Figure 1.

Maternal, perinatal, neonatal and child deaths that can be averted by health–care packages through three service platforms [22]. The numbers above the columns were not in the original figure. The services assumed to be provided in each platform are as follows. The community platform: all interventions that can be delivered by a community–based health worker with appropriate training and support or by outreach services, such as child health days, immunizations, vitamin A, and other interventions. The primary health center (PHC) platform: a facility with a doctor or a nurse midwife (or both), nurses and support staff, as well as both diagnostic and treatment capabilities. The PHC provides facility–based contraceptive services, including long–acting reversible contraceptives (implants, intrauterine devices); surgical sterilization (vasectomy, tubal ligation); care during pregnancy and delivery for uncomplicated pregnancies; provision of medical care for adults and children, such as injectable antibiotics, that cannot be done in the community; and training and supervision of community–based workers. The hospital platform: consisting of both first–level and referral hospitals, includes more advanced services for management of labor and delivery in high–risk women or those with complications, including operative delivery, full supportive care for preterm newborns, and care of children with severe infection or severe acute malnutrition with infection [22].