secondly it also refers to the continuum of care that must be provided at all levels of the health system in the home and community health centre and hospital they rapidly increased the access of a skilled attendant to childbirth and when required timely emergency obstetric care they recognized that provision of services for mothers and newborns are at the centre of a strong health care system and the resulting reduction in maternal and newborn mortality is a measure of the success of that health system family planning is a critical element for improving maternal and child health