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Table 8 Contextual factors identified in the Nepal Exemplars in Under-5 Mortality case study and those identified as being relevant for the integrated management of neonatal and childhood illness intervention

From: Integrated Management of Childhood Illness implementation in Nepal: understanding strategies, context, and outcomes

Contextual factors

Relevant to IMNCI

Addressing social determinants and other contributors to U5M

 

Conflict

X

Culture of data use

X

Donor and international partner resources and coordination

 

Economic growth and development

X

Female community health volunteers

 

Focus on universal health care and equity: national leadership and commitment

X

Geography

X

Health financing

 

Health system strengthening

X

Improved access to family planning, increased birth spacing, and decreased fertility rates

 

Infrastructure and communications

 

Prioritization of local research

X

Preexisting community health system and structure including community health workers

X

Quality assessment/improvement

 

WASH

 

Women’s education/empowerment

X

  1. IMNCI Integrated management of neonatal and childhood illness; WASH water, sanitation, and hygiene.
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BMC Pediatrics

ISSN: 1471-2431

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