MCH Program Spotlight
In Demand: The ACCESS Program Gains Global Momentum in 2005
Last year, the Access
to Clinical and Community Maternal, Neonatal and Women’s Health Services (ACCESS) Program
launched its mission to improve maternal and newborn health through both field-based
implementation and global leadership. At that time, ACCESS had three field-supported
country programs, and now—one year later—the Program has 12 country programs and ongoing
activities in over 20 countries worldwide.
ACCESS Director Koki Agarwal attributes the increase in demand
to the fact that "rates of maternal and newborn mortality are still very high, and
many countries are recognizing that they are not on track for meeting Millennium
Development Goals 4 [to reduce child mortality] and 5 [to improve maternal
health]."
For example: In Nepal, the
U.S. Agency for International Development (USAID) is seeking to strengthen the
country's efforts to reduce newborn mortality due to low birth weight (LBW). In
response, ACCESS is creating and testing a community strategy to identify and
manage LBW infants. The Program will also assist in developing new health care
policies and a multi-cadre training package for skilled birth attendants.
The increase in demand also reflects countries' confidence and interest
in ACCESS as USAID's global flagship program for improving maternal and newborn health.
And because ACCESS is implemented through such a rich
partnership, ACCESS has the
technical and programmatic expertise to support the full range of household-to-hospital
interventions. Agarwal believes that this focus on bringing life-saving services as
"close to home" as possible "resonates deeply in many developing countries."
For example: As a result of the Jhpiego-led workshop
Preventing Postpartum Hemorrhage: From Research to Practice,
and the enthusiasm of Afghans in attendance, ACCESS is now leading a project in
Afghanistan to demonstrate the use of misoprostol
in preventing postpartum hemorrhage at home births. Once scaled up, this
intervention could have a significant impact on maternal mortality in that
country, as more than 95% of births occur at home in Afghanistan, often
unattended by a skilled provider (midwife, doctor).
Finally, because there are so many vital areas in reproductive and
child health competing for limited funds, programming has to be very creative.
"Coming up with innovative ways of integrating new or improved interventions with
existing services is absolutely essential," explains Agarwal.
For example: In Tanzania, ACCESS has used
antenatal care (ANC) as a platform for other essential maternal and newborn health
services, such as counseling to prevent mother-to-child-transmission of HIV/AIDS,
prevention of malaria in pregnancy, testing and treatment for syphilis in pregnancy,
and infection prevention. ACCESS is training teachers and clinical instructors in
nurse-midwifery schools in these strengthened ANC services, as well as reaching
out to nurse-midwives already in practice.
As the strengths and capabilities of ACCESS continue
to grow over the next few years, the Program looks forward to becoming even
more responsive to country needs—and to seeing more women and newborns
surviving to live healthy and productive lives.
About ACCESS
The ACCESS Program is the U.S. Agency for
International Development's global program to improve maternal and newborn health.
The ACCESS Program works to expand coverage, access and use of key maternal and newborn
health services across a continuum of care from the household to the hospital—with the
aim of making quality health services accessible for women and newborns. Jhpiego
implements the program in partnership with Save the Children, Constella Futures, the
Academy for Educational Development, the American College of Nurse-Midwives and
IMA World Health.
More Information
To read other spotlights, go to Program Spotlights.
For additional resources on maternal and child health, browse
our Information Sheets
and/or go to the MCH section of our
Publications Catalog.
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