In response to a request by the USAID funded Maternal and Child Health Integrated Program (MCHIP) <http://www.mchip.net/> , and building on existing health systems frameworks, we developed a framework that positions maternal, neonatal and child health (MNCH) interventions within the broader health system. The framework presents a structure to organize information and assess how various health systems strengthening (HSS) initiatives might operate within a health system to cause changes that result in improved MNCH.
This framework puts particular emphasis on the following aspects of the health system:
- The role of individuals, households and communities as producers of health as well as users of health services produced by the health care sector
- The importance of initiatives that change behaviors and induce health-improving actions throughout the health system: from the level of the individual to that of the service provider, to the local government level, and all the way up to the national policy level
- The linkages between HSS initiatives and MNCH results
- The complementarities between different HSS initiatives
(Both the document introducing the framework <http://www.mchip.net/sites/default/files/mchipfiles/HSS%20and%20MNCH%20Framework_final.pdf> and a shorter how to guide <http://www.mchip.net/sites/default/files/mchipfiles/HSS%20and%20MNCH%20HowTo_Brief.pdf> are available on the MCHIP website)