10-Maternal and child health1.ppt

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Maternal and childMaternal and child

healthhealthDr. Husam Eldin Elsawi KhalafallaDr. Husam Eldin Elsawi Khalafalla

FCMFCM

http://images.google.com.sa/imgres?imgurl=http://www.rwh.org.au/ypp/media/road_birth.gif&imgrefurl=http://www.rwh.org.au/ypp/health.cfm%3Fdoc_id%3D4455&h=120&w=130&sz=3&hl=ar&start=147&tbnid=6biCRRBJt4vPPM:&tbnh=84&tbnw=91&prev=/images%3Fq%3Dantenatal%2Bcare%26start%3D140%26gbv%3D2%26ndsp%3D20%26svnum%3D10%26hl%3Dar%26sa%3DN


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ContentsContents

DefinitionDefinition Why child, mother, child &mother Why child, mother, child &mother

The prolemThe prolem ac!"round# $HC,MD%s ac!"round# $HC,MD%s ntenatal carentenatal care

'(ecti)es'(ecti)es ComponentsComponents *ndicators #MM+ *ndicators #MM+



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DefinitionDefinition

$romoti)e, pre)enti)e, curati)e and$romoti)e, pre)enti)e, curati)e and

rehailitati)e health care for mothers andrehailitati)e health care for mothers and

childrenchildren



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BackgroundBackground

Alma-ata Declaration 1978 Alma-ata Declaration 1978

Equitable distribution of services that Equitable distribution of services that

are accessible (geograph, economic,are accessible (geograph, economic,

culturall! and acceptableculturall! and acceptable "ntersectoral coordination "ntersectoral coordination

$rimary Health Care$rimary Health Care



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They are not onlyThey are not only

HETH "oals utHETH "oals ut

wider wider

--stst in the nited /ations0in the nited /ations0Millennium DeclarationMillennium Declaration

1 2333,1 2333,

Millennium De)elopment %oals 4MD%s5Millennium De)elopment %oals 4MD%s5

MortalityMortality Indicators KSAIndicators KSA

20032003

IMR/000IMR/000

!o!ulation!o!ulation19.119.1

"#MR/000 $irths"#MR/000 $irths 22.422.4

MMR 00 000 li%eMMR 00 000 li%e

$irths$irths1414


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6 %oals6 %oals

7 are directly related to reproducti)e and se8ual7 are directly related to reproducti)e and se8ual

health#health#

-.-. impro)e maternal healthimpro)e maternal health

2.2. reduce child mortalityreduce child mortality

7.7. comat H*9:*D;, malaria and othercomat H*9:*D;, malaria and other

diseasesdiseases

Millennium De)elopment %oals 4MD%s5Millennium De)elopment %oals 4MD%s5


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< other %oals ha)e a close relationship with health,< other %oals ha)e a close relationship with health,

includin" reproducti)e health#includin" reproducti)e health#

-.-.

eradicate e8treme po)erty and hun"er eradicate e8treme po)erty and hun"er 2.2. achie)e uni)ersal primary educationachie)e uni)ersal primary education

7.7. promote "ender e=uality and empower women promote "ender e=uality and empower women


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&hy M'C'((M)C&hy M'C'((M)C

Their numer 4>3 1?3@ of population5Their numer 4>3 1?3@ of population5 9ulnerale9ulnerale

$re"nancy$re"nancy De)elopmentDe)elopment

Healthy pre"nancy , deli)ery A healthy ayHealthy pre"nancy , deli)ery A healthy ay

Dependency of child on mother Dependency of child on mother Feedin"Feedin" Care see!in"Care see!in" --stst and Best teacher and doctor and Best teacher and doctor

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*he !ro$le+ , +aternal*he !ro$le+ , +aternal

Maternal mortality #Maternal mortality #

>33.333 women etween>33.333 women etween

the a"es of -1


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Co+!arison ofCo+!arison of

MMR--0 and 200#MMR--0 and 200#

'.orld total'.orld total

*he !ro$le+*he !ro$le+

!ersists!ersists




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"s the death of a #oman #hile "s the death of a #oman #hile pregnant or #ithin $% das of pregnant or #ithin $% das of

termination of pregnanc, from antermination of pregnanc, from an

cause related to or aggravated bcause related to or aggravated bthe pregnanc or its management the pregnanc or its management

Maternal death #Maternal death #

DEF*/*T*'/DEF*/*T*'/



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DirectDirect

indirectindirect

Maternal death #Maternal death #

C;E;C;E;



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'stetric complications'stetric complicationsof pre"nancy, laour orof pre"nancy, laour or

the postpartum periodthe postpartum period

Maternal mortality causes #Maternal mortality causes #

Direct 80%Direct 80%


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Obstetric complications of pregnancy, labour orObstetric complications of pregnancy, labour or

the postpartum period the postpartum period

ma(or causes# ma(or causes#-.-. Hemorrha"eHemorrha"e 2 2@4@4$$H$$H, $H5, $H5

2.2. ;epsis -@;epsis -@

7.7. Eclamp siaEclamp sia


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From pre)iouslyFrom pre)iously e8istin"e8istin" diseases or diseasesdiseases or diseasesarisin"arisin" durin"durin" pre"nancy 4ut without direct pre"nancy 4ut without direct

ostetric causes5, which wereostetric causes5, which were a""ra)ateda""ra)ated y y

the physiolo"ical effects of pre"nancythe physiolo"ical effects of pre"nancy

Maternal mortality causes #Maternal mortality causes #

Indirect 80%Indirect 80%



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From previously existing diseases or diseases arising duringFrom previously existing diseases or diseases arising during

pregnancy (but without direct obstetric causes), which were pregnancy (but without direct obstetric causes), which were

aggravated by the physioological effects of pregnancyaggravated by the physioological effects of pregnancy

e8amples#e8amples#

-.-. MalariaMalaria

2.2. nemianemia

7.7.

C9DC9D


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-.-. Delay inDelay in ac!nowled"in"ac!nowled"in" the seriousness ofthe seriousness ofthe condition and ma!in" the decision tothe condition and ma!in" the decision to

see! see! ur"ent careur"ent care

2.2. Delay inDelay in reachin"reachin" the health facilitythe health facility7.7. Delay inDelay in recei)in"recei)in" health carehealth care

Maternal mortality causes #Maternal mortality causes #The 3 DELAYSThe 3 DELAYS

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*he !ro$le+ , child*he !ro$le+ , child

Factors influencin" child mortalityFactors influencin" child mortality

Child mortality causes #Child mortality causes #

Birth wei"htBirth wei"ht

Birth order Birth order

"e and parity"e and parity

Multiple pre"nanciesMultiple pre"nancies

MalpresentationsMalpresentations

Health care: ser)icesHealth care: ser)ices

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*he !ro$le+ , child*he !ro$le+ , child

Ma(or causes of child mortalityMa(or causes of child mortality

Child mortality causes #Child mortality causes #

Diarrhea dehydrationDiarrhea dehydration

Diarrhea malnutritionDiarrhea malnutrition

cute respiratory infectionscute respiratory infections

MeaslesMeasles

MalariaMalaria TetanusTetanus

Malnutrition as underlyin" and contriutin"Malnutrition as underlyin" and contriutin"

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$rematurity is the leadin" cause of death amon"$rematurity is the leadin" cause of death amon"neworn aies.neworn aies.

Those who sur)i)e may face lifelon" prolemsThose who sur)i)e may face lifelon" prolems

such assuch as-.-. *ntellectual disailities,*ntellectual disailities,

2.2. Cereral palsy,Cereral palsy,

7.7. Breathin" and respiratory prolems,Breathin" and respiratory prolems,


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a ay orn at 7 wee!s is more li!ely to ha)ea ay orn at 7 wee!s is more li!ely to ha)e

aundice,aundice,

Breathin" prolems, andBreathin" prolems, and

on"er hospital stays.on"er hospital stays.

re+aturityre+aturity


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Risk actorsRisk actors The !nown ris! factors areThe !nown ris! factors are Multiple pre"nancyMultiple pre"nancy

H8 of preterm irth.H8 of preterm irth. $rolems with the uterus or cer)i8.$rolems with the uterus or cer)i8. Chronic health prolems in the mother, such as hi"hChronic health prolems in the mother, such as hi"h

lood pressure, diaetes, and clottin" disorders. lood pressure, diaetes, and clottin" disorders.

;ome;ome infections durin" pre"nancy.infections durin" pre"nancy. Ci"arette smo!in", alcohol use, or illicit dru" useCi"arette smo!in", alcohol use, or illicit dru" use

durin" pre"nancydurin" pre"nancy

re+aturityre+aturity



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&hy M'C'((M)C&hy M'C'((M)C

+eduction of maternal, perinatal, infant and+eduction of maternal, perinatal, infant and

child mortality and moriditychild mortality and moridity

$romotion of reproducti)e health$romotion of reproducti)e health

$romotion of physical and psycholo"ical$romotion of physical and psycholo"ical

de)elopment of the child and adolescent in thede)elopment of the child and adolescent in the

familyfamily

'BECT*9E; 'F MCH'BECT*9E; 'F MCH



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co+!onentsco+!onents

Maternal healthMaternal health

Child healthChild health

;chool health;chool health Handicapped childrenHandicapped children

adolescenceadolescence

!"#$%& %'(%)*+ )& /% %'( ( 6'!"#$%& %'(%)*+ )& /% %'( ( 6':%;;?@ AB;+ :%;;?@ AB;+

D%)$ E < G& ).I D%)$ E < G& ).I 14281428++

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Childhood !eriodsChildhood !eriods

-.-.

*nfancy up to to - year of a"e*nfancy up to to - year of a"e

-.-. /eonatal period 4- /eonatal period 4-stst 26 days of a"e526 days of a"e5

2.2. $ostneonatal period426$ostneonatal period426thth day to - year5day to - year5

2.2.

$reschool a"e 4-1< years5$reschool a"e 4-1< years57.7. ;chool a"e 41-< years5;chool a"e 41-< years5

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Childhood !eriodsChildhood !eriods

When do children die in *ndiaWhen do children die in *ndiaKK

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MMRMMR

-.-. Maternal mortality +T*' AMaternal mortality +T*' A numerator numerator 8 multiplier8 multiplier denominator denominator

2.2. K; 233 1 -7K; 233 1 -7

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TH/K G'TH/K G'

10-Maternal and child health1.ppt

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