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The initiative aims to improve access to and quality of MNCH services, while strengthening community and facility linkages.
NURSPH, Rwanda, respondents were extremely content with its links to MOH (5.0) and were happy in general with links to all other organizations mentioned above except for health facility linkages (2.0) and the media (1.3).
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Recommendations: Lessons Learned Relevance: OHTA funding addressed important gaps in demand creation, community-facility linkages and data quality.
Instead, they recommended strengthening community-facility linkages and referral of sick babies or babies born at home to health facilities.
Health systems strengthening activities are also needed to provide the necessary referral-level care and community-facility linkages to improve outcomes of high-risk pregnancies [ 121].
Findings and Conclusions: Relevance: OHTA investments focused on highly relevant gaps namely demand creation, community-facility linkages, male involvement, monitoring and evaluation (M&E) and support to clinical services where required.
Community team members who represent other community groups also get to know the CTC providers and facility and district staff through these regular meetings, strengthening the community-CTC provider-facility linkages.
To address these issues, renewed focus is required to fill persistent gaps in EID services by ensuring an uninterrupted supply of EID laboratory reagents, moving away from paper-based DNA PCR test result notification systems to SMS and web-based platforms, and enhancing community-facility linkages to improve post-natal mother-infant pair follow-up and retention in care.
The groups also facilitated CHW coordination, supervision, and reporting functions and increased interactions among and between CHWs and health center staff, leading to more effective community-facility linkages that may have contributed to the increase in care-seeking at the facility level.
These initiatives, although drawing largely on existing cadres, require ongoing funding to support the additional community-facility linkage activities.
In addition, gaps in intra-facility linkage of mothers and babies to chronic HIV care after antenatal PMTCT and EID programs were identified.
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