Asunto(s)
Mortalidad Infantil , Mortinato , Femenino , Humanos , Recién Nacido , Mortalidad Materna , Embarazo , Mortinato/epidemiologíaAsunto(s)
Partería/organización & administración , Evaluación de Programas y Proyectos de Salud/métodos , Sociedades de Enfermería/organización & administración , Afganistán , Humanos , Partería/tendencias , Evaluación de Programas y Proyectos de Salud/tendencias , Sociedades de Enfermería/tendenciasRESUMEN
Building upon the World Health Organization's ExpandNet framework, 12 key principles of scale-up have emerged from the implementation of maternal and newborn health interventions. These principles are illustrated by three case studies of scale up of high-impact interventions: the Helping Babies Breathe initiative; pre-service midwifery education in Afghanistan; and advanced distribution of misoprostol for self-administration at home births to prevent postpartum hemorrhage. Program planners who seek to scale a maternal and/or newborn health intervention must ensure that: the necessary evidence and mechanisms for local ownership for the intervention are well-established; the intervention is as simple and cost-effective as possible; and the implementers and beneficiaries of the intervention are working in tandem to build institutional capacity at all levels and in consideration of all perspectives.