![]() NoS also spearhead innovative approaches such as a simulation-based mentorship program to maintain essential clinical skills among rural health care providers and an MNH helpline that supports these providers in clinical decision-making, particularly in emergencies. Many network activities are co-financed by the municipalities leveraging a financially sustainable adoption-at-scale solution that addresses the systemic health care access disparities disproportionately affecting mothers and newborns in last-mile environments. NoS build local capacity through a participatory model and target infrastructure, local leadership, and local communities over a six-year period. All NoS exhibit core system-strengthening NoC functional elements, such as constructing new birthing centers and providing equipment, along with relational elements such as promoting local ownership, supporting mentorship, and connecting providers from the community level through to tertiary care. These NoS are examples of Networks of Care (NoC). In collaboration with all levels of the health system, OHW forms Networks of Safety (NoS) to provide quality MNH care in some of Nepal’s most remote and difficult-to-access geographies. The international nongovernmental organization One Heart Worldwide (OHW) supports the Government of Nepal’s national plan to provide quality MNH services to pregnant women and their newborns living in rural areas. Surya Bhatta 1, Katherine Kalaris 2, Sibylle Kristensen 1 1One Heart Worldwide 2University of OxfordĪlthough improvements made in maternal and newborn health (MNH) have increased maternal and neonatal survival in Nepal, challenges remain for the country to reach Stage V of the obstetric transition. This panel will provide an overview of the NoC approach, and highlight examples and results of NoC from three countries: Kenya (Makueni County), Nepal (One Heart Worldwide), and Zambia (integrated sexual, reproductive, maternal, and newborn health program). The NoC approach has been implemented in many contexts. Future opportunities include scaling up the NoC approach at national and sub-national levels and addressing gaps in the evidence base. Functional NoC enable collaborative learning and coordinated continuity of respectful and quality care to optimize linkages for efficient and resilient health systems, and to ultimately improve maternal and newborn survival and well-being. NoC emphasize relational elements, such as empowered multidisciplinary teams, respect, teamwork, trust, communication, collaboration, leadership, and supportive supervision and mentorship, which differentiate it from other health systems strengthening approaches. NoC are an innovative approach to optimize health system functioning, intentionally creating and strengthening health system relationships to support transformational change in maternal and newborn health. ![]() ![]() One documented successful approach is Networks of Care (NoC). ![]() Additional transformational and catalytic approaches are needed to provide high-quality respectful patient-centered care to further improve maternal and newborn well-being and survival. Katherine Kalaris 1, Allisyn Moran 2 1University of Oxford 2World Health Organizationĭespite global progress in reducing preventable maternal and newborn deaths, high rates of maternal and newborn morbidity and mortality continue, mainly due to poor quality of care. ![]()
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