and supervised CHWs to deliver community interventions at high and eguitable coverage | • Marked increase in coverage of community-based interventions • Reduced neonatal mortality and stillbirth rates |
B. Build capacity of community to identify, promote and monitor actions | 1. Start review of successful experiences with community based problem-identification and monitoring | 2. Support community-based health information systems in a few countries | 3. Scale up community-based information systems in a large number of countries | 4. All LMICs have high coverage of community-based information systems | • Marked increase in the availability of health data at community level in all countries |
C. Promote and enhance support structures for CHWs and communities | 1. Identify key elements of support system for CHWs and community-based interventions (e.g., training, supervision, drug supplies, and educational materials) 2. Strengthen the Global report on preterm birth and stillbirth with evidence-based community delivery mechanisms | 3. Obtain consensus on intervention packages that can be delivered at the community level and scaled up, initially in a few countries 4. Advocate for strengthening the support systems for CHWs and other community-based MNCH interventions | 5. Scale up community-based interventions to remaining countries 6. Analyze evidence and experiences of interventions delivered in short-term | 7. Ensure the sustainability of CHWs and community-based systems | • Reduction in the stillbirth rate by one-third and newborn mortality due to preterm birth by two-thirds |