ADRA promotes, builds capacity, and sustains increased knowledge and changed practices for RH/FP and the range of actions focusing on MNCH. Recognizing that the health of infants and young children starts with the physical and mental health of the mother / caretaker, ADRA builds capacity for PHC with an integrated lifespan perspective with special emphasis on the mother / caretaker and the child’s first 1000 days. This focus encompasses FP and timing of pregnancies as described below; healthy pregnancies; preparation for delivery; a delivery with a skilled attendant; antenatal care/postnatal care (ANC/PNC); and perinatal mental health. It integrates closely with nutrition; early childhood development; WASH; food security; and livelihoods. ADRA supports the expansion of approaches for the prevention and treatment of common illnesses; integrated management of neonatal and childhood illnesses (IMNCI) at health facility and community levels, and clinical care including rational use of pharmaceuticals and supply chain management. ADRA engages social and behavior change (SBC) for demand creation and the adoption of healthy behaviors. As a complementary support to health ADRA also improves WASH in health facilities and constructs or rehabilitates PHC facilities including maternal waiting and birthing centers.

ADRA’s RH/FP approaches include ending Child, Early and Forced Marriage (CEFM) and delayed sexual debut for young people; and healthy timing and spacing of pregnancies through human-centered and system-wide approaches. ADRA promotes long-lasting methods with a full range of approaches addressing both supply and demand while increasing the quality of services to expand options. ADRA promotes men’s increased engagement in RH/FP, child-care, and shared health decision-making.