Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessment
# Background In 2012, the UN Commission on Life Saving Commodities (UNCoLSC) articulated a series of recommendations to expand access to 13 life-saving reproductive, maternal, newborn and child health (RMNCH) commodities with the greatest potential to reduce preventable deaths. We conducted a five-...
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| Format: | Article |
| Language: | English |
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Inishmore Laser Scientific Publishing Ltd
2020-05-01
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| Series: | Journal of Global Health Reports |
| Online Access: | https://doi.org/10.29392/001c.12745 |
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| author | Bennett Nemser Diana Sera Nora Springstubb Paul Pronyk Howard S Friedman Theopista Kabuteni Asia Hussein Kyaw Aung Felister Bwana Nicholas Addofoh Miriam Musa Pascal Bijleveld Blerta Maliqi |
| author_facet | Bennett Nemser Diana Sera Nora Springstubb Paul Pronyk Howard S Friedman Theopista Kabuteni Asia Hussein Kyaw Aung Felister Bwana Nicholas Addofoh Miriam Musa Pascal Bijleveld Blerta Maliqi |
| author_sort | Bennett Nemser |
| collection | DOAJ |
| description | # Background
In 2012, the UN Commission on Life Saving Commodities (UNCoLSC) articulated a series of recommendations to expand access to 13 life-saving reproductive, maternal, newborn and child health (RMNCH) commodities with the greatest potential to reduce preventable deaths. We conducted a five-year longitudinal assessment of progress towards achieving these recommendations among countries in sub-Saharan Africa and Southeast Asia.
# Methods
Between 2013 and 2017, national reviews were undertaken at two time points among 14 countries with a high burden of preventable maternal-child deaths who were receiving support from a multi-UN agency RMNCH technical support and financing mechanism. Data were drawn from national health documentation (e.g. strategic plans, policies, guidelines); logistics management information systems; national household and health facility surveys; and interviews with governments and development partners.
# Results
Over time, the percent of health facilities with stock availability showed a statistically significant increase of five percentage points from 69% to 74% (median). Recent training at health facility also displayed a significant increase of eight percentage points from 38% to 46% (median). National RMNCH coordination mechanisms, treatment guidelines, and national training curricula and job-aids were near fully redressed. However, countries continue to face persistent supply chain challenges including national stock-outs, tracking commodities throughout the supply chain, and strengthening medicine control laboratories.
# Conclusions
While substantial progress has been made in improving access to life-saving commodities, including stock availability and workforce training at health facilities, additional efforts are required to improve regulatory efficiency, enhance commodity quality and safety, and reduce supply chain fragmentation. |
| format | Article |
| id | doaj-art-2a9b3af2bb844d6aaabcbbb9e24e049a |
| institution | DOAJ |
| issn | 2399-1623 |
| language | English |
| publishDate | 2020-05-01 |
| publisher | Inishmore Laser Scientific Publishing Ltd |
| record_format | Article |
| series | Journal of Global Health Reports |
| spelling | doaj-art-2a9b3af2bb844d6aaabcbbb9e24e049a2025-08-20T03:21:24ZengInishmore Laser Scientific Publishing LtdJournal of Global Health Reports2399-16232020-05-01410.29392/001c.12745Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessmentBennett NemserDiana SeraNora SpringstubbPaul PronykHoward S FriedmanTheopista KabuteniAsia HusseinKyaw AungFelister BwanaNicholas AddofohMiriam MusaPascal BijleveldBlerta Maliqi# Background In 2012, the UN Commission on Life Saving Commodities (UNCoLSC) articulated a series of recommendations to expand access to 13 life-saving reproductive, maternal, newborn and child health (RMNCH) commodities with the greatest potential to reduce preventable deaths. We conducted a five-year longitudinal assessment of progress towards achieving these recommendations among countries in sub-Saharan Africa and Southeast Asia. # Methods Between 2013 and 2017, national reviews were undertaken at two time points among 14 countries with a high burden of preventable maternal-child deaths who were receiving support from a multi-UN agency RMNCH technical support and financing mechanism. Data were drawn from national health documentation (e.g. strategic plans, policies, guidelines); logistics management information systems; national household and health facility surveys; and interviews with governments and development partners. # Results Over time, the percent of health facilities with stock availability showed a statistically significant increase of five percentage points from 69% to 74% (median). Recent training at health facility also displayed a significant increase of eight percentage points from 38% to 46% (median). National RMNCH coordination mechanisms, treatment guidelines, and national training curricula and job-aids were near fully redressed. However, countries continue to face persistent supply chain challenges including national stock-outs, tracking commodities throughout the supply chain, and strengthening medicine control laboratories. # Conclusions While substantial progress has been made in improving access to life-saving commodities, including stock availability and workforce training at health facilities, additional efforts are required to improve regulatory efficiency, enhance commodity quality and safety, and reduce supply chain fragmentation.https://doi.org/10.29392/001c.12745 |
| spellingShingle | Bennett Nemser Diana Sera Nora Springstubb Paul Pronyk Howard S Friedman Theopista Kabuteni Asia Hussein Kyaw Aung Felister Bwana Nicholas Addofoh Miriam Musa Pascal Bijleveld Blerta Maliqi Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessment Journal of Global Health Reports |
| title | Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessment |
| title_full | Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessment |
| title_fullStr | Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessment |
| title_full_unstemmed | Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessment |
| title_short | Progress towards the UN Commission on Life Saving Commodities recommendations after five years: a longitudinal assessment |
| title_sort | progress towards the un commission on life saving commodities recommendations after five years a longitudinal assessment |
| url | https://doi.org/10.29392/001c.12745 |
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