Improving Maternal and Newborn Care through Increased Access International Workshop on Progress Made and Lessons Learned in Scaling-Up FP-MNCH Best Practices.

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Presentation transcript:

Improving Maternal and Newborn Care through Increased Access International Workshop on Progress Made and Lessons Learned in Scaling-Up FP-MNCH Best Practices in the AME Region Dr. Heng Chanlida RHAC Community Health Specialist Dr. Chan Ketsana RACHA MCH and Nutrition Team Leader

Total Population: 13.4 million Percentage rural: 80.5% Annual population growth rate: 1.54% Sources: MOP General Population Census of Cambodia 2008 and CDHS 2005 Key Demographics NMR: 28 per 1000 live births MMR: 472 per 100,000 live births

Source : Cambodia Demographic and Health Survey, 2000 & 2005 Joint Annual Performance Review, Presentation by RMNCH Task Force 2008 Trend in MCH Service Uptake

Voucher Scheme 4 ANC visits Delivery at health center 1 post partum visit Increase utilization of HC by pregnant women Quality of Care: 24 / 7 availability Life Saving Skills

Increase utilization of HC by pregnant women Average number of deliveries by SBA at HCs per month in one province

Targets poor pregnant women at health centers Increase utilization of HC by pregnant women Health Equity Fund Services covered: ANC, delivery and PNC, transport to hospital in emergency

Year Referred by Traditional Birth Attendant Village health support group Village chiefTotal Del.ANCEmONCDel.ANCEmONCDel.ANCEmONC Total Community Level Referral System Increase utilization of HC by pregnant women

Challenges Shortage of Midwives Limitation of knowledge among people in the community Lack of skilled MW Low quality of services at the health facility Infrastructure is still poor The poverty is still quite high (not able to pay for the transportation cost)

Thank You..! THANK YOU FOR YOUR ATTENTION