Cover Image
close this bookMother-Baby Package: Implementing Safe Motherhood in Countries (WHO, 1996, 108 p.)
close this folderHOW to operationalize the Mother-Baby Package
View the document(introduction...)
View the documentDefine national policy and guidelines
View the documentAssess needs
View the documentPrepare national plan of action
View the documentEstimate costs
View the documentIdentify sources of financial support
View the documentDevelop detailed implementation plan
Open this folder and view contentsImplement planned activities
View the documentMonitor and evaluate

Develop detailed implementation plan

The national action plan describes the overall strategic approach to implementing needed activities. However, the specific activities themselves have to be put into practice at the level of the district and should be described in a detailed implementation plan. It may not be possible to implement the planned activities simultaneously in all districts. Therefore a phased approach should be used, with targets for nationwide coverage.

Within each country, district health planners should undertake needs assessments, identify gaps locally and develop detailed implementation plans accordingly. The detailed implementation plans should include time-lines and show linkages, indicating precisely when each activity will be implemented and by whom. It should also include district level monitoring and evaluation mechanisms linked to the overall monitoring at national level.

In developing district level implementation plans, health planners and managers should examine mechanisms for ensuring connections between different levels of the health care system so that a functional referral and supervision system is set up between communities, health posts and dispensaries, health centres and district hospitals. This is of particular importance in decentralized and federal systems where there may be different supervisory and financing structures for hospitals and peripheral health facilities. This may necessitate establishing coordination mechanisms between ministries of health and local government.