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Self-care interventions, including for sexual and reproductive health and rights, are among the most promising new approaches to improving health and well-being, both from a health systems perspective and for the users of these interventions. Self-care interventions should be an adjunct to, rather than a replacement for, direct interaction with the health system. These interventions are increasingly being acknowledged in global initiatives, including to advance primary health care (PHC) and universal health coverage (UHC). When they are accessible, available, acceptable, and affordable, quality self-care interventions hold the promise of advancing the attainment of UHC. Building upon the latest WHO recommendations and good practice statements, this implementation guidance includes key considerations to support the introduction and scale-up of self-care interventions in countries. In implementing the global recommendations on self-care interventions for health and well-being, countries will need to adapt them to the local context, considering the economic conditions and the existing health services and facilities. This guidance is intended to assist with that process and requires interaction with all health systems building blocks to ultimately improve national health systems in terms of efficiency, responsiveness, more equitable health outcomes, and social and financial risk protection. This guidance is relevant for all settings and should, therefore, be considered as global guidance.
Building on earlier work, the WHO Department of Sexual and Reproductive Health and Research, including the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), convened a two-day expert meeting with technical experts from United Nations agencies, researchers and partners working in humanitarian assistance. The meeting began with a discussion of the heterogeneous context of humanitarian settings, and continued by exploring experts’ experiences in implementing evidence based self-care interventions in diverse settings.
Many women experience changes in their mental health during the perinatal period. In this guide, the perinatal period refers to the duration of pregnancy and the year after birth. period. Poor mental health can negatively affect women’s health and the well-being of their babies and families. Equally, poor health or difficult circumstances in the lives of women, their babies and families can negatively impact women’s mental health. Maternal and child health (MCH) services during the perinatal period provide a unique opportunity for service providers to connect with women and provide support. This guide was written to provide information about how staff in MCH services can provide mental health promotion, prevention, treatment and care. Supporting good mental health can improve health outcomes, and the quality of MCH services for all women can be improved by creating an environment where they feel safe to discuss any difficulties they are experiencing in a respectful and caring environment that is free from stigmatization. This may increase attendance and result in better engagement in care for women and their babies.