Phase I: Defining the Need for Change

The team agreed that the poor quality of services at maternity facilities, as manifested in lack of compliance with clinical and infection prevention standards, stock outs of essential supplies and poor monitoring and supervision, is a main contributor to poor access and health outcomes of mothers and neonates. They agreed on two major changes: 1) introduce a number of evidence-based best practices to maternity services, and 2) establish facility-based teams and build their capacity in quality improvement to implement and monitor those best practices. 


The team addressed the gaps through adoption and scaling-up of the following initial eight best practices, while keeping in mind that additional best practices will be added gradually:

  1. Essential newborn care/infection prevention
  2. Kangaroo Mother Care (KMC)
  3. Immediate and exclusive breastfeeding
  4. Postpartum family planning (PPFP)
  5. Healthy Timing and Spacing of Pregnancies (HTSP) counseling and education
  6. Lactational Amenorrhea Method of contraception (LAM)
  7. Vitamin A
  8. BCG vaccine to newborns  

Phase II: Planning for Demonstration and Scale-up