Program Approach :
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.
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
- 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
- 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.