Work package 2 - Critical review of maternal and newborn health policies in the four study countries

 

Overall objective

To review local maternal and newborn health policies on postpartum maternal and newborn care and on community participation in health care delivery.

 

Specific objectives
  • To conduct maternal and newborn health policy review on contents and actors regarding postpartum and newborn care at national and study unit levels in the four selected African countries;

  • To conduct maternal and newborn health policy review on contents and actors regarding community participation in health care delivery in the four selected African countries; and

  • To use the policy review results and information as baseline for work package 3, 4 and 7.

     
Description

This work package is part of the first research phase and will explore the local contextual environment of the research intervention to strengthen postpartum and newborn care. A critical review will be conducted of the maternal and newborn health policies regarding postpartum and newborn care and community participation in maternal and child health in the four African countries participating in this research project.

The review will include a detailed analysis of:

  • whether and how policies reflect the 'evidence';

  • the extent to which policies are integrated;

  • the effects of existing funding and government arrangements on integration;

  • the extent to which policies are/can be adapted to local context, conditions and needs;

  • the extent to which they accommodate equity challenges;

  • and the process for managing tensions and trade-offs in priority-setting.

Results of this review will also show to what extent policies are in line with internationally adopted standards. In this context the policy analysis will verify whether WHO-guidelines are consistent with national health policies.

This review will be used to inform the design of the country specific packages of interventions to improve postpartum and newborn health (work package 5). These packages will be designed in coordination and collaboration with local and national authorities, clinicians and other relevant stakeholders at the study sites and they will be in line with existing health policies, available resources and ethical requirements. The policy review will also provide essential information for the detailed situational analysis of maternal and newborn health care at the study sites (work package 3) regarding:

  • integrating women-oriented services within child-health clinics,

  • strengthening existing postpartum services, and

  • introducing / strengthening community-based services for maternal and newborn health.

The expected outcomes of work package 2 are the following: 
1) a model and methodology for the maternal and newborn health policy review in the individual research countries and for comparative policy analysis across the participating countries,
2) a comprehensive policy analysis containing aspects of applicable health policies on postpartum and newborn care and community participation in health care delivery at the study areas.