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Strategy to improve maternal
and child health - cross-
sectoral issues and resource
requirements
Presented at the
First CDCF
19-20 June 2007
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Toward achieving CMDG 4
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Indicator |
target 2005 |
CDHS 2005 |
target 2010 |
target 2015 |
| U5MR |
105 |
83 |
85 |
65 |
| IMR |
75 |
66 |
60 |
50 |
| % of children
fully immunized |
80 |
77 |
85 |
90 |
| % of infants
exclusively breastfed up to 6 months |
20 |
60 |
34 |
49 |
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Improvement of MCH service coverage
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Child mortality trends
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Toward achieving CMDG 5
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Indicator |
target 2005 |
CDHS 2005 |
target 2010 |
target 2015 |
| MMR |
343 |
472 |
243 |
140 |
| TFR |
3.8 |
3.4 |
3.4 |
3.0 |
| CPR for modern
contraception |
30 |
27 |
44 |
60 |
| % of births
attended by SBA |
60 |
44 |
70 |
80 |
| % of ANC visits
from skilled health personnel |
60 |
69 |
75 |
90 |
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Issues and suggested strategy
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Issue: Lack
of qualified midwives in remote rural areas due to lack of
graduated midwives and very competitive incentives for private
sector.
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Suggested strategy: Establish
attractive incentives for midwives to increase in-service training
and deployment. Each health center will have at least 1 midwife by
2011.
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Issue: Lack of good quality
and adequately equipped health facilities to provide comprehensive
health services.
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Suggested strategy: Upgrade
and expand health infrastructure with equipment and essential
drugs for appropriate health service coverage.
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Issues: High level of positive
correlation between various health indicators and level of women’s
education.
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Suggested strategy: Enhancing
women’s basic and higher education and improving health knowledge
for behavior change.
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Issue: Financial barriers
preventing access to health services.
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Suggested strategy: Expand
health equity funds.
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Issues and suggested strategy
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These include:
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12 key effective child survival
interventions;
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Provision of contraceptives to
prevent unwanted pregnancies
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Skilled care at pregnancy, delivery,
and after delivery
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Emergency obstetric care, including
referral system
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Safe abortion.
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Resource requirements
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According to the costing study on the 11 child survival scorecard
interventions, estimated costs range from 19 to 21 million US
dollars per year from 2007 to 2010.
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The
overall maternal/reproductive health costing is to be developed
within the next two months.
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Example of resource
allocation in 2007
- Communicable diseases, including
HIV/AIDS – 22% (22.4 million US dollars)
- Maternal and child health- 3.39% (5.87 million US dollars)
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Maternal and child death is truly a cross-sectoral issue and a
tragedy not only for an individual, a family or a particular
community, but for the whole society.
Increase investments in maternal and child health are required to
contribute to the achievement of the millennium development goals
Thank
you
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