Despite increased utilization of facilities for childbirth, declines in maternal and neonatal mortality and morbidity have stalled in many low- and middle-income countries. A growing body of evidence suggests that many facilities are unable to effectively manage and treat delivery complications and neonatal morbidity, which often present without warning and require rapid, highly expert care.
Aims of Service Delivery Redesign
Service Delivery Redesign is the reorganization and strengthening of existing services and care pathways to maximize quality care and optimize health outcomes. For maternal and newborn health, Service Delivery Redesign means restructuring health systems so that all women deliver in hospitals or nearby birthing facilities that provide the full scope of obstetric and neonatal care for complications, while lower level facilities provide quality antenatal, postnatal, and newborn care.
Service Delivery Redesign employs the following phases to reorganize and strengthen existing services and care pathways in order to maximize quality care and optimize health outcomes (i.e. right place care):
- Feasibility assessment