Evaluating skilled care at delivery in Burkina Faso: principles and practice

摘要: There are strong expectations of what could be achieved by skilled care at delivery for maternal and newborn survival health. Meeting these involves the translation concepts principles attendance into reality routine programmes. This process brings to light some tensions which lie behind consensus on ideal package particularly alternative configurations provider place necessary in immediate term. Lessons learnt from implementation specific projects initiatives have a crucial role play informing scaling-up achievement universal coverage. The Skilled Care Initiative implemented Burkina Faso Family International, evaluated reported here, provides many lessons moving practice. Firstly, there is issue local contextual adaptation, as no one-size-fits-all attendance. Secondly, interventions achieve require imply different levels intensity implementation, depending functionality wider health system intervention area. Thirdly, balance sequencing supply- demand-side interventions. Finally, concept does not exist vacuum space or time, concurrent cross-sectoral developments, such transport road improvements, can strongly influence outcomes. only presents challenges within institutions communities, but also evaluation their effects.