We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byBlaze Matis
Modified about 1 year ago
Plan © Plan Cambodia MCH needs Strong Health System vertical vs horizontal intervention in Cambodia Conference of Action for Global Health 10 th May 2011, Berlin, Germany by Dr. Chea Thy, Country Health Advisor, Plan International Cambodia
© Plan MCH needs strong Health System Health Situation in Cambodia Areas for MCH Improvement Crucial Points in Health Systems strengthening Horizontal versus Vertical Interventions Working Approach Donors’ Performance German Development Cooperation in the health sector
© Plan A Case … * ….Mrs. Pok lived in poor community in poor Samut Loe village, Ratanakiri, got married since she was16 years old, she got 6 children at the age of 25. She had never got any ANC service, nor family planning as the service was inaccessible. All of her childbirths delivered by local TBAs in unclean conditions. She died with her last new-born when, on the dusty road, referred to the hospital. In reality, she did not want to be away from domestic chores and care of her children …
© Plan Health Situation in Cambodia 1/3 of the total population live below the poverty line 1 in 12 children died before reaching their fifth birth day 1/3 of children death due to related pregnancy 1/3 of Under-5 Children faced underweight and stunt. Maternal Mortality Ratio: 461per100 000 live birth Contraceptive Prevalence Rate: 35% The poor, the poorest facing much more MCH Problems.
© Plan Government for Improving Maternal and Child Health(MCH) Fast Tract Initiative as to reduce maternal and child death: CORE Family Planning (both short terms and long terms) Safe Childbirth Emergency Obstetrical Care (both Basic and Complementary) Safe Abortion SUPPORTIVE BCC, Overcome financial barriers, Surveillance Source: RMCNHC, MoH, Cambodia
© Plan Health services delivery Promoting child health care Launch Health Center Construction Plan Cambodia strengthening Health System
© Plan Crucial Points in Health Systems strengthening Ownership, alignment, harmonization… Partnership with civil society & private sectors Legal Framework Accountability and Transparency Health Services Functioning Qualified human resources Comprehensive health services delivery
© Plan Horizontal interventions Health Sector Support Project 1 HSP-1 2003-2007 Health Sector Support Project 2 HSP-2 2008-2015 Contract-in OD and Contract-out OD Special Operating Agency (SOP)= OD D=Donor/Development Partner OD =Operational District RH =Referral Hospital HC =Health Center NHSP= Health Strategic Plan RHHCs community outreaches HCsRH community outreaches D-1 D-2 D-3 D-1 D-2 D-6 D-7 D-3 D-1 D-2 D-4 D-5 D-8 community outreaches community outreaches community outreaches community outreaches Community based Contraceptive distribution Community based Contraceptive distribution
© Plan Horizontal interventions Package of outreach services: basic vaccines, very basic care and treatment, deworming, health education, ANC, PNC (including FP), micronutrient (Vitamin A, Folic acid, Iron, Zinc)… etc. Low quality MCH Services are also available, accessible and delivered by private providers in community Pros: mothers can access to a range of MCH service (s) Cons: too challenging to deliver many services from one Health Service Delivery Point. Low geographical coverage.
© Plan Horizontal interventions Package of Reproductive Maternal Child Newborn Health Care Services at Heal Center: ANC (including FP), Counseling, Childbirth, PNC (including FP), birth registration, Tetanus Toxoid, BEMOC, referral, micronutrient, nutrition, immunization and health education, safe abortion… Pros: Demand side has Choices of available services; Supply side has multiple basic health care competency. Cons: Limited staff, there can not provide all services. Limited drug supply and financial supports Limited space and facility and coverage for services
© Plan Vertical interventions Family Planning HIV/AIDS Malaria Tuberculosis Global Fund Cholera
© Plan Vertical interventions: Family Planning Pros Social Marketing FP products available, affordable and accessible FP methods delivered through Public health system FP reduce population and hence reduce poverty Cons Lots of framework, human resources and attention commitments made to FP FP products smuggled to other non-target area Side effects of FP methods affect other MCH services Long terms FP methods, women can not control over their body
© Plan Which approach works best ? Both approaches support each others, there are pros and cons involved. However, It suggests that invested more than one particular health problem or single intervention. Better more comprehensive health program intervention rather than one single family planning one. Strong health system needed to respond to multiple and inter-related MCH causes and problems. Demand site/vulnerable mothers needs strong health system, close to their doors.
© Plan How do donors perform in this regard? Based on the primary duty bearers and right holders’ needs, priorities. National Health Strategies as Approaches for ‘strong health system’. However, the application of single, dual or multiple approaches, Donors have to help the government in developing countries take more accountable and commitments for MCH health intervention as ensure that the rights of children and mothers, particular the vulnerable ones, to high standard quality of care, prevention and treatment.
© Plan German Development Cooperation in the health sector? GTZ (on behalf of BMZ) has been active and in-depth appreciated in Cambodia: Social Health Protection, RD, Govern. Contributed to Clinical Practice Guideline, Quality standard for Health Services, in-service training, Model and procedures for scaling up Social Health Protection System Strengthening health system both public and private sector Modern Contraceptive methods through social marketing and public health Building/renovation of training centers Quality Management and HR development: training of nurses, midwives, public health managers Community-based health insurance/Health Financing ID Poor, General Population Census 2008……….
© Plan Maternal Health Post, in 12th Century, King Cheyvaramann VII Bayon, Angkor Thom, Siem Reap, Cambodia Thank You!
Challenges of meeting MDG4 and MDG 5 in Bangladesh Prof. Kishwar Azad Project Director DAB-Perinatal Care Project.
Celebrating Progress and Accelerating Action 23 April, 2012 Washington, DC Saving mothers’ lives _ Experiences from Cambodia Saving mothers’ lives Experiences.
Voluntary Surgical Contraception Sterilization Conference (26 – 27 June 2003) Family planning as a priority component of RH in Cambodia- Voluntary Surgical.
Notes on Integrated Approaches to Improving Maternal, Newborn and Child Health Women's Policy, Inc., PATH, and Congressional Women’s Caucus Members September.
1 HIGHLIGHTS OF MDGs & MKUZA II IN ZANZIBAR HEALTH SYSTEM OPPORTUNITIES & CHALLENGES Presented by : Dr. Mkasha Hija Mkasha (On behalf of Acting DG)
Maternal Health Cambodia UNICEF Cambodia September 2010.
SPECIAL SESSION COUNTDOWN TO 2015 IN ETHIOPIA SIX BUILDING BLOCKS OF THE HEALTH SYSTEM: PROGRESS TOWARDS THE INTEGRATION IN ETHIOPIA Dereje Mamo Tsegaye.
Africa Regional Meeting on Interventions for Impact in EmOC Feb 2011, Addis Ababa Maternal and Newborn Health in the African Region Africa Regional.
Changing Policy- Rwanda's change in guidelines African Regional meeting on interventions for Impact in essential obstetrics and new born care Addis Ababa.
What is H(M)IS?. Purpose of HIS “is to produce relevant information that health system stakeholders can use for making transparent and evidence-based.
A well managed population for quality life Prevention of Maternal Deaths – Role of Family Planning Dr. Josephine Kibaru-Mbae Director General National.
Seite 1 BMZ Health Sector Strategy (Health Division) Framework, principles and thematic areas of German Development Aid for Health Dr A Stadler.
Sadia A Chowdhury The World Bank May 26, 2010 The World Bank’s Reproductive Health Action Plan /5/20151.
UNDP RBA MDG-Based National Development Planning Workshop Health Module Chandrika Bahadur UN Millennium Project February 27-March 3, 2006.
Sector Working Group for Health Policy Level: 21 November November 2008 Donechan Palace Social Transfer to the Fight against Hunger- Experiences.
4 th National Seminar on Food Security and Nutrition Under the theme “Child and Maternal Nutrition” National Maternal and Child Health Centre, MoH Dr.
Community Approaches to Child Health. Why Community Approaches? To reach unreached families To mobilize additional resources and partners (including communities.
The Opportunity and the Challenge Delivering More for Mothers and Newborns on the Day of Birth Koki Agarwal, M.D. Dr. PH Director Maternal and Child Survival.
Strengthening Integration between RMNCH and HIV services Nuhu Yaqub WHO Tanzania.
EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY AND MORTALITY IN KISARAWE DR. M.O. KISANGA KISARAWE INTRODUCTION Kisarawe District is among the seven.
The Role of Midwives in MCH 17 th of February, 2009 Alison Lindner BSN, CNM, MPH.
Early Childhood Development HIV/AIDS in Malawi Presented by Malawi Country Team Dar-es-Salaam, Tanzania 2004.
Maternal, neonatal, child health and nutrition Gunta Lazdane WHO Regional Office for Europe.
REDUCING MATERNAL AND NEONATAL MORTALITY IN MOZAMBIQUE THE CHALLENGE IN THE NEW MILLENIUM.
Integration of postnatal care with PMTCT: Experiences from Swaziland Indira Narayanan, MD, Consultant, MNCH Goldy Mazia, MD, MPH, Technical Officer, Newborn.
Current Health Status In Sudan. Health Care Providers Ministry of Health (FMOH,SMOH). Health Insurance Fund. Private (for Profit) sector NGOs (non-profit)
1 CAMBODIA RHSC Meeting, Bonn October 2006.
Health Cluster Response Plan CAP 2013 SANA”A, YEMEN October 20 th, 2012.
Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Maternal and Newborn Health Training Package Session 12:
Programming for MNCH and nutrition Jerker Liljestrand Copenhagen, 18 January, 2013.
Dr. Bautista Rojas Gómez, Minister of Health April 23, 2012 Reducing Maternal Mortality Efforts, Progress, and Success in the Dominican Republic.
Lessons Learned in Social Protection in health Group 8.
Afghan Women Health Status Helsinki 10 November 2010 Presented by : Dr Wamta Shams 1 Afghan Women Health status Helsinki, 10 th November 2010 Prepared.
By Dr. Olawale Maiyegun, Director of Social Affairs African Union Commission.
MDG 4 Target: Reduce by two- thirds, between 1990 & 2015, the mortality rate of children under five years.
REDUCING MATERNAL AND NEWBORN DEATHS in Nigeria United Nations Human Development Index 136/162 countries.
Partnerships for PMTCT in Uganda A presentation to the IAS conference AVSI Side Event - Washington 25 July 2012 May Anyabolu Deputy Representative UNICEF.
NATIONAL HEALTH CARE IN RWANDA THE COMMUNITY BASED HEALTH INSURANCE (CBHI) NGAMIJE Daniel Coordinator of Project management Unit of Global fund and MAP.
2014 Kenya Demographic and Health Survey (KDHS) Key Indicators.
Tanzania National Family Planning Costed Implementation Program (NFPCIP)
Sri Lankan Perspective Dr Nihal Abeysinghe M.B.,B.S., MSc, M.D. (Community Medicine) Chief Epidemiologist Ministry of Health, Nutrition & Welfare Place.
Factors Affecting Maternal Mortality (MM) in Turkey and in the World Dr. Yeşim YASİN Spring-2014.
Service Integration in the Context of PEPFAR Programming David Hoos September 2010.
Health Planning and Implementation in post-conflict Afghanistan by Laurence Laumonier-Ickx, MD November 8, 2006.
Agenda Motivation and Overview (using Education as an example) Discussion by Selected Intervention Area Energy Services.
Ensuring Client-Centered Access to Contraceptive Supplies Malawi Story.
Health System and Health System Strengthening in Nepal Dr BR Marasini, MBBS, MPH Senior Health Administrator Ministry of Health and Population.
MDG Needs Assessment Training Workshop May 9-12, 2005 Health Module.
Diseases without borders What must the Global Development Community Do? World Bank Seminar Series Tawhid Nawaz, Operations Advisor Human Development Network.
Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Maternal and Newborn Health Training Package Session 4:
© 2017 SlidePlayer.com Inc. All rights reserved.