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Essential

Interventions,
Commodities
and Guidelines
for Reproductive,
Maternal, Newborn
and Child Health

A Global Review of the key Interventions
related to Reproductive, Maternal, Newborn
and Child Health (RMNCH)

This document is designed for an audience of policy-makers who seek information on the specific health interventions
to address the main causes of maternal, newborn and child deaths.

It is the result of collaborative work among many partners. The process was led by the World Health Organization,
Switzerland, and the Aga Khan University, Pakistan. Experts in maternal, newborn and child health participated in
meetings in Geneva in April 2010 and September 2011 and provided inputs to the development and finalization of
this document. The contributions of the World Health Organization, the Aga Khan University, invited experts and
partners are gratefully acknowledged.

This publication, and related advocacy material, will be distributed to over 430 PMNCH partners, and other stakeholders,
primarily via the PMNCH website and knowledge portal. In addition, it will be distributed, and discussed, at selected
RMNCH advocacy events.

Publication reference: The Partnership for Maternal, Newborn & Child Health. 2011. A Global Review of the Key
Interventions Related to Reproductive, Maternal, Newborn and Child Health (Rmnch). Geneva, Switzerland: PMNCH.

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion
whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its
authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for
which there may not yet be full agreement.
The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended
by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted,
the names of proprietary products are distinguished by initial capital letters.
All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication.
However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for
the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages
arising from its use.

Photos: Front cover, UNICEF/NYHQ2006-0779/Shehzad Noorani, UN Photo/Eskinder Debebe and
UNICEF/BANA2006-01117/Munira Munni; page 16, WHO/Christopher Black; page 18, Joshua Roberts/Save the Children (Mali);
page 21, UN Photo/Albert Gonzalez Farran; page 22, UNICEF/NYHQ2006-0990/Shehzad Noorani; back cover,
WHO/Christopher Black, UNICEF/BANA2009-00924/Shehzad Noorani, UNICEF/MADA2009-00025/Giacomo Pirozzi
and UN Photo/Evan Schneider.
Design: Roberta Annovi.

22 Bibliography Pg. 10 Reproductive and maternal health interventions Pg. 4 Executive Summary Pg. newborn and child health? Pg. maternal. Index One-page summary of essential interventions Pg. 26 A Global Review of the key Interventions related to RMNCH 3 . 6 Methodology Pg. 12 Newborn care interventions Pg. 19 Cross-cutting community strategies Pg. 6 Why reproductive. 17 Child health interventions Pg. 7 Evidence-based findings Pg. 23 Acknowledgements Pg.

Maternal. Continuum Adolescence & Pregnancy Childbirth of care pre-pregnancy (Antenatal) All levels: ‚‚Family planning ‚‚Iron and folic acid supplementation ‚‚Prophylactic uterotonics to (advice. Newborn and Child Health .One-page summary of essential interventions Essential. barrier ‚‚Low dose aspirin to prevent stage of labour (to deliver and selected surgical pre-eclampsia the placenta) to prevent methods) postpartum haemorrhage ‚‚Antihypertensive drugs (to treat high (as above plus controlled blood pressure) cord traction) ‚‚Magnesium sulphate for eclampsia ‚‚Management of postpartum ‚‚Antibiotics for preterm prelabour haemorrhage (as above plus rupture of membranes manual removal of placenta) ‚‚Corticosteroids to prevent respiratory ‚‚Screen and manage HIV distress syndrome in preterm babies (if not already tested) ‚‚Safe abortion ‚‚Post abortion care Referral* ‚‚Family planning ‚‚Reduce malpresentation at term with ‚‚Caesarean section for (surgical methods) External Cephalic Version maternal/foetal indication ‚‚Induction of labour to manage (to save the life of the prelabour rupture of membranes at mother/baby) term (initiate labour) ‚‚Prophylactic antibiotic for caesarean section ‚‚Induction of labour for prolonged pregnancy (initiate labour) ‚‚Management of postpartum haemorrhage (as above plus surgical procedures) Community ‚‚Home visits for women and children across the continuum of care strategies ‚‚Women’s groups 4 Essential Interventions. Commodities and Guidelines for Reproductive. maternal. supplementation to including with antiretroviral medicines ‚‚Social support during prevent neural tube childbirth defects ‚‚Calcium supplementation to prevent hypertension (high blood pressure) ‚‚Interventions for cessation of smoking Primary and ‚‚Family planning ‚‚Screening for and treatment of syphilis ‚‚Active management of third referral (hormonal. hormonal ‚‚Tetanus vaccination prevent postpartum Community and barrier methods) haemorrhage (excessive ‚‚Prevention and management of bleeding after birth) Primary ‚‚Prevent and manage malaria with insecticide treated nets Referral sexually transmitted and antimalarial medicines ‚‚Manage postpartum infections. evidence-based interventions to reduce reproductive. HIV haemorrhage using uterine ‚‚Prevention and management of massage and uterotonics ‚‚Folic acid fortification/ sexually transmitted infections and HIV.

pneumococcal and rotavirus vaccines ‚‚Management of severe acute malnutrition ‚‚Case management of childhood pneumonia ‚‚Case management of diarrhoea ‚‚Screen for and initiate or ‚‚Neonatal resuscitation with bag ‚‚Comprehensive care of children continue antiretroviral therapy and mask (by professional health infected with. or exposed to. meningococcal. meningitis and pneumonia * Family planning interventions at Referral level include those provided at the Primary level A Global Review of the key Interventions related to RMNCH 5 . HIV for HIV workers for babies who do not ‚‚Treat maternal anaemia breathe at birth) ‚‚Kangaroo mother care for preterm (premature) and for less than 2000g babies ‚‚Extra support for feeding small and preterm babies ‚‚Management of newborns with jaundice (“yellow” newborns) ‚‚Initiate prophylactic antiretroviral therapy for babies exposed to HIV ‚‚Detect and manage postpartum ‚‚Presumptive antibiotic therapy for ‚‚Case management of meningitis sepsis (serious infections after newborns at risk of bacterial birth) infection ‚‚Use of surfactant (respiratory medication) to prevent respiratory distress syndrome in preterm babies ‚‚Continuous positive airway pressure (CPAP) to manage babies with respiratory distress syndrome ‚‚Case management of neonatal sepsis.newborn and child mortality. and promote reproductive health Postnatal Postnatal Infancy & childhood (mother) (newborn) ‚‚Family planning advice and ‚‚Immediate thermal care (to keep ‚‚Exclusive breastfeeding for 6 months contraceptives the baby warm) ‚‚Continued breastfeeding and ‚‚Nutrition counselling ‚‚Initiation of early breastfeeding complementary feeding from 6 months (within the first hour) ‚‚Prevention and case management of ‚‚Hygienic cord and skin care childhood malaria ‚‚Vitamin A supplementation from 6 months of age ‚‚Routine immunization plus H.influenzae.

high blood pressure. Newborn and Child Health . The lack of essential interventions to address these and other health conditions often contribute to indices of neonatal morbidity and mortality (including stillbirths.2 Although substantial progress has been made towards achieving the Millennium Development Goals (MDGs) 4 and 5. The foremost aim of this global review is to compile existing evidence on the impact of different interventions on the main causes of maternal. Commodities and Guidelines for Reproductive. Globally. The highest maternal. maternal. maternal. promote greater efficiencies and reduce duplication of resources. newborn and child health and survival are closely related and must be provided through a continuum of care approach. Maternal. these interventions can lower costs. Worldwide. The specific objectives of this review were to serve as a first step towards: ‚‚ Developing consensus on the content of RMNCH packages of interventions at each level of the health system across the continuum of care. few efforts have been made to identify synergies and integrate these interventions across the continuum of care. neonatal deaths and other adverse clinical outcomes). When linked together and included as integrated programmes. newborn and child deaths. the main causes of neonatal death are preterm birth. prolonged and obstructed labour. When required. Interventions and strategies for improving reproductive. severe infections and asphyxia. Policy and regulatory environment Policy and regulations are crucial to the implementation of any interventions. A child’s risk of dying is highest during the first 28 days of life when about 40% of under-five deaths take place.Executive Summary Why reproductive. newborn and child health? Poor maternal. The recommended list of interventions should be reviewed in light of the existing national policy and regulatory environment.6 million children die under the age of five. newborn and child health remains a significant problem in developing countries. 358 000 women die during pregnancy and childbirth every year1 and an estimated 7. ‚‚ Facilitating the scaling-up of these interventions. The common medical causes for maternal death include bleeding. there is a lack of consensus on how best to move forward in a coordinated manner so as to achieve progress towards the MDGs. newborn and under-five mortality remain insufficient to achieve these goals by 2015. these laws and policies may be reviewed and updated to ensure that priority life saving interventions are delivered.2 Good maternal health and nutrition are important contributors to child survival. translating into three million deaths. However. neonatal and under-five mortality rates are in sub-Saharan Africa and in Southern Asia.2 The majority of maternal deaths occur during or immediately after childbirth. consensus is also needed on the level of evidence. 6 Essential Interventions.2 Up to one half of all newborn deaths occur within the first 24 hours of life and 75% occur in the first week. Furthermore. Children in low-income countries are nearly 18 times more likely to die before the age of five than children in high-income countries. All interventions provided should comply with the laws and policies of the country. Despite the existing plethora of knowledge. ‚‚ Identifying research gaps in the content of core packages of interventions. the rates of decline in maternal. infections and unsafe abortions.

Integrated Management of Childhood Illness for high HIV settings (2008). WHO/UNICEF/UNFPA/World Bank (2010).3 based on current WHO recommendations contained in the following publications: Guidelines on HIV and Infant Feeding (2010). Interventions published in the Child and Neonatal Lancet Series (2003 and 2005. Integrated Management of Pregnancy and Childbirth Clinical Guidelines (2007). A Global Review of the key Interventions related to RMNCH 7 . Integrated Management of Childhood Illness (2008). 2008 Source: Estimates of maternal mortality levels and trends 1990-2008. MDG 5: trends in maternal mortality ratios. 1990 . the Pocket Book on Hospital Care for Children (2005). Recommended Interventions for Improving Maternal and Newborn Health . Methodology Search strategy A total of 142 RMNCH interventions were identified. respectively) as well as in the WHO Recommended Interventions for Improving Maternal and Newborn health (2010). WHO / UNICEF / UNPD / World Bank (2010).Figure 1: MDG 4: trends in under-five mortality.Integrated Management of Pregnancy and Childbirth (2007). assessed and selected for this review (there is a 700 page compilation of the evidence which underpins this short summary available at the PMNCH). Report 2010.2007 Source: Levels & Trends in Child Mortality.

The principal focus was on the existing systematic reviews and meta-analysis. and PubMed. The “evidence” was restricted to published systematic reviews. and (iii) the intervention is delivered through the health sector (community level up to the referral level of health care). addressing the main causes of maternal. not including single studies.and middle-income countries. the Cochrane database of abstract reviews of effectiveness (DARE). as follows: A B C D E Interventions that Interventions likely Interventions with a trade. Newborn and Child Health . Commodities and Guidelines for Reproductive. ‚‚ Interventions suitable for implementation in low. and/or settings where minimal essential care is generally available.Inclusion criteria comprised the following: (i) the intervention has an alleged impact on reducing maternal. from the community up to the first referral level of health service provision. newborn and child mortality. neonatal and child mortality. ‚‚ Interventions delivered through the health sector. including absence ineffective or harmful adverse effects of reviews This classification benefited from being broadly known. Box 1: Evidence for intervention Category Delivery strategies Action categories A Intervention evidence agreed Delivery strategy agreed Disseminate for rapid scale-up Delivery strategy Collate evidence and define gaps in evidence B Intervention evidence agreed no consensus for delivery strategies – seek consensus Intervention evidence Delivery strategy C Further research required still questioned no consensus The classification of the effect of interventions according to the evidence available was done based on that used by the Cochrane group. Relevant reviews for each intervention were identified from the following electronic databases: the Cochrane database of systematic reviews. Maternal. Classification of interventions The interventions were classified into categories A. The reference lists of reviews and recommendations from experts in the field were also used as sources to obtain additional publications. 8 Essential Interventions.and middle-income countries. Interventions of unknown Interventions likely to be are beneficial to be beneficial off between beneficial and effect. recognized and accepted since it is the classification used by the Cochrane systematic review process that has guided this exercise from the beginning. newborn and child survival. B and C. according to the framework provided in Box 1. the Cochrane database of systematic reviews of randomized control trials (RCTs). minimal essential care. (ii) the intervention is suitable for delivery in low. Selection on interventions The interventions were prioritized according to the following criteria: ‚‚ Interventions expected to have a significant impact on maternal.

District hospitals may also provide health information.Health care providers at this level include community health workers and outreach workers. technically demanding and specialized than those available at a primary care facility/first level care. services and socioeconomic resources. A Global Review of the key Interventions related to RMNCH 9 . These can be either district hospitals or referral hospitals. interventions to address childhood diseases (such as vaccine preventable diseases. acute respiratory infections. Their range of services includes diagnostics.Health care providers at this level of care include professionals. but provide a channel for reaching families with information and resources. These programmes do not substitute for a health system. care.Generally designed to serve people with services that are more sophisticated. and hospitals and national health policies on the other. It includes a range of initiatives that are associated with the Alma Ata Declaration on Primary Health Care approved by WHO in 1978. The success of community health efforts depends critically on the context. More recently. Referral level/district hospital (3) Referral level . Many countries have attempted to construct links between community-based health care resources and households for a range of health programmes. treatment. but not as specialized as those provided by referral hospitals. The health care providers at this level are professionals. Community health workers (CHWs) not only promote healthy behaviours and preventive action but can mobilize demand for appropriate services at other levels. prenatal care. First level /outreach (2) First level/outreach . It utilizes resources such as volunteers’ time. including level of development of infrastructure. District hospitals . They are also a repository of knowledge and diagnostic tools for assessing whether referral to an even more specialized facility is indicated. outreach workers as well as the community health workers. training and administrative and logistical support to primary and community health care programmes. nutrition and simple prevention and treatments. counselling and rehabilitation.The origin of evidence included the following three different levels of delivery of interventions and these were defined in the publication by the World Bank “Priorities in Health”:4 Community level / home (1) Community level/home . the WHO Commission on Macroeconomics and Health described the need for developing services that are close to the client.This level of delivery of interventions refers to hospitals in general. The basic notion is a common one: recognition that a certain range of health care services must act as an interface between families and community programmes on the one hand. skilled birth attendance and family planning). There has been substantial convergence in the content of general first level primary care over time: maternity related care (for instance. diarrhoea) and prevention and treatment of major infectious diseases. They concentrate skills and resources in one place for the delivery of interventions for conditions that are either uncommon or difficult to treat. local knowledge and community confidence and trust as channels for delivery of interventions generally related to safe motherhood.

serving as gateways for drugs and medical supplies. including advice on which patients to refer. laboratory testing services. Evidence-based findings The following table lists the interventions classified as “A” based on the criteria defined in Box 1. proper post discharge care and long-term management of chronic conditions. Commodities and Guidelines for Reproductive. or district hospital levels. Maternal. Referral hospitals can also provide important managerial and administrative support to other facilities. - 3 3 - ‚‚Provision of post abortion care Appropriate antenatal care package: 3 3 - ‚‚Screening for maternal illnesses ‚‚Screening for hypertensive disorders of pregnancy ‚‚Screening for anaemia ‚‚Iron and folic acid to prevent maternal anaemia ‚‚Tetanus immunization ‚‚Counselling on family planning. Referral hospitals . including with antiretrovirals ‚‚Prevent and manage malaria with insecticide treated nets and antimalarial medicine ‚‚Smoking cessation Reduce malpresentation at term with External Cephalic Version 3 . - 10 Essential Interventions. Newborn and Child Health . - Prevention of pre-eclampsia ‚‚Calcium to prevent hypertension 3 3 - 3 . general procurement.Referral hospitals provide complex clinical care interventions to patients referred from the community. Referral hospitals need to provide many forms of support. - ‚‚Low dose aspirin to prevent hypertension Magnesium Sulphate for eclampsia 3 3 - Induction of labour to manage prelabour rupture of membranes at term 3 . They are also the vehicle for disseminating technologies by training new staff and providing continuing professional education for existing staff at different facilities. Classification of interventions according to the level of health care delivery Intervention Referral level 1st level Community Adolescents & Pre-Pregnancy Family planning 3 3 3 Prevent and manage Sexually Transmitted illnesses including 3 3 3 Mother-to-Child Transmission of HIV and syphilis Folic acid fortification and/or supplementation for preventing Neural 3 3 3 Tube Defects Pregnancy Management of unintended pregnancy ‚‚Availability and provision of safe abortion care when indicated 3 . - Antibiotics for preterm prelabour rupture of membranes 3 3 - Corticosteroids to prevent respiratory distress syndrome in newborns 3 . primary/first. birth and emergency preparedness ‚‚Prevention and management of HIV. data collection from health information systems and epidemiological surveillance.

uterotonics.Intervention Referral level 1st level Community Childbirth Induction of labour for prolonged pregnancy 3 . uterine massage) 3 3 3 Caesarean section for maternal/foetal indication 3 . - respiratory distress syndrome Extra support for feeding small and preterm babies 3 3 - Presumptive antibiotic therapy for newborns at risk of bacterial infections 3 . - Continuous positive airway pressure (CPAP) to manage babies with 3 . - Prophylactic uterotonics to prevent postpartum haemorrhage 3 3 3 Active management of third stage of labour to prevent postpartum haemorrhage 3 3 - Management of postpartum haemorrhage (e. meningococcal. pneumococcal 3 3 3 and rotavirus vaccines Management of severe acute malnutrition 3 3 - Case management of childhood pneumonia 3 3 3 Case management of diarrhoea 3 3 3 Cross-cutting community strategies Home visits for women and children across the continuum of care .g. - Infancy and Childhood Exclusive breastfeeding for 6 months 3 3 3 Continued breastfeeding and complementary feeding from 6 months 3 3 3 Prevention and case management of childhood malaria 3 3 3 Vitamin A supplementation from 6 months of age 3 3 3 Comprehensive care of children infected with or exposed to HIV 3 3 - Routine immunization and H. . - Postnatal (mother) Family planning 3 3 3 Prevent and treat maternal anaemia 3 3 - Detect and manage postpartum sepsis 3 3 - Screen and initiate or continue antiretroviral therapy for HIV 3 3 - Postnatal (newborn) Immediate thermal care 3 3 3 Initiation of exclusive breastfeeding (within first hour) 3 3 3 Hygienic cord and skin care 3 3 3 Neonatal resuscitation with bag and mask (professional health worker) 3 3 - Case management of neonatal sepsis. meningitis and pneumonia 3 3 - Kangaroo mother care for preterm and for less than 2000g babies 3 3 - Management of newborns with jaundice 3 3 - Surfactant to prevent respiratory distress syndrome in preterm babies 3 . influenzae. 3 A Global Review of the key Interventions related to RMNCH 11 . - Prophylactic antibiotics for caesarean section 3 .

Maternal. Childbirth. 11-19 ‚‚ Surgical contraception Prevention and Community ALL ‚‚ Materials for counselling ‚‚ Sexually transmitted and other reproductive management of Primary ‚‚ Condoms (male and female) tract infections: a guide to essential practice Sexually Transmitted http://whqlibdoc. 9 ‚‚ Antibiotics in line with essential ‚‚ Rapid advice: use of antiretroviral drugs for medicine guidelines treating pregnant women and preventing ‚‚ Laboratory test kits for STI/HIV HIV infection in infants ‚‚ Antiretroviral medicines (refer to www. Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.html ‚‚ Intrauterine devices pgs 9-8.who. gels.who.abstract Defects10.html Referral tetanus16.pdf Iron and folic acid Community ALL ‚‚ Iron and folic acid ‚‚ Guidelines for the use of iron supplements supplementation Primary to prevent and treat iron deficiency anaemia during pregnancy13-15 www.int/hq/2001/WHO_ RHR_01.int/ Referral only and combined) publications/2010/9789241563888_eng.int/nutrition/publications/ Referral micronutrients/guidelines_for_Iron_ supplementation.int/surgery/publications/scdh_ manual/en/index. professional (supplemented by annex) training manuals primary. Newborn and Child Health .S.pdf ‚‚ Emergency contraceptives and ‚‚ Family Planning: a global handbook for hormonal injections providers http://whqlibdoc.pdf Transmission (PMTCT) of HIV and syphilis8.who.who.pdf 12 Essential Interventions.who.who. Childbirth. referral) health workers Preconception/periconceptual Interventions Family planning5-7 Community ALL ‚‚ Barrier methods (male and female ‚‚ Medical eligibility criteria for contraceptive Primary condoms. Preventive Services Task supplementation to ‚‚ Folic acid tablets Force Recommendation Statement Referral prevent Neural Tube www.int/hiv/pub/mtct/advice/en/index.g.annals. 17 ‚‚ Pregnancy. Postpartum and Prevention of Primary Professional ‚‚ Materials for counselling Newborn Care: a guide to essential practice Mother-to-Child health workers http://whqlibdoc. Reproductive and maternal health interventions Priority Level of care Community or Key commodities Practice guidelines and interventions (community.int/ Referral ‚‚ Condoms (male and female) publications/2006/924159084X_eng.who.30.int/ Referral ‚‚ Antibiotics in line with essential publications/2005/9241592656. flour Tube Defects: U. Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc.pdf ‚‚ Haemoglobinometer ‚‚ WHO Antenatal Care Randomized Trial: Manual for the implementation of the new model http://whqlibdoc.int/ publications/2006/924159084X_eng.who. Commodities and Guidelines for Reproductive. foams) use ‚‚ Oral contraceptives (progestin http://whqlibdoc. Postpartum and Essential Package Referral health workers ‚‚ Scale Newborn Care: a guide to essential practice http://whqlibdoc.int/ ‚‚ Sphygmomanometer publications/2006/924159084X_eng. medicine guidelines including HIV for ‚‚ Pregnancy.org/content/150/9/626. Childbirth.pdf Tetanus immunization Community ALL ‚‚ Vaccine (TT vaccine) ‚‚ Neonatal tetanus in pregnancy for Primary www.who.pdf ‚‚ Pregnancy. diaphragm.who. Childbirth.pdf Infections (STIs).int/immunization_monitoring/ preventing neonatal diseases/neonatal_tetanus/en/index.who.html the essential list of medicines) Folic acid Community ALL ‚‚ Folic acid fortification of staple ‚‚ Folic Acid for the Prevention of Neural fortification and/or Primary food e.int/ publications/2006/924159084X_eng.pdf Referral health workers ‚‚ Long acting reversible ‚‚ Surgical Care at the District Hospital contraceptives (implants) www.who. 11 Pregnancy Antenatal Care12 Primary Professional ‚‚ Fetal stethoscope ‚‚ Pregnancy.int/ Primary Professional ‚‚ All of the above plus implants publications/2011/9780978856373_eng.

int/ malaria in pregnancy ‚‚ Insecticide Treated Nets publications/2006/924159084X_eng.who.who.who. Postpartum and management of HIV Newborn Care: a guide to essential practice Primary ‚‚ Antiretroviral drugs http://whqlibdoc.who.Priority Level of care Community or Key commodities Practice guidelines and interventions (community.int/ Referral publications/2007/9241545879_eng. Childbirth. 31.int/malaria/publications/atoz/ itnspospaperfinal. 19 www.int/ during pregnancy for change interventions on improving birth Referral smoking cessation publications/2006/924159084X_eng.who. Childbirth.html Prevention and ‚‚ WHO recommendations for the prevention management of and treatment of pre-eclampsia and eclampsia hypertension in http://whqlibdoc. 32 Referral Reduce Referral Professional ‚‚ Stethoscope ‚‚ Managing Complications in Pregnancy and malpresentation at health workers Childbirth: A guide for midwives and doctors term using External http://whqlibdoc.who.pdf b) Provision and promotion of use of Insecticide Treated Nets for preventing malaria in pregnancy20 Interventions for Community ALL ‚‚ Materials for individual and group ‚‚ Pregnancy. 29 c) Use of c) Primary c) Professional c) Methyldopa. 23 ‚‚ Penicillin publications/2006/924159084X_eng.pdf Transmission in ‚‚ Rapid advice: use of antiretroviral drugs for Pregnancy8.pdf (> 36 weeks)33-35 A Global Review of the key Interventions related to RMNCH 13 .int/ Syphilis22. Hydralazine.who.int/hiv/pub/mtct/advice/en/index.who. 25 ‚‚ Counselling material treating pregnant women and preventing HIV infection in infants www.pdf Prevention and Community ALL ‚‚ HIV test kits ‚‚ Pregnancy. Childbirth. Childbirth. Postpartum and smoking cessation counselling and behavioural Newborn Care: a guide to essential practice Primary http://whqlibdoc.who. referral) health workers Prevention and Community ALL ‚‚ Antimalarial drugs according to ‚‚ Pregnancy.int/ Cephalic Version publications/2007/9241545879_eng. professional (supplemented by annex) training manuals primary.who. 24. antihypertensive health workers Nifedipine drugs for treating Referral severe hypertension in pregnancy28. Postpartum and treatment of health workers equipment Newborn Care: a guide to essential practice Referral http://whqlibdoc.int/bulletin/volumes/82/6/424.int/ pregnancy: publications/2011/9789241548335_eng.pdf Referral a) Prophylactic antimalarial for ‚‚ Insecticide treated bednets: a WHO preventing malaria position statement in pregnancy18.int/ and Prevention of Mother-to-Child Referral ‚‚ Cotrimoxazole publications/2006/924159084X_eng.pdf outcomes21 Screening and Primary Professional ‚‚ Onsite tests and laboratory ‚‚ Pregnancy.pdf ‚‚ Counselling material ‚‚ The Prevention and management of congenital syphilis: an overview and recommendations www. 30 d) Prevention and d) Primary d) Professional d) Magnesium Sulphate (Injection) treatment of health workers Eclampsia28.pdf b) Low-dose Aspirin b) Primary b) Professional b) Low dose Aspirin for the prevention health workers of pre-eclampsia Referral in high risk women28.pdf a) Calcium a) Community a) ALL a) Calcium ‚‚ Managing Complications in Pregnancy and supplementation Childbirth: A guide for midwives and doctors Primary in pregnancy26-28 http://whqlibdoc. Postpartum and management of the situation/context Newborn Care: a guide to essential practice Primary http://whqlibdoc.

Postpartum and childbirth41 Newborn Care: a guide to essential practice Primary http://whqlibdoc.pdf of membranes at term36 ‚‚ Stethoscope ‚‚ Sphygmomanometer b) Antibiotics for Primary Professional ‚‚ Antibiotic (Erythromycin) ‚‚ Managing Complications in Pregnancy and management of health workers Childbirth: A guide for midwives and doctors Referral http://whqlibdoc. Geneva.int/ a) Availability and (Mifepristone.int/ neonatal respiratory distress publications/2007/9241545879_eng.who.pdf c) Corticosteroids Primary Professional ‚‚ Corticosteroids (Betamethasone.int/ ‚‚ Partograph publications/2011/9789241501156_eng.pdf haemorrhage43.pdf ‚‚ Sphygmomanometer Childbirth Social support during Community ALL ‚‚ Pregnancy. Postpartum and Newborn Care: a guide to essential practice http://whqlibdoc. health ‚‚ Safe abortion: technical and policy unintended health workers education and health promotion guidance for health systems. ‚‚ WHO recommendation for prevention of uterotonic to Misoprostol) postpartum haemorrhage Primary http://whqlibdoc.int/ preterm rupture of membranes37 publications/2007/9241545879_eng. 44 14 Essential Interventions. Childbirth.pdf provision of safe ‚‚ Vacuum aspiration equipment ‚‚ World Health Organization: Clinical practice abortion ‚‚ Uterotonics (Misoprostol. Geneva. In Press Oxytocin) abortion care ‚‚ Antibiotics in line with essential ‚‚ Managing Complications in Pregnancy and medicine guidelines Childbirth: A guide for midwives and doctors http://whqlibdoc. 39 Management of Primary Professional ‚‚ Materials for counselling. Maternal. handbook for safe abortion care. Childbirth.int/ preterm labour: publications/2007/9241545879_eng.who.who.int/ publications/2006/924159084X_eng.int/ publications/2007/9241545879_eng.pdf a) Induction of labour Referral Professional ‚‚ Uterotonic (Oxytocin and/or ‚‚ WHO recommendations for induction of for management of health workers Misoprostol) labour prelabour rupture http://whqlibdoc. professional (supplemented by annex) training manuals primary.06_eng. ‚‚ Managing Complications in Pregnancy and for prevention of health workers Dexamethasone) Childbirth: A guide for midwives and doctors Referral http://whqlibdoc.pdf syndrome38. Referral pregnancy:40 World Health Organization.int/ Referral publications/2006/924159084X_eng.pdf Caesarean section Referral Professional ‚‚ Surgical environment ‚‚ Managing Complications in Pregnancy and for maternal/foetal health workers Childbirth: A guide for midwives and doctors ‚‚ Sphygmomanometer http://whqlibdoc.who. Priority Level of care Community or Key commodities Practice guidelines and interventions (community. obstructed publications/2007/9241545879_eng. referral) health workers Management of ‚‚ Managing Complications in Pregnancy and prelabour rupture of Childbirth: A guide for midwives and doctors membranes and http://whqlibdoc.who.who.int/hq/2007/WHO_ prevent postpartum Referral MPS_07. World b) Provision of post Health Organization.who. 2003 ‚‚ Medications for induced abortion http://whqlibdoc.who.int/ ‚‚ Surgical procedures when required publications/2007/9241545879_eng.who.g.pdf ‚‚ Pregnancy. Commodities and Guidelines for Reproductive.pdf labour and central placenta previa) (established practice) Prevention of postpartum haemorrhage a) Prophylactic Community ALL ‚‚ Uterotonics (Oxytocin. Newborn and Child Health .int/ indication (e.who.pdf Prophylactic Referral Professional ‚‚ Antibiotics (Ampicillin or ‚‚ Managing Complications in Pregnancy and antibiotic for health workers Cefazolin) Childbirth: A guide for midwives and doctors caesarean section42 http://whqlibdoc. 2011. Misoprostol) publications/2003/9241590343.who.

pdf postpartum ‚‚ Managing Complications in Pregnancy and haemorrhage45-49 Childbirth: A guide for midwives and doctors http://whqlibdoc.int/ publications/2009/9789241598934_eng.who.g.who.pdf Induction of labour Referral Professional ‚‚ Uterotonics (Oxytocin. diaphragm. 11-19 ‚‚ Intrauterine devices ‚‚ Surgical contraception Prevent.int/ ‚‚ Folic Acid (tablet) publications/2006/924159084X_eng.int/ publications/2011/9789241501156_eng. referral) health workers b) Active Primary Professional ‚‚ Uterotonics (Oxytocin. Misoprostol) Childbirth: A guide for midwives and doctors Primary haemorrhage e.int/ publications/2007/9241545879_eng. foams) http://whqlibdoc. Primary and http://whqlibdoc. ‚‚ Pregnancy. Postpartum and management of health workers Ergometrine) Newborn Care: a guide to essential practice Referral third stage of http://whqlibdoc.pdf ‚‚ Hydroxycobalamine (injection) ‚‚ Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors ‚‚ Lab tests http://whqlibdoc.pdf Management of Community Community ‚‚ Uterotonics (Oxytocin.pdf Postnatal . ‚‚ Managing Complications in Pregnancy and for prolonged health workers Misoprostol) Childbirth: A guide for midwives and doctors pregnancy50 http://whqlibdoc.pdf by professional ‚‚ IV fluids health workers) ‚‚ Blood transfusion ‚‚ Surgical facilities Initiation or Primary Professional ‚‚ HIV testing kit + ARVs ‚‚ Rapid Advice: Use of antiretroviral drugs continuation of HIV health workers for treating pregnant women and Referral therapy for HIV preventing HIV infection in infants positive women http://whqlibdoc.int/ hormonal injections publications/2011/9780978856373_eng.int/making_pregnancy_safer/ documents/3_9241546662/en/index.int/surgery/publications/scdh_ Referral ‚‚ Long acting reversible manual/en/index.pdf ‚‚ Managing prolonged and obstructed labour www.who. gels.06_eng.int/ publications/2007/9241545879_eng. Postpartum and and treat maternal health workers Newborn Care: a guide to essential practice ‚‚ Ferrous Salt+Folic Acid (tablet) anaemia53 http://whqlibdoc.int/hq/2007/WHO_ MPS_07. 51 postpartum haemorrhage and retained c) manual removal Primary Professional ‚‚ Uterotonics (Oxytocin.who.who. Childbirth.who.int/ ‚‚ Blood products publications/2007/9241545879_eng. Childbirth. ‚‚ Managing Complications in Pregnancy and postpartum health workers Ergometrine. professional (supplemented by annex) training manuals primary.who. placenta http://whqlibdoc.int/ labour to prevent publications/2006/924159084X_eng.pdf ‚‚ WHO recommendation for prevention of postpartum haemorrhage http://whqlibdoc.int/ of placenta (only health workers Ergometrine.pdf Primary Professional ‚‚ All of the above plus implants ‚‚ Surgical Care at the District Hospital health workers www.who.who.who.pdf A Global Review of the key Interventions related to RMNCH 15 .int/ Referral Referral publications/2007/9241545879_eng.who. Misoprostol) Referral publications/2009/9789241598514_eng.who.int/ Primary publications/2010/9789241563888_eng.Mother Advice and provision Community ALL ‚‚ Barrier methods (male and female ‚‚ Medical eligibility criteria for contraceptive use of family planning52 condoms.who.pdf ‚‚ Oral contraceptives (progestin Referral only and combined) ‚‚ Family Planning: a global handbook for providers ‚‚ Emergency contraception and http://whqlibdoc.who.pdf a) uterine massage ‚‚ WHO guidelines for the management of b) uterotonics48. measure Referral Professional ‚‚ Ferrous Salt (liquid or tablet) ‚‚ Pregnancy.Priority Level of care Community or Key commodities Practice guidelines and interventions (community.html ‚‚ WHO recommendations for induction of labour http://whqlibdoc.html contraceptives (implants) pgs 9-8.

who.int/hiv/pub/mtct/advice/en/index. Metronidazole) Newborn Care: a guide to essential practice postpartum sepsis54 http://whqlibdoc. Newborn and Child Health . ‚‚ Pregnancy.who. Priority Level of care Community or Key commodities Practice guidelines and interventions (community.html 16 Essential Interventions.int/ publications/2006/924159084X_eng. Postpartum and initiation or health workers Newborn Care: a guide to essential practice Referral ‚‚ HIV test kits http://whqlibdoc.int/ continuation of antiretroviral therapy publications/2006/924159084X_eng. Commodities and Guidelines for Reproductive. professional (supplemented by annex) training manuals primary.pdf for HIV8 ‚‚ Rapid advice: use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants www. Maternal.int/ publications/2007/9241545879_eng.pdf ‚‚ Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors http://whqlibdoc. Childbirth.pdf Screening and Primary Professional ‚‚ Antiretroviral medicines ‚‚ Pregnancy. referral) health workers Detection and Referral Professional ‚‚ Antibiotics (Ampilcillin.who.who. Childbirth. Postpartum and management of health workers Gentamicin.

int/nutrition/publications/ infantfeeding/9789241594745/en/index.html Neonatal resuscitation Primary Professional ‚‚ Training aids and devices to ‚‚ American Academy of Pediatrics Helping with bag and mask Referral health workers maintain competencies babies breathe .int/child_adolescent_health/ ‚‚ Nasogastric tube documents/9241546700/en/index. Newborn care interventions .The Golden Minute for babies who do not ‚‚ Newborn resuscitation device www. http://www. safety boxes.html ‚‚ WHO.html breastfeeding ‚‚ WHO.who. nurses and midwives newborns at risk of www. Infant and Young child feeding - support for early Primary education and health promotion Programming Guide initiation and Referral www.Pregnancy.who.who. Pocket book of hospital care for ‚‚ Blood sugar sticks (disposable) children (2005) www.html suction device) ‚‚ WHO Essential newborn care www. IMCI chart booklet (2008) (within the first www.int/making_pregnancy_safer/ bacterial infection64 documents/9241546220/en/index. Thermal protection of the newborn: hypothermia a practical guide (Part of training material) (immediate drying.int/immunization/position_papers/en/ Neonatal infection management Presumptive antibiotic Referral Professional ‚‚ Antibiotics (ampicillin and ‚‚ WHO.int/child_adolescent_health/ documents/IMCI_chartbooklet/en/index. health ‚‚ WHO essential newborn care provision of thermal Primary education and health promotion www. Managing newborn problems . health ‚‚ WHO. health ‚‚ WHO.int/making_pregnancy_safer/ care for all newborns Referral documents/newborncare_course/en/index.who.html ‚‚ WHO.int/child_adolescent_health/ meningitis and ‚‚ Thermometer / digital thermometer documents/IMCI_chartbooklet/en/index.who. IMPAC .who. ‚‚ WHO Vaccine Position papers immunization Referral health workers cold chain equipment www. professional (supplemented by annex) training manuals primary.int/making_pregnancy_safer/ cord and skin care60 Referral documents/newborncare_course/en/index.who.who.who.int/child_adolescent_health/ exclusive documents/9241591218/en/index.html Newborn Primary Professional ‚‚ Vaccines.html Promotion and Community ALL ‚‚ Materials for counselling.int/making_pregnancy_safer/ documents/newborncare_course/en/index.birth and postnatal Priority Level of care Community or Key commodities Practice guidelines and interventions (community. skin to skin.html Promotion and Community ALL ‚‚ Cord clamp and scissors ‚‚ WHO Essential newborn care provision of hygienic Primary ‚‚ Clean birth kit for health facilities www.int/child_adolescent_health/ documents/IMCI_chartbooklet/en/index. postpartum and newborn care: a guide for essential practice (2006) www. documents/ws42097th/en/ delayed bathing)55 ‚‚ WHO.helpingbabiesbreathe. syringes. childbirth.int/making_pregnancy_safer/ warming. IMCI chart booklet (2008) www.int/child_adolescent_health/ hour)56-59 documents/IMCI_chartbooklet/en/index. IMCI chart booklet (2008) www. IMCI chart booklet (2008) neonatal sepsis.who.who.who.who.html to prevent ‚‚ WHO.who. IMPAC . referral) health workers Immediate essential newborn care (at the time of birth) Promotion and Community ALL ‚‚ Materials for counselling.Pregnancy.pdf A Global Review of the key Interventions related to RMNCH 17 .int/ publications/2009/9789241598934_eng.html pneumonia65-69 ‚‚ Timer ‚‚ WHO.int/making_pregnancy_safer/ documents/924159084x/en/index.html Case management of Primary Professional ‚‚ Materials for counselling.html ‚‚ Antibiotics (oral and injectable) Initiation of ART in Primary Professional ‚‚ HIV testing kit + ARVs ‚‚ Rapid Advice: Use of antiretroviral drugs babies born to HIV Referral health workers for treating pregnant women and infected mother preventing HIV infection in infants http://whqlibdoc. postpartum and newborn care: a guide for essential practice (2006) www.org/ breathe at birth 61-63 (Ambu Bag.int/making_pregnancy_safer/ documents/924159084x/en/index.who. bag-mask and masterTrainers.html ‚‚ Infant young child feeding counselling: An integrated course (Part of training material) www. Referral health workers education and health promotion www.html ‚‚ WHO. childbirth.who.a therapy for the health workers gentamicin or penicillin) guide for doctors.

professional (supplemented by annex) training manuals primary.html term babies73 Continuous positive Referral Professional ‚‚ Standard CPAP or bubble CPAP ‚‚ WHO. Pocket book of hospital care for newborns with Referral health workers ‚‚ Phototherapy lamp children (2005) jaundice76.Managing newborn airway pressure health workers ‚‚ Oxygen supply/concentrator problems: a guide for doctors.Managing newborn therapeutic use of health workers ‚‚ Oxygen supply/concentrator problems: a guide for doctors. referral) health workers Interventions for small and ill babies Kangaroo mother care Primary Professional ‚‚ Materials for counselling.who. Priority Level of care Community or Key commodities Practice guidelines and interventions (community. 77 www.int/child_adolescent_health/ ‚‚ eye shade documents/9241546700/en/index.int/making_pregnancy_safer/ documents/9241546220/en/index.Training Tool www. Commodities and Guidelines for Reproductive.int/making_pregnancy_safer/ documents/newborncare_course/en/ Extra support for Primary Professional ‚‚ Nasogastric tubes ‚‚ WHO guide for feeding preterm and LBW feeding the small and Referral health workers ‚‚ Feeding cups babies (forthcoming in the web) preterm baby 72 ‚‚ Breast pump ‚‚ WHO.who.html syndrome74.int/making_pregnancy_safer/ syndrome in pre.html 18 Essential Interventions. Essential newborn care course (2010) .Training Tool ‚‚ Nasogastric tube www. 71 (KMC wrap) documents/9241590351/en/ ‚‚ Hat ‚ ‚ WHO. nurses and (CPAP) to manage ‚‚ Pulse oximeter midwives (2003) pre-term babies with www. Maternal. 75 Management of Primary Professional ‚‚ Bilirubinometer ‚‚ WHO.int/making_pregnancy_safer/ babies70.who. nurses and surfactant to prevent ‚‚ Pulse oximeter midwives (2003) .Managing newborn ‚‚ Exchange transfusion kit problems: a guide for doctors.who.who. health ‚‚ WHO | Kangaroo mother care: a practical (KMC) for preterm Referral health workers education and health promotion guide and for < 2000g ‚‚ Support Binder for KMC www.html ‚‚ IV fluids ‚‚ WHO. IMPAC .int/making_pregnancy_safer/ respiratory distress documents/9241546220/en/index.int/making_pregnancy_safer/ ‚‚ Blood sugar testing sticks documents/newborncare_course/en/ ‚‚ Materials for counselling Prophylactic and Referral Professional ‚‚ Surfactant ‚‚ WHO. IMPAC .who.Guideline respiratory distress www.who. Newborn and Child Health . IMPAC . Essential newborn care course ‚‚ Syringe drivers (2010) . documents/9241546220/en/index. nurses and midwives (2003) www.

health ‚‚ WHO.Technical Review www. 81 Prevention and Community ALL ‚‚ Materials for counselling. 79 counselling ‚‚ WHO. 83 ‚‚ Antimalarial drugs according to publications/2010/9789241547925_eng. Infant and young child feeding counselling: an integrated course (2006) - Training tool www.who.who.who. www.int/malaria/publications/atoz/ Referral itnspospaperfinal/en/index. Emergency Triage Assessment and Treatment (ETAT) course at www.html a) Provision and ‚‚ Insecticide treated nets promotion of use of insecticide ‚‚ Rapid diagnostic tests ‚‚ WHO.int/child_adolescent_health/ documents/9241546875/en/index.html ‚‚ WHO. Exclusive Breastfeeding support for exclusive Primary education and health promotion.html to 2 years and beyond79 b) Appropriate complementary feeding starting at 6 months80. referral) health workers Infancy and childhood Promotion and Community ALL ‚‚ Materials for counselling. Guidelines for the treatment of treated bed nets malaria (2010) http://whqlibdoc.who.int/paho/2003/a85622.who.html ‚‚ WHO.html ‚‚ WHO.who. professional (supplemented by annex) training manuals primary.int/nutrition/publications/ infantfeeding/9789241594745/en/index.who.pdf b) Case management guidelines of childhood ‚‚ WHO.int/child_adolescent_health/ documents/IMCI_chartbooklet/en/index.int/ for children82.who. Pocket book of hospital care for children: guidelines for the management of common illnesses with limited resources (being updated) www.int/child_adolescent_health/ documents/9241593431/en/index. Insecticide-treated mosquito nets: a management of Primary education and health promotion position statement (2007) childhood malaria www.html Promotion and Community ALL ‚‚ Materials for counselling.who.int/child_adolescent_health/ documents/9241591218/en/index.html A Global Review of the key Interventions related to RMNCH 19 . IMCI chart booklet being updated at malaria84 www.who. health ‚‚ WHO.who.pdf Referral complementary feeding ‚‚ WHO. Guiding principles for complementary support of continued Primary education and health promotion feeding of the breastfed child (2003) breastfeeding and http://whqlibdoc.int/child_adolescent_health/ documents/IMCI_chartbooklet/en/index.html ‚‚ WHO. Community-based strategies for breastfeeding promotion and support in developing countries (2003) . Child health interventions Priority Level of care Community or Key commodities Practice guidelines and interventions (community. health ‚‚ WHO. Guiding principles for feeding non- a) Continued breastfed children 6-24 months of age (2005) breastfeeding up www. IMCI chart booklet (2008) www.int/child_adolescent_health/ documents/9241546700/en/index.int/nutrition/topics/exclusive_ breastfeeding for 6 including individual and group breastfeeding/en/ Referral months78.

who.html Referral ‚‚ Vaccines. meningococcal.influenzae. referral) health workers Comprehensive care Primary Professional ‚‚ Antiretroviral drugs ‚‚ WHO.unicef. Guidelines on HIV and infant of children infected Referral health workers feeding 2010 ‚‚ HIV test kits www.who. syringes.who. 94 Referral level Community_Health_Workers.int/nutrition/publications/ with or exposed to HIV8. Pocket book of hospital care for complications children: guidelines for the management of Health Facility level common illnesses with limited resources (Referral) ‚‚ Antibiotics www. ‚‚ Pulse oximeter documents/IMCI_chartbooklet/en/index.int/nutrition/publications/ in Vitamin A deficient populations 88. 95-98 documents/9241546700/en/index.html Promote and provide Community ALL ‚‚ Materials for counselling.html 20 Essential Interventions.int/nutrition/publications/ a) without ‚‚ Micronutrient supplements severemalnutrition/en/manage_severe_ complications malnutrition_eng. Maternal. Management of severe malnutrition: severe acute Primary ‚‚ Appropriate ready-to-use a manual for physicians and other senior malnutrition:90. Priority Level of care Community or Key commodities Practice guidelines and interventions (community.int/child_adolescent_health/ documents/9241546700/en/index.who. cold chain equipment pneumococcal. documents/IMCI_chartbooklet/en/index. IMCI chart booklet (2008) .html ‚‚ WHO.html ‚‚ WHO. 91 therapeutic foods health workers (1999) Referral www.int/child_adolescent_health/ plus H. Pocket book of hospital care for children above 6 children . and rotavirus vaccines86.who.org/publications/files/ children above 6 Management_of_Sick_Children_by_ months93.html ‚‚ WHO recommendations on the management of diarrhoea and pneumonia in HIV-infected infants and children www. IMCI chart booklet (2008) . Manual for the Community Health of childhood Primary Health Facility level Worker: Caring for the sick child in the pneumonia92 community (Working Version) Referral ‚‚ Respiratory rate timers a) Vitamin A as part ‚‚ WHO and UNICEF.pdf (all levels) ‚‚ Vitamin A capsules b) with ‚‚ WHO.who.who.who. professional (supplemented by annex) training manuals primary. IMCI chart booklet for high HIV settings www.int/child_adolescent_health/ documents/9789241597388/en/index. 89 micronutrients/guidelines/vas_6to59_months/ en/index.Guideline routine immunization Primary education and health promotion www.int/child_adolescent_health/ documents/9789241501026/en/index.html Management of Community ALL Community level ‚‚ WHO. Management of Sick of treatment for ‚‚ Vitamin A capsules Children by Community Health Worker measles-associated (2006) ‚‚ Appropriate antibiotics pneumonia for www.html ‚‚ Psychosocial support ‚‚ WHO.who.pdf b) Vitamin A as part ‚‚ Oxygen for severe pneumonia ‚‚ WHO. Newborn and Child Health .html ‚‚ Therapeutic food formulations (F75/100) Case management Community ALL Community and ‚‚ WHO. 87 Vitamin A Community ALL ‚‚ Vitamin A capsules ‚‚ WHO Guideline: Vitamin A supplementation supplementation Primary in infants and children 6-59 months of age ‚‚ Material for counselling on from 6 months of age (2011) Referral Vitamin A rich foods www.who.html associated pneumonia for ‚‚ WHO. Pocket book of hospital care for children: guidelines for the management of common illnesses with limited resources www.Guideline www.int/child_adolescent_health/ documents/9789241548083/en/index. health ‚‚ WHO.int/child_adolescent_health/ non-measles. safety boxes. Manual on paediatric HIV care and treatment for district hospitals ‚‚ Nutritional support www.int/child_adolescent_health/ months92. Commodities and Guidelines for Reproductive. 85 ‚‚ Cotrimoxazole hivaids/9789241599535/en/index.int/child_adolescent_health/ documents/9241546700/en/index.Guideline of treatment for www.who.

referral) health workers Case management Community ALL ‚‚ Materials for counselling.who. Management of Sick Children by Community Health Worker (2006) www. excreta and greywater (2006) www.who.html Case management Referral Professional ‚‚ Appropriate antibiotics ‚‚ WHO.Priority Level of care Community or Key commodities Practice guidelines and interventions (community.Guideline ‚‚ Supportive treatment www. 107 ‚‚ Appropriate antibiotics for Safety (2011) www.pdf diarrhoea99-105 ‚‚ Oral Rehydration Solution (ORS) ‚‚ WHO.int/water_sanitation_health/ dysentery according to guidelines publications/2011/dwq_guidelines/en/index.who. Guidelines for Drinking Water b) Dysentery106. professional (supplemented by annex) training manuals primary.who.int/child_adolescent_health/ documents/9241546700/en/index.html ‚‚ WHO.int/ a) Acute watery Referral ‚‚ Zinc (tablets / solution) publications/2009/9789241597906_eng.pdf ‚‚ WHO.html ‚‚ WHO.org/publications/files/ Management_of_Sick_Children_by_ Community_Health_Workers.int/child_adolescent_health/ documents/9241546700/en/index.Guideline www.int/child_adolescent_health/ documents/IMCI_chartbooklet/en/index.html A Global Review of the key Interventions related to RMNCH 21 .who. IMCI chart booklet (2008) . Guidelines for the safe use of wastewater.Guideline www. health ‚‚ WHO Guidelines on hand hygiene in of diarrhoea: Primary education and health promotion health care (2009) http://whqlibdoc. Manual for the Community Health Worker: Caring for the sick child in the community (Working Version) ‚‚ WHO.unicef.int/water_sanitation_health/ wastewater/gsuww/en/index.html ‚‚ WHO.who. Pocket book of hospital care for of meningitis health workers children . Pocket book of hospital care for children .

participation of women’s groups.g. 22 Essential Interventions. Commodities and Guidelines for Reproductive. service delivery etc. 108. Cross-cutting community strategies There are several cross-cutting community strategies across the continuum of care e. Maternal. The strategies can be used for demand creation. These will be reviewed at a later date and recommendations arising from the review will be published in a complementary document. conditional cash transfers etc. Newborn and Child Health . empowerment. home visits59.

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Newborn and Child Health . Acknowledgements 26 Essential Interventions. Maternal. Commodities and Guidelines for Reproductive.

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