Objectives and Outputs:
The overall goal of our work on Reproductive, Maternal, Newborn and Child Health (RMNCH) is to end preventable maternal, newborn and child deaths. One contribution to this is to achieve universal access to the integrated continuum of care for RMNCH services. This requires equitable progress which ensures access for the poor and excluded groups urgently.
Through this report, we aim to offer a conceptual approach that links RMNCH, health system strengthening and Universal Health Coverage. We will complement existing academic evidence with new analysis from Nigeria and will outline clear recommendations for policy makers on what is needed to make further progress.
Specific objectives are:
- To conduct analysis on access to the RMNCH continuum of care and identify what factors are preventing or contributing towards this – including financial and non-financial barriers, systematic discrimination, etc – with a focus on inequalities and excluded groups. This will look at the health system policies which are affecting access, including funding, charging, distribution of health resources, and the balance between primary Health care and other levels. This will draw on research from Nigeria (see below for details), evidence from StC programmes, and complemented by existing literature.
- To explore how RMNCH services can support and/or be the first priority within broader strategies on universal health coverage, by focusing on practical examples (drawing on states in the country , evidence from StC programmes, and wider examples from existing literature).
- To increase pressure on governments, through targeted advocacy, media and campaigning around the launch of policy products, to pursue policies to expand access to comprehensive, free and universal health services for RMNCH as the first priority, within national strategies on universal health coverage. Strong links will also be made with the SDGs – in particular the focus on maternal and child health and UHC – and national implementation of the goals.
- To present the case to global RMNCH advocates and actors within the UHC movement for RMNCH and primary care as the first priority in moving towards UHC. (This will draw on research showing the rationale in terms of rights, health outcomes, cost effectiveness, effects on the wider health system).