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Sample text

It also needs clear communication with a broad stakeholder buy-in, careful monitoring to ensure that official fees are not replaced by informal fees, and appropriate management of the alternative financing mechanisms which are replacing user fees. Ensuring universal access to a continuum of quality maternal, newborn and child health care is not merely a question of finding money to expand the supply of services or to pay providers. Reaching the health-related MDGs will require that financing strategies focus on overcoming financial barriers to women’s and children’s access to services and give users predictable protection against the financial hardship that may result from paying for care.

Population-oriented scheduled services, including scheduled services provided by skilled or semi-skilled health staff, such as auxiliary nurses or birth attendants and other paramedical staff, through outreach or in facilities. , interventions requiring health workers with advanced skills, such as registered nurses and midwives or physicians, available on a permanent basis. Combining the delivery of interventions according to age-specific contacts with health and nutrition services can generate economies of scale in terms of both cost and time, and enhance the number of services that are accessible to children and mothers.

Improving and harmonizing national health plans IN November 2007, at the Second Pan-African Forum on Children, held in Cairo, the African Union endorsed the ‘Strategic Framework for Reaching the Millennium Development Goals on Child Survival in Africa’, which had been developed by UNICEF, the World Health Organization and the World Bank. Even before that, however, ministries of health throughout the continent had been revisiting and revising their national health plans along the lines of the Strategic Framework.

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