Operational Principles

  • Quality of Care: All interventions for reproductive health should be made available with the highest standard of quality and safety, and services should be delivered according to

    evidence-based best practices. Addressing providers’ needs and community views, particularly those of women, on the quality of service provision is key to ensuring improved quality and increased access and utilization.

  •   Continuum of Care: All women have a right to the best possible care before and during pregnancy, childbirth and the postpartum period at all levels of the health system, as appropriate for each woman’s or newborn’s needs. These levels range from the household to the first service level, and to the higher-level service site. Primary care should be strongly connected to a referral system in order to effectively manage life-threatening complications. This continuum of care encompasses the life-cycle of the woman, from adolescence to the birth of her own child.
  •   An Integrated Approach: Comprehensive services are made available to all, especially to women and newborns, integrating maternal and newborn care, birth spacing and family planning, nutrition, immunization, child survival, prevention and treatment care of malaria, sexually transmitted and HIV infections, and other aspects of primary health care. Because of the close links between the different aspects of reproductive health, interventions in one area are likely to have a positive impact on the others. Existing services will be strengthened and used as entry points for new interventions, looking for maximum synergy.
  •   Ownership, Partnership and Responsibilities: Goals, objectives and strategies are commonly agreed upon and pursued by the government and their partners, and supported by the international community through coordinated actions and activities determined by national plans. The BPHS and EPHS are two key examples.
  •   Good Governance, Peace and Security: These elements are vital components of a sustained effort to improve the health of all people, including the health and survival of mothers and their newborns, and are especially relevant to the country.
  •   Sustainability through Technical and Financial Capacity Building: Financial and technical self-reliance is a target for the government and partners working collectively, with ongoing development of infrastructure.
  •  Policies and Strategies Based on Evidence and Best Practices: The choice of policies, strategies and practices is informed by research findings, surveillance, monitoring and evaluation, need assessments, economic analysis, and the sharing of lessons learned and other available evidence-based norms and standards.