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Hence, the dramatic rise in the purchase of ACT, reported in the study by Sabot et al (2009), might not necessarily translate into equitable improvement in access to ACT in the community [27].
In 2014, UNICEF's Nutrition Sector continued to be a leader in the scale-up of high-impact nutrition interventions, supporting countries in ensuring the equitable improvement of maternal, infant and child nutrition, with particular focus on the critical 1,000-day 1,000-dayvering a windows pregnancoveringgh the first two years of a child's life.
Finally, given that substance use and sexual risk behaviour appear to be strongly associated across social class groups, preventive approaches to risk behaviour should include both universal and targeted approaches, described by Marmot 38 as proportionate universalism, to ensure equitable improvement in adolescent health and wellbeing.
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The first five of these criteria were hypothesized to be associated with the final outcome related to equitable improvements in health status.
Whether it starts with experimentation on the ground or as an idea on paper, equitable urban improvement can be successful so long as solutions fit the context at hand.
Based on this framework, interventions that strengthen these attributes result in population health improvements through more equitable access, improved efficiency and effectiveness and heightened quality and responsiveness [ 6].
This is an issue any advocates of dramatic, equitable change and improvement will care about.
28 WHO defines HSS as "improving these six health system building blocks and managing their interactions in ways that achieve more equitable and sustained improvements across health services and health outcomes".
A key strategy for Ghana to make further improvements in maternal and child health is improving equitable access to health services.
And reaching other major goals, such as reducing stunting and ensuring that all children receive a good quality education, will also depend on more equitable income distribution and improvements in the delivery of basic services.
Service reimbursements link pre-defined quality or quantity indicators to financial reimbursements, and in concert with competition with other providers or health facilities (public or private), motivate improvements in equitable access and quality of maternal and newborn health services including postnatal care [ 13, 17].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com