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A Pakistani mother lays next to her sleeping newborn, her left hand on the baby's chest

Home : Program Approach : Overview


ACCESS promotes the continuum of care from the household to the hospital, focusing in particular on household health practices and care seeking behaviors.

The program's approach links the household, local clinic and community health workers, and hospital facility. ACCESS supports a specific set of evidence-based practices and interventions that can be delivered at each level of care.

Technical Interventions

To support the household-to-hospital continuum of care, ACCESS uses a comprehensive technical approach based on the following components:

  • Community interventions that are evidence-based. Using data to identify barriers to and promoters of health services, ACCESS then implements proven cost-effective approaches to both address the barriers and strengthen the capacity of promoters.
  • Clinical interventions that are designed to strengthen facility and provider operation through a performance improvement strategy called standards-based management. This approach allows objective and continuous assessment of a health facility’s ability to provide quality, evidence-based care.
  • Policy and advocacy activities that raise awareness about the magnitude of newborn and maternal mortality and facilitate policy change to improve newborn and maternal mortality. The goals of policy change are to improve access to high-quality services, increase resource allocation for maternal and neonatal health, strengthen collaboration and support long-term sustainability.
  • Postpartum family planning (PPFP) is a critical component of any maternal, newborn and child health program. PPFP helps to reduce the number of unwanted pregnancies and maternal and infant deaths that could result from these pregnancies. Similarly, PPFP helps to reduce the number of births to women at the extremes of reproductive age and assists women to space their births at least three years apart, thus increasing the health and survival prospects of women and infants. ACCESS supports efforts to integrate PPFP in MNCH programs through ACCESS-FP.
  • USAID and other special initiatives, wherein ACCESS incorporates strategies for responding to specific maternal and newborn problems with targeted and/or integrated interventions. Examples of such problems include malaria during pregnancy, postpartum hemorrhage, mother-to-child transmission of HIV/AIDS and obstetric fistula.

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