1. IMPROVING THE QUALITY OF LIFE OF YOUTH AND CHILDREN IN SA Dr SA Amos Cluster Manager: MCWH & Nutrition 14 September 2007

2. Presentation Outline Organogram Identifying causes of maternal, infants and under-5 morbidity and mortality Enquiry findings Coverage of child survival interventions Key interventions, programmes and/or strategies: - Neonates infants - Children1-5 years - Youth and adolescents MCWH & N Budget Conclusion

3. ORGANOGRAM Cluster: MCWH and Nutrition Three directorates –Child, Youth and Adolescent –Women’s Health and Human Genetics –Nutrition

4. Identifying causes of maternal, infants and under-5 morbidity and mortality In order to provide appropriate and relevant intervention strategies, we need to understand the causes and underlying factors of maternal and child mortality in South Africa. The Department of Health has introduced programmes to analyze causes and factors leading to maternal and child deaths –Maternal Death Inquiry Programme, –Child Problem Identification Program (CHIP) –Perinatal Problem Identification Program (PPIP).

5. Some of the Enquiry findings Administrative Problems Health Professional Related Patient Orientated Problems – (social and cultural issues)

6. Coverage of child survival interventions ANTENATAL CARE 94% of pregnant women attend ANC and at least 73% attend 4 visits or more (DHS)- (Missed opportunities) 84% of deliveries attended by a skilled health workers (nurses and doctors, DHS) Skills and human resource shortages- pre- service, in-service, more financial resources

7. Coverage of child survival interventions FEEDING: 40% of newborns are breastfed within a hour of birth 12% of children are exclusively breastfed at 0-3 months and 1.5% at 6 months Vitamin A: Coverage above 90% for children 6-12mnths 25% for children 13-60mnths Solution: Expansion of BFHI Building capacity of CHW on Infant feeding

8. Coverage of child survival interventions IMMUNISATION -94% of children <1 year are fully immunized against DPT, Hib and Polio (2005) - 82% of children <1 year are immunized against measles A high national immunisation coverage Still have pockets of low coverage

9. Key Interventions, programmes and /or strategies NEONATES AND INFANTS Quality antenatal, intra-partum and immediate post-partum care Basic Antenatal Care (BANC) Basic Intra-partum Care (BIC) Baby Friendly Hospital Initiative (BFHI)

10. Key Interventions, programmes and /or strategies CHILDREN 1-5yrs EPI IMCI Paediatric CCMT ECD Vitamin A Growth Monitoring CHIP Management of Severe Malnutrition (facility based) School Health Services

11. Key Interventions, programmes and /or strategies YOUTH AND ADOLESCENTS Youth Friendly Services- (Training of HCP, TOT, and Facility Accreditation) –sexual and reproductive health management –Mental health- substance abuse, suicide, eating disorders etc Great Concern: Teenage pregnancy Actions: Expansion of youth friendly services Increase number of trained health care providers Increase the number of Peer Educators Emphasis on Emotional Quotient

12. Key Interventions, programmers and /or strategies Life skills training –Youth Indaba (annual, week long event) – Youth as active participants –Presentations on youth health risks, social issues impacting on health –Shared experiences by survivors –Career opportunities and guidance presented by various experts and other governmental departments –Promotion of patriotism and community involvement

13. MCWH AND N BUDGET The total MCWH and N budget 28,819,000 Cluster Manager’s office: 2,497,000 Child and Youth Health: R11,132,000 Nutrition; 4,795,000 Women’s Health & Genetics: 10,395,000 Additional funding of: R2,752,000-CCMT

14. conclusion In order to step up efforts at improving child survival we need; –an increased resource allocation, –integrated approach to programming, –community involvement and participation, –translating knowledge into action as well as, –strengthening monitoring and evaluation of programmes. “IN S ervice there is no Them and US, there is only We” David R Patient

15. Thank you