To determine which delivery channels are associated with the greatest reductions in under-5 mortality rates (U5MR), we used data from sequential population-based surveys to examine the correlation between changes in coverage of clinical, outreach, and family and community services and in U5MR for 27 high-burden countries.
As pointed out by numerous stakeholders, it is hard to envisage full coverage of the PHC outreach team strategy in the North West Province without additional resources (both people and funding).
Second, there is no reliable geographical picture of outreach coverage across the country.
It acknowledged that stabilising population is not merely a question of making reproductive health services available, accessible and affordable, but also relies on the coverage and outreach of primary and secondary education, extending basic amenities such as sanitation, safe drinking water and housing, and empowering women through enhanced access to education and employment.
As in this study, the coverage of ANM and Anganwadi outreach has also been shown to be low in an area of rural Uttar Pradesh [ 34].
The MoHP established the FCHV program in 1988 to strengthen the outreach and coverage of government health services.
In addition to improving access to health facilities, improving coverage of IMCI interventions also necessitates outreach services and an increase in community level activities [ 33].
Community health workers (CHW) link communities and health systems in many countries, such as Uganda, Ethiopia, Zambia, Bangladesh, Brazil, to empower communities to demand health services and improve outreach and coverage of health services (1).
Many potential applications for the use of GIS beyond VMMC exist, particularly for programs that require outreach and are attempting coverage of a particular age strata or population type, such as planning and mapping outreach efforts for vaccination campaigns, where the children of eligible age can be quantified using local government records.
Elements that have contributed to the gain in immunization coverage include national multi-year planning, district-level planning and monitoring, re-establishment of outreach services and the establishment of national budget lines for immunization services strengthening.
