Celebrating Progress and Accelerating Action 23 April, 2012 Washington , DC
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Transcript of Celebrating Progress and Accelerating Action 23 April, 2012 Washington , DC
Celebrating Progress and Accelerating Action 23 April, 2012 Washington , DCSaving m
others’ lives _ Experiences from Cam
bodia
Saving mothers’ lives
Experiences from Cambodia
Ministry of Health
Source: National Health Statistics MoH 2002-2011. Mainly public sector
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
19%22%
34% 32%36%
46%
61%64%
70% 71%
8% 11%
17% 16%18% 26%
40%
50%
59% 61%
% Skilled birth attendance % Facility Delivery
Interventions for Maternal Health In Cambodia
• Peace, growth, education • Roads, phones• Health centers, midwives
Saving mothers’ lives _ Experiences from
Cambodia
Source: National Health Statistics MoH 2002-2011. Mainly public sector
2002 2003 2004 2005 2006 2007 2008 2009 2010 20110%
10%
20%
30%
40%
50%
60%
70%
80%
19% 22%
34% 32%36%
46%
61%
64%70%
71%
8% 11% 17% 16% 18%
26%
40%
50%
59%
61%
% Skilled birth attendance % Facility Delivery
Interventions for Maternal Health In Cambodia
• Peace, growth, education • Roads, phones• Health centers, midwives
• Removing financial barriers: - Health equity funds - Live birth incentive ($15-HC, $10 RH)
Saving mothers’ lives _ Experiences from
Cambodia
Secondary midwife at HC
Leaves her cell phone numberResides close, can be reached
The Midwife is available around the clock, all week
Saving mothers’ lives _ Experiences from
Cambodia
2009 May 2011 Dec0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
17%
71%
50% AMTSL, % of birthsMgSO4, % of hospitals
AMTSL and MgSO4 use 2009 and 2011
2009: 141 births in 31 hospitals, 2011: 61 births in 16 hospitalsSaving mothers’ lives _ Experiences from
Cambodia
Baselines 2009 BHS PY2 ( Oct 2010) BHS PY3 (March 2011)0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
17%
84%
97%8%
6%
Correct Use of AMTSL in 9 USAID/BHS-supported HospitalsMarch 2011 (Partograph Review of 2657 Delivery Cases)
Correct Use of AMTSL Vaginal Bleeding >300 ml
AMTSL improvement and bleeding
Saving mothers’ lives _ Experiences from
Cambodia
Source: CDHS, UN
1980 1985 1990 1995 2000 2005 20100
1
2
3
4
5
6
7
8
9
10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
TFR CPR
Birth per woman (TFR) vs. Contraceptive prevalence
Saving mothers’ lives _ Experiences from
Cambodia
1990 1995 2000 2005 20100
100
200
300
400
500
600
700
800
0
100
200
300
400
500
600
700
800690
640
432
472
206
MMR development in Cambodia 1990-2010. Estimates for 1990 and 1995 from WHO, the remainder from CDHS For 2005 and 2010 with 95% confidence intervals
Maternal Mortality Ratio in Cambodia
Saving mothers’ lives _ Experiences from
Cambodia
Factors Leading to Success: “It takes a village”
• Government Commitment
• “The Fast Track Initiative Roadmap for Reducing Maternal and Newborn Mortality”
• Community Leadership
• Partnerships with donors and other stakeholders
Saving mothers’ lives _ Experiences from
Cambodia
• Improve newborn survival
• Improve links HCs <=> hospitals
• Improve quality of care
• Regulate private sector
• Increase FP availability
• Maternal and child nutrition
Challenges
Saving mothers’ lives _ Experiences from
Cambodia
Saving mothers’ lives _ Experiences from
Cambodia
Thank you very much for your attention!