Presentation on theme: "MDG 4 and 5 What News from Lao PDR–?"— Presentation transcript:
1MDG 4 and 5 What News from Lao PDR–? Della R Sherratt International Skilled Birth Attendance (SBA) Coordinator
2UNFPA MissionUNFPA, the United Nations Population Fund, is an international development agency that promotes the right of every woman, man and child to enjoy a life of health and equal opportunity. UNFPA supports countries in using population data for policies and programmes to reduce poverty and to ensure that every pregnancy is wanted, every birth is safe, every young person is free of HIV/AIDS, and every girl and woman is treated with dignity and respect.
3Countdown to 2015 Report 2008 data, paints positive picture for child health
7All pregnant women are at risk Each year, more than 350,000 women die from pregnancy or delivery-related causes and the vast majority of these deaths occur in developing countries.Each pregnancy puts a woman at risk of maternal death, but women who have induced abortions, miscarriages or stillbirths have been found to be at a higher risk of maternal mortality than those who have live births.
8Causes of maternal deaths Regional estimates for Asia, 1997-2002
9Reducing MMR – 3 Pillars Community Empowerment and mobilization Family PlanningTimingNumberEarly OnsetSBA All BirthsSkilled Personnel – (Midwife) PLUS ...Drugs, equipment, supplies, policy (Functioning strong Health system & Political Commitment)EmONCReferral systemTransportCommunity Empowerment and mobilization
10Links between Maternal & Child Health Mother Newborn dyad: Chances of survival of child to 5, if mother dies is poorNewborn Deaths = large proportion of under five child Deaths(Many) causes Newborn deaths, illness and disability are same as MaternalNutrition of mother impacts fetal & Child
11Same Interventions Needed Newborn Survival /Child HealthMotherFP = Increased BF duration,STI prevention treatment esp,Congenital Syphilis, and Blindness (Gonn), Pnemonia (Chlamydia)Prevent fetal distress, birth asphyxia (brain injury) death = prevent prolgned obstructed labourFP = can reduce 20% MMRSTI Prevention and Treatment: Postpartum Infection, Sepsis, DeathPartograph – prevent Prolonged Obstructed labour
12Increased Access to Modern Contraceptives and Family Planning for Maternal and Child Health Too many pregnancies, too closely spaced births, are detrimental to women's reproductive health and can result in complicated pregnancies, example fistula (major disability), but also other injuries or death.FP can reduce maternal deaths and injuries by at least 20 per cent (more in adolescent girls).Increase length of breastfeedingUnder-five Child Development improvedBenefits to Family health and wellbeing
13What is Lao PDR doing to improve the health of mothers and children?
14Policies and Plans2009 Approved National Strategy for Integrated Package of MNCH ServicesNational Plan for Skilled Birth Attendance2010 National Nutrition Policy2010 Free Childbirth Care for poorest Policy
1519 May Lao PDR announces Commitment to UN Sec General Initiative for Women and Children at WHAImplement Free Birth PolicyTrain and accredit 1,500 MidwivesReduce unmet need for FP90 % Children fully immunized
16Technical & Financial Support And ADB and many others NGO
19Upgraded rural health centres Old HC / Somboun & NamouangNew HC and delivery roomLao - Belgium Cooperation Project
20Maternity Waiting Home and delivery sites [Silk Home Project and others] There has been some success in getting women to health care in remote areas –but sustainability can be a problem
21Key to successful HR Development Recruitment - link to where needsTrain - competency-based; focus on skills required including to save lives (must critical thinking and decision making); train close to where they live and workAccreditDeploy - where neededRetain – incentives (financial and none financial). Career pathways, status; Supportive Supervision
22Creating Skilled Attendants (SBA) to keep Mothers & Babies Safe Creating Skills laboratoriesCreating awareness and identify - A national uniform for midwives - so communities can recognize them
23Access to EmONC is very Limited currently undertaking National Needs Assessment
24Strategy VisionImplementing the integrated Maternal, Neonatal and Child mortality reduction strategy will achieve universal coverage of an essential package of interventions for all mothers and children in Lao PDR regardless of gender, geographical, socio-economic and ethnic differences