Victor: Impact of Delivering an Integrated Maternal and Newborn Package
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Transcript of Victor: Impact of Delivering an Integrated Maternal and Newborn Package
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7/28/2019 Victor: Impact of Delivering an Integrated Maternal and Newborn Package
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Impact of delivering an integrated
maternal and newborn packageMoH
RWANDA
Dr Mivumbi Victor
REPUBLIC OF RWANDA
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Plan
Situation
Trend in Maternal and neonatal mortality
High impact intervention Challenge
Future activities
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Situation
Population : 10 million
Superficial: 26,345 km2
MMR: 476/100.000 NMR: 27/1000
SBA: 69%
ANC1:98%, ANC: 35%Source: DHS 2010
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Neonatal mortality in Rwanda has reduced by almost half in the past ten years
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MATERNAL MORTALITY
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Percent of institutional deliveries and deliveries by SBAs
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Coverage (%) of Maternal and NewbornInterventions, 2005 and 2010
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Roadmap 2008-2012
Goal 1: Maternal Mortality 2005: 750
2010: 600
DHS: 476
Goal 2: Neonatal and perinatal mortality to
50%
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Key MNH interventions
implemented at all levels
Training health providers( EmONC,
ENC,HBB,KMC..)
Post training follow up and quarterly
formative supervision
A full package of maternal and newborn
health services at the community
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Cont.
Tracking information related to health by
Rapid-sms
Maternal, infanty and neonatal mortality
audits at the health facilities( 2008)
PBF in facilities with neonatal indicators
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Challenges
Deliveries at home 31% Early neonatal death is the main cause of
neonatal death:
95% neonatal deaths are at 0-7 days; 62% ofthese at birth
Stillbirth: 43 % of perinatal death
Belivisies of traditionals hills Poor of 4 ANC
Not enough staff
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Future activities
Integration of training manual in Medicalschools.
Scale up verbal autopsy in the community
More training of CHW to follow PW
More sensitisation to population
Accessibility of maternity near the population
FANC
KMC
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Skin to skin after delivery
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