Country teams identified numerous solutions to address leadership and governance bottlenecks for scaling up essential services during childbirth.
This is an approach to improve and mitigate governance weaknesses but we do not propose that it would eliminate all governance bottlenecks.
Developing, disseminating and implementing appropriate policies and guidelines for all levels and sectors of maternal-newborn services were the major perceived governance bottlenecks for countries.
Participants from India identified the need to design innovative policies for birth companionship at the state level, whereas, participants from Kenya identified permissive task shifting policies for anaesthesia and assisted vaginal deliveries as solutions to governance bottlenecks.
Finally, the study identifies key challenges in the delivery of publicly provided ALMPs in MENA countries, namely poor administrative capacity, system fragmentation, lack of governance and accountability, regulation bottlenecks, and flaws in program design.
Our analysis identified leadership and governance as a priority bottleneck, primarily for KMC, where attention to policy and guidelines was viewed as fundamental to programmatic change and scale up.
In effect, private economic activity has suffered from infrastructural bottlenecks, poor economic governance, labor and land constraints, and deficient financial market performance.
"The lack of judicial reform has become a bottleneck for security, governance and economic development," under Mr. Shinwari, according to a report by Barnett R. Rubin, a New York University professor and expert on Afghanistan, who recommended that the chief justice be replaced.
The first building block, leadership and governance, was considered a major bottleneck in six countries for SBA and BEmOC and in five countries for CEmOC.
We outline system bottlenecks in relation to governance, financing, supply chain management, human resources, health-information systems, and service delivery; and adverse effects from rapid introduction of suboptimum system designs.
Act 852 (2012) aims to consolidate the NHIS, remove administrative bottlenecks, introduce transparency and improve the governance of the schemes.
