Maternal and newborn health programmatic transition framework: manual for making strategic choices for accelerating transition to the next phase

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World Health Organization

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[vi], 23 p.
The Maternal, newborn and stillbirth programmatic transition framework is a practical WHO guidance document designed to support countries in accelerating progress towards the Sustainable Development Goals related to maternal, newborn and stillbirth mortality. Using a primary health-care and multisectoral approach, the framework helps health planners assess a country’s current phase of mortality transition, identify key programmatic and health systems barriers, and prioritize strategic actions to advance to the next phase. The manual describes a structured process involving transition assessment, problem mapping, strategic prioritization, policy dialogue and integration of findings into national and subnational development plans. The document presents step-by-step guidance for applying the Transition assessment tool, which examines maternal and newborn health programme coverage, health systems levers, community enablers and multisector determinants. It outlines methods for conducting technical assessments, organizing multisectoral consultations and selecting evidence-informed transition accelerators adapted to country contexts. The publication also describes the development and pilot testing of the framework and emphasizes the importance of coordinated governance, monitoring and planning to reduce inequities and improve maternal and newborn health outcomes.

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