Maternal & Newborn Health Continuum
Prepare before pregnancy, detect risk early, deliver safely and support recovery.
Establish the lived failure before selecting an intervention.
Care can be lost between community detection, antenatal services, referral transport, delivery facility and postnatal follow-up.
Contact counts can hide poor clinical quality, missed risk and delayed emergency escalation.
Record state, district, city/block, village/ward or street only at a safe precision. Add date, setting, affected group, service journey and source; never publish identifying survivor information.
Test institutional, environmental and social explanations.
Late registration or incomplete follow-up
Check dated records, service journeys, confidential lived experience, subgroup differences and credible alternative explanations before treating this as a verified cause.
Risk data does not travel safely with the woman
Check dated records, service journeys, confidential lived experience, subgroup differences and credible alternative explanations before treating this as a verified cause.
Referral, transport, blood and facility readiness gaps
Check dated records, service journeys, confidential lived experience, subgroup differences and credible alternative explanations before treating this as a verified cause.
Nutrition and mental health separated from obstetric care
Check dated records, service journeys, confidential lived experience, subgroup differences and credible alternative explanations before treating this as a verified cause.
Every concept retained with its operating meaning.
Preconception Care
Before pregnancy, offer voluntary health, nutrition, anaemia, chronic-disease, vaccination, medicine and family-planning review.
Every Pregnancy Registered & Supported
Early registration should create a consent-based record, risk assessment, antenatal schedule, nutrition, birth and emergency plan.
Minimum Eight Antenatal Contacts
Use the WHO minimum eight-contact model for uncomplicated pregnancies, with additional risk-based care and attention to contact quality.
Pregnancy Risk Screening
Assess anaemia, hypertension, diabetes, infections, nutrition, fetal growth, mental health and obstetric risk under clinical protocols.
Pregnant Women Nutrition Mission
Combine adequate food, protein and medically appropriate micronutrients with safe water, food safety, counselling and follow-up.
Anaemia-Free Pregnancy
Screen, classify, treat, follow up and verify response according to clinical and national protocols rather than distributing supplements alone.
High-Risk Pregnancy Tracking
A red flag should trigger specialist review, referral, transport, facility and delivery planning plus postnatal follow-up.
Safe Delivery System
Every birth needs skilled care and rapid access to blood, oxygen, surgery and anaesthesia where indicated, newborn resuscitation and reliable referral.
Zero Preventable Maternal Death
Confidentially review each maternal death or severe morbidity, identify clinical and system causes and assign district corrective action.
Newborn Safety
Provide immediate assessment, warmth, breastfeeding support, infection prevention, danger-sign education, vaccination and referral under national guidance.
First Six Weeks Critical Window
Plan early and continuing postnatal contacts through roughly six weeks, with faster assessment whenever danger signs appear.
Breastfeeding & Maternal Support
Offer skilled feeding help, nutrition, rest, recovery and danger-sign guidance without shaming or one-size-fits-all advice.
Maternal Mental Health
Screen and support depression, anxiety, severe distress, violence and isolation with safe escalation for crisis or self-harm risk.
Safe Motherhood Digital Card
Keep essential antenatal, risk, medicine, test, delivery and postnatal information portable, consent-based, minimal and strongly protected.
Build a connected intervention with rights safeguards.
Create a woman-held, consent-based continuum plan.
Measure content and timeliness of care, not visits alone.
Map referral time and facility readiness before emergencies.
Review severe morbidity and mortality for corrective system action.
Move from diagnosis to a reversible pilot and durable reform.
Baseline & urgent protection
Verify the local journey, immediate risk, current service, responsible actor, legal duty and highest-priority failure.
Pilot
Track one district cohort from preconception or early registration through six weeks postpartum, repairing the largest continuity and referral failures.
Institutionalise
Fund capability, safe operations, interoperable referrals, maintenance, rights review, public correction and independent evaluation.
Measure safety, access, equity and durability—not activity alone.
A safety intervention must not create another form of harm.
- RiskDigital exclusion or privacy breachPrevention, accountable owner, review trigger and remedy required.
- RiskRisk scores replacing clinical judgementPrevention, accountable owner, review trigger and remedy required.
- RiskWomen blamed for missed contacts caused by system barriersPrevention, accountable owner, review trigger and remedy required.