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Table 1 Papers organised by intervention package showing differing priority health system building blocks.

From: Scaling up quality care for mothers and newborns around the time of birth: an overview of methods and analyses of intervention-specific bottlenecks and solutions

Theme

Paper

Time of care

 

Tracer(s)

Health systems building blocks with most severe bottlenecks

Quality of care at birth for all newborns

2

Labour and delivery

Skilled Birth Attendance

Basic Emergency Obstetric Care

Comprehensive Emergency Obstetric Care

• Clean birth kits or delivery sets, oxytocin and partograph

• Assisted vaginal delivery

• Caesarean section and blood transfusions

Health workforce, health financing

Health service delivery

Health financing, health service delivery

 

3

Imminent labour

Antenatal corticosteroids for management of mothers at risk of preterm labour

• Antenatal corticosteroids for fetal lung maturation

Health information systems, health service delivery, essential medical products and technologies

 

4

Immediate postnatal

Essential Newborn Care

Resuscitation

• Cleanliness, thermal control (including drying and wrapping, skin-to-skin contact, and delayed bathing) and support for breastfeeding

• Bag and mask

Health financing, health service delivery

Health workforce, essential medical products and technologies

Care of the small and sick newborns

5

Postnatal

Kangaroo Mother Care

• Not applicable

Leadership and governance, health financing, health workforce, health service delivery, community ownership and partnership

 

6

 

Treatment of neonatal infections

• Injectable antibiotics

Health financing, health workforce, health information systems, community ownership and partnership

 

7

 

Inpatient supportive care for sick and small newborns

• Intravenous fluids, feeding support, and safe oxygen

Health financing, health workforce, community ownership and partnership

Measurement and accountability

8

Indicators: Count every newborn: a measurement improvement roadmap for coverage data

 

9

Perinatal audit: Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby