Our Focus

Quality of care

© UNFPA/Eduard Bîz.
Valentina, from Odessa, Ukraine, while in labour at the Municipal Clinical Hospital Nr.1 from Chisinau, Moldova,  in April 2022.

There has been an unprecedented improvement in access to essential care and services in the past ten years; yet, women, adolescent girls and babies continue to die at an unacceptable rate during pregnancy, childbirth and the first month after birth.

The culprit is the quality of the care they receive. In fact, poor-quality care is responsible for more deaths than lack of access to care in low-and middle income countries.

‘Quite honestly, there can be no universal health coverage without quality care.

– World Health Organization Director-General Dr Tedros Adhanom Ghebreyesus.

©UNFPA/Luis Tato.
Yvonne (right) waits along with other pregnant women to be attended by a midwife prior to a screening with portable ultrasound technology at Ntimaru Sub County Level 4 Hospital in Kehancha, Migori County, Kenya in June 2022.

Quality health services provide care that is:

The World Health Organization released in 2016 a Maternal, Newborn and Child Health Quality of Care Standards Framework detailing the components of quality care and what it takes to implement it:

Many countries are building quality into their health systems,  an arduous process to change at national, subnational and community levels the way health services are designed – with the engagement of the communities they serve – and provided. 

Improving quality of care requires:

See also the work of the Quality of Care Network.

Source: Quality of Care, World Health Organization https://www.who.int/health-topics/quality-of-care.

The impact

* The Lancet Global Health Commission on High Quality Health Systems in the SDG Era.
**  and *** Key data https://www.who.int/news-room/fact-sheets/detail/quality-health-services.

Every Woman Every Newborn Everywhere calls for quality care as an essential step to reduce maternal and newborn mortality and stillbirths.

©UNFPA/Zaeem Abdul Rahman.
A midwife, who is supported by the UNFPA Mobile Health Team, providing services to a patient in the earthquake affected Gayan District, Paktika, Afghanistan, in July 2022.

News and events

Resources

Maternal and Newborn Health Fund Annual Impact Report 2024

Since 2010, countries supported by the Maternal and Newborn Health Fund have reduced maternal mortality by 40%, nearly twice the global rate, contributing to avert an estimated 75,000 maternal deaths. The Maternal and Newborn Health Fund is UNFPA’s flagship initiative to expand equitable access to quality reproductive, maternal, and newborn healthcare.

The Fund’s Annual Impact Report 2024, released this month, details significant progress in reducing maternal and newborn mortality in 32 priority countries. In particular, the report highlights the impact of training and deploying midwives, enhancing emergency obstetric and newborn care, supporting national maternal and perinatal death surveillance and response systems and providing surgical fistula repair.

Download the report

Programme manager’s handbook for maternal, child and adolescent health

The World Health Organization maternal, newborn, child and adolescent health e-handbook is a new resource for Ministry of health programme managers. It offers  step-by-step guidance for implementing effective health programmes, from planning to monitoring and evaluation, with concise overviews of key activities and interventions along the life course.  The e-handbook references WHO documents, to ensure that programme managers have access to evidence-based strategies and best practices tailored to various contexts.

This e-handbook contains a prioritised list of documents; for a full list of documents go to the resource library for maternal, newborn, child, adolescent health and ageing: https://uhcc.who.int/mca/

Born Too Soon Supplement

A new journal supplement, “Born Too Soon: progress, priorities and pivots for preterm birth,” led by PMNCH, was published in BMC Reproductive Health last month. The supplement adapts and expands the content from the 2023 WHO report “Born Too Soon: A Decade of Action on Preterm Birth.”

Globally, a baby is born preterm every two seconds, and a preterm newborn dies every 40 seconds, making preterm birth the leading cause of under-five deaths.

Authors highlight the progress made in the last decade, outline the need for improved data to enhance programs, and emphasize the necessity for comprehensive, high-quality, and respectful sexual, reproductive, and maternal health services.  They call for investments in small and sick newborn care to ensure equitable access, particularly in conflict areas and among marginalized populations.  For the first time, this supplement also focuses on human rights law and global health processes and their role in upholding the rights of women, babies, parents, families, and healthcare providers.

Read more

Download the supplement

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