Challenge | Current coping mechanisms | RMNCAH+N services affecteda |
---|---|---|
Scale and urgency of needs | Prioritization of nutrition and disease control Integrated famine risk reduction strategy Performance-based incentives | All |
Insecurity and humanitarian access constraints | Use of mobile teams, community midwife and volunteer networks, outreach campaigns to reach specific populations when access permits Reliance on local NGO implementers and third party monitoring Short-term project cycles Coordination of implementation plans | Health education Immunization Sick child care Nutrition screening Family planning |
Availability, retention and motivation of qualified health workers | Humanitarian agencies contracting staff for specific facilities/projects or providing either individual or facility-level performance-based incentive payments Task shifting In-service and on-the-job trainings | Maternal and newborn care Treatment of acute malnutrition |
Lack of infrastructure and irregularity of supplies | Humanitarian agencies providing in-kind resources (e.g. fuel) and/or facility-level performance-based incentive payments Payment of a lump sum to HF in charge for meeting water, electricity, security and cleaning needs of the facilities Charging informal user fees and/or requiring patients to purchase supplies Delay or interruption of services | Antenatal care Routine labor and delivery care Emergency obstetric and newborn care Immunization Sick child care Family planning |
Access and affordability | Selective and delayed care seeking Reliance on community-based care providers | Maternal and newborn care Sick child care Treatment of acute malnutrition |
Distrust and lack of demand | Advocacy with authorities Awareness campaigns Relocation of services | Immunization Family planning |