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Improving Child Survival

Improving Child Survival. MATERNAL AND CHILD HEALTH INDABA July 16 th 2012 Dr Siobhan Crowley UNICEF South Africa. Our major gaps to address. Closing in on CARMMA targets – known best buys. Closing quality gaps. REDUCE + MANAGE CLINICAL RISK.

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Improving Child Survival

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  1. Improving Child Survival MATERNAL AND CHILD HEALTH INDABA July 16th 2012 Dr Siobhan Crowley UNICEF South Africa

  2. Our major gaps to address

  3. Closing in on CARMMA targets – known best buys

  4. Closing quality gaps REDUCE + MANAGE CLINICAL RISK IMPROVE CLINICAL PERFORMANCE AND EVALUATION CLINICAL GOVERNANCE DEVELOP + MAINTAIN PROFESSIONAL STANDARDS INVOLVE AND ENGAGE PATIENTS Apply NCP ETAT IMCI WHO: DISTRICT CLINICAL SPECIALISTS (+DMT)

  5. Closing coverage gaps Promote knowledge of key family practices and care seeking WHO: PHC outreach teams, PHC supervisors/facilitators Demand Integration of services Incentivize /reward health promoting activities Supply Outreach and scheduled child health events Improve staff responsiveness Flexible responsive organization of services Consistent secure supplies WHO: DMT/PHC OP MANAGERS

  6. Closing equity gaps RESOURCES ALLOCATED by population size, local resources + healthcare needs Addressing inequity REDUCE LOCAL PHYSICAL BARRIERS e.g. transport voucher, Know who, how many and where these children are REDUCE LOCAL ATTITUDE BARRIERS Conditional cash transfers REDUCE COST BARRIERS Insurance/vouchers/subsidy Understand why they are excluded or missing services GLOBALLY- FOR SCEDULABLE/NON ACUTE SERVICES PHC/OUTREACH IS BEST BUY TO REACH EXCLUDED

  7. Other key ingredients • Leadership and coordination ( why we are here!) • Accountability (beyond clinical governance) • Improving data quality + use within programming • True integration - at point of service delivery and in planning • Recognizing role of community + women • Targeted communication on healthcare + health promotion messages

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