Antenatal and postnatal care: a review of innovative models for improving availability, accessibility, acceptability and quality of services in low-resource settings

BJOG. 2016 Mar;123(4):540-8. doi: 10.1111/1471-0528.13818. Epub 2015 Dec 23.

Abstract

Key lessons can be drawn from innovative approaches that have been implemented to ensure access to better antenatal care (ANC) and postnatal care (PNC). This paper examines the successes and challenges of ANC and PNC delivery models in several settings around the world; discusses the lessons to be learned from them; and makes recommendations for future programmes. Based on this review, we conclude that close monitoring of ANC and PNC quality and delivery models, health workforce support, appropriate use of electronic technologies, integrated care, a woman-friendly perspective, and adequate infrastructure are key elements of successful programmes that benefit the health and wellbeing of women, their newborns and families. However, a full evaluation of care delivery models is needed to establish their acceptability, accessibility, availability and quality.

Tweetable abstract: New paper examines global innovations in antenatal/postnatal care @MHTF @ICS_Integrare #MNCH #healthsystems.

Keywords: Antenatal care; health systems; postnatal care; quality of care.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Community Health Services / organization & administration*
  • Community Health Services / standards
  • Developing Countries
  • Female
  • Fetal Death / prevention & control
  • Health Services Accessibility / organization & administration*
  • Health Services Accessibility / standards
  • Health Services Needs and Demand
  • Humans
  • Infant
  • Infant Mortality
  • Infant, Newborn
  • Maternal Mortality
  • Maternal-Child Health Services / organization & administration*
  • Maternal-Child Health Services / standards
  • Models, Organizational
  • Organizational Innovation
  • Postnatal Care / organization & administration*
  • Postnatal Care / standards
  • Pregnancy
  • Pregnancy Complications / prevention & control*
  • Prenatal Care / organization & administration*
  • Prenatal Care / standards
  • Preventive Health Services / organization & administration*
  • Preventive Health Services / standards
  • Quality Assurance, Health Care
  • Quality Improvement