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Home : Program Approach : Policy and Advocacy

Policy and Advocacy

Line of women carrying a banner about safe motherhood, with trees in background

National safe motherhood rally

ACCESS plays a lead role in advocating for policies and programs to improve maternal and newborn health and survival. Policy change may involve developing new policies, reforming existing policies, or eliminating policies that serve as barriers to effective programs and services. Policies are essential because they determine the priorities, objectives, roles and responsibilities, standards, operational mechanisms, and resources needed for program development, implementation and evaluation.

The program’s activities include work with global, national and local alliances to draw attention, commitment and resources to the cause of maternal and newborn health. The goals of program are to improve access to high-quality maternal and newborn health services, increase resource allocation for maternal and neonatal health, strengthen collaboration, and support long-term sustainability.

Global, National and Local Alliances

ACCESS promotes a multi-sectoral, participatory approach to policymaking and program implementation. ACCESS collaborates with the World Health Organization; the Partnership for Maternal, Newborn & Child Health; the Healthy Newborn Partnership; the White Ribbon Alliance; the International Confederation of Midwives; the Malaria in Pregnancy Working Group; and other organizations, including faith-based organizations. ACCESS also works to strengthen local networks and alliances and to link them to global coalitions to help mobilize interagency collaboration on maternal and newborn health.

Through global and local alliances, ACCESS provides leadership in:

  • Increasing international, national and subnational attention and commitment to maternal and newborn health care
     
  • Developing strategies that increase equity for the most vulnerable
     
  • Integrating approaches to strengthen and expand essential maternal and newborn care into existing health systems

Policies and Guidelines

ACCESS also works to influence and support the development and implementation of national policies, guidelines and health systems that contribute to key maternal and newborn health programs. This includes, for example:

  • Ensuring that accurate and up-do-date information is provided to decision makers for policymaking
     
  • Providing technical assistance to improve planning and financing of maternal and neonatal health programs
     
  • Improving the content of curricula and education systems for maternal and newborn health professionals
     
  • Addressing policy barriers, such as limits on which personnel can provide maternal and newborn care services
     
  • Ensuring that key maternal and newborn health indicators are included in routine information systems and periodic national sample surveys
     
  • Educating and advocating with donors and stakeholders to make maternal and newborn health a high priority

Policy Analysis

ACCESS uses a variety of policy and advocacy techniques and tools that can be used to stimulate policy dialogue and strategic planning for maternal and newborn health. Among the models and tools used by the ACCESS Program to support policy and planning are Constella Futures’s Safe Motherhood Model and AED’s REDUCE and ALIVE models.

The policy tools effectively integrate both quantitative and qualitative data for decision-making and encourage the participation of affected groups. The tools take into account "real world" issues such as resource allocation and gender in addition to political, economic, and cultural factors. Safe Motherhood Model and REDUCE and ALIVE are interactive computer models that estimate the consequences of maternal and newborn illness and death rate in specific national contexts.

These models are intended to:

  • Support priority-setting dialogue by supporting improved maternal and newborn health action plans, with increased efficiency in the use of funding resources
     
  • Create a better dialogue between all stakeholders regarding maternal and newborn health priorities

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