Institutionalizing community-focused maternal, newborn, and child health strategies to strengthen health systems: A new framework for the Sustainable Development Goal era
Open accessAbstract
BACKGROUND: Stronger health systems, with an emphasis on community-based primary health care, are required to help accelerate the pace of ending preventable maternal and child deaths as well as contribute to the achievement of the Sustainable Development Goals (SDGs). The success of the SDGs will require unprecedented coordination across sectors, including partnerships between public, private, and non-governmental organizations (NGOs). To date, little attention has been paid to the distinct ways in which NGOs (both international and local) can partner with existing national government health systems to institutionalize community health strategies. DISCUSSION: In this paper, we propose a new conceptual framework that depicts three primary pathways through which NGOs can contribute to the institutionalization of community-focused maternal, newborn, and child health (MNCH) strategies to strengthen health systems at the district, national or global level. To illustrate the practical application of these three pathways, we present six illustrative cases from multiple NGOs and discuss the primary drivers of institutional change. In the first pathway, "learning for leverage," NGOs demonstrate the effectiveness of new innovations that can stimulate changes in the health system through adaptation of research into policy and practice. In the second pathway, "thought leadership," NGOs disseminate lessons learned to public and private partners through training, information sharing and collaborative learning. In the third pathway, "joint venturing," NGOs work in partnership with the government health system to demonstrate the efficacy of a project and use their collective voice to help guide decision-makers. In addition to these pathways, we present six key drivers that are critical for successful institutionalization: strategic responsiveness to national health priorities, partnership with policymakers and other stakeholders, community ownership and involvement, monitoring and use of data, diversification of financial resources, and longevity of efforts. CONCLUSION: With additional research, we propose that this framework can contribute to program planning and policy making of donors, governments, and the NGO community in the institutionalization of community health strategies.
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Approaches to monitoring included diverse areas to assess including having appropriate data to document progress, having a management or monitoring system in place, and having regular reporting and feedback mechanisms.
“Approaches to monitoring included diverse areas to assess including having appropriate data to document progress [64, 65], having a management or monitoring system in place [15, 53, 61, 66, 67], and having regular reporting and feedback mechanisms [46, 47, 52, 54, 68, 69].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [67]
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- Authors
- Story, W. T., LeBan, K., Altobelli, L. C., Gebrian, B., Hossain, J., Lewis, J., Morrow, M., Nielsen, J. N., Rosales, A., Rubardt, M., Shanklin, D., & Weiss, J.
- Affiliations
- University of Iowa (US)
- Future Generations University (US)
- University of Connecticut (US)
- Helen Keller International (US)
- World Vision (US)
- CARE USA (US)
- Concern Worldwide US (US)
- Corresponding author
- Story, William T.
- ORCID
- Venue
- Globalization and Health
- Published
- 2017-06-26
- Volume
- 13
- Issue
- 1
- Pages
- 37-37
- ISSN
- 1744-8603 (ISSN-L)
- PMC
- PMC5485706
- OpenAlex
- W2667419210
- Cited by
- 46
- References
- 40
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 2 · 2023: 8 · 2022: 4 · 2021: 6 · 2020: 9 · 2019: 6 · 2018: 2
- FWCI
- 5.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Globalization and Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- United States Agency for International Development
- University of North Carolina at Chapel Hill
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Practices
- Keywords
- institutionalization, community-based primary care, maternal, newborn and child health, non-governmental organizations, health system strengthening, Sustainable Development Goals, NGO-government partnership, thought leadership, community ownership, health policy, research-to-policy translation
- MeSH terms
- Child Health, Child, Community Health Services, Delivery of Health Care, Goals, Health Planning, Humans, Organizations, Efficiency, Organizational
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