Achievements of the Achievements of the Republic of Republic of Kazakhstan Kazakhstan on recommendations of the on recommendations of the VI CARK MCH ForumVI CARK MCH Forum

Dr. Anatoly Belonog ,Dr. Anatoly Belonog ,First Vice-Minister of the First Vice-Minister of the Health Republic of Health Republic of KazakhstanKazakhstan

Priority Actions for Reduction of Priority Actions for Reduction of

Infant and Child MortalityInfant and Child Mortality

A New Post of a Deputy Health Minister was A New Post of a Deputy Health Minister was established that would be primarily responsible established that would be primarily responsible for MCHfor MCH

A National Project on Improvement of Perinatal A National Project on Improvement of Perinatal Care for 2004-2010 is developed Care for 2004-2010 is developed

Continue activities on certification of maternal Continue activities on certification of maternal health facilities as Baby Friendly Hospitals and health facilities as Baby Friendly Hospitals and 19 hospitals were certified19 hospitals were certified

Priority Actions for Reduction of Priority Actions for Reduction of

Infant and Child MortalityInfant and Child Mortality

Main activities as per International Code Main activities as per International Code on Marketing of Breastmilk Substitutes on Marketing of Breastmilk Substitutes were developed according to the were developed according to the Decree of the President of Kazakhstan Decree of the President of Kazakhstan

Adoption and Introduction of WHO PHC Adoption and Introduction of WHO PHC guidelines on Health Care for Children guidelines on Health Care for Children have been initiatedhave been initiated

Priority Actions for Reduction Priority Actions for Reduction of Infant and Child of Infant and Child

MortalityMortality

Integrated Management of Child Illnesses Integrated Management of Child Illnesses (IMCI) strategy is being implemented in (IMCI) strategy is being implemented in pilot regions pilot regions

The IMCI training modules were translated The IMCI training modules were translated into Kazakh and distributed in pilot regionsinto Kazakh and distributed in pilot regions

IEC materials as per third IMCI component IEC materials as per third IMCI component were developedwere developed

The Better Parenting KAP/B Study The Better Parenting KAP/B Study conducted and currently the results are conducted and currently the results are being analyzedbeing analyzed

Priority Actions for Reduction of Priority Actions for Reduction of

Infant and Child MortalityInfant and Child Mortality Safe immunization programme is successfully Safe immunization programme is successfully

implemented – 95% immunization coverageimplemented – 95% immunization coverage

Republic of Kazakhstan certified by WHO as Republic of Kazakhstan certified by WHO as polio free country polio free country

Initiated activities on liquidation of rubella and Initiated activities on liquidation of rubella and measles by 2007 measles by 2007

Priority Actions for Reduction of Priority Actions for Reduction of

Infant and Child MortalityInfant and Child Mortality

14 cold rooms were purchased 14 cold rooms were purchased The surveys on Access to and Quality The surveys on Access to and Quality

of PHC services and Public of PHC services and Public Expenditures Review were conductedExpenditures Review were conducted

Preliminary results will be used for Preliminary results will be used for policy and management decisions policy and management decisions aimed at reduction of maternal, infant aimed at reduction of maternal, infant and child mortalityand child mortality

Priority Actions on Life Birth Priority Actions on Life Birth Definition (LBD) ImplementationDefinition (LBD) Implementation

Use of International LBD is introduced in Use of International LBD is introduced in pilot regions of Republic of Kazakhstan pilot regions of Republic of Kazakhstan

Under the Ministry of Health a Under the Ministry of Health a Coordination Board was established and Coordination Board was established and legislative regulatory base for WHO legislative regulatory base for WHO recommended LBDs were developedrecommended LBDs were developed

A meeting on introduction of LBDs in pilot A meeting on introduction of LBDs in pilot regions was held and the results were regions was held and the results were thoroughly discussedthoroughly discussed

Priority Actions on Safe Priority Actions on Safe MotherhoodMotherhood

Plan of Actions on Mother and Child Plan of Actions on Mother and Child Health specified in a President Decree of Health specified in a President Decree of Republic of KazakhstanRepublic of Kazakhstan

Initiated development of a National Initiated development of a National Programme and Strategy on Prevention Programme and Strategy on Prevention of Mother To Child Transmissionof Mother To Child Transmission

Drugs for preventive treatment of Drugs for preventive treatment of pregnant women and newborns are pregnant women and newborns are being purchased from local budgetsbeing purchased from local budgets

Priority Actions on Prevention Priority Actions on Prevention of Vitamin a Deficiencyof Vitamin a Deficiency

The survey on vitamin A deficiency The survey on vitamin A deficiency conducted in two regions of conducted in two regions of Republic of Kazakhstan Republic of Kazakhstan

Development of a National Development of a National Programme on prevention of Programme on prevention of vitamin A deficiency is initiatedvitamin A deficiency is initiated

Priority Actions on Prevention of Priority Actions on Prevention of Iodide Deficiency Disorders (IDD)Iodide Deficiency Disorders (IDD)

The National Coordination Committee on The National Coordination Committee on food fortification was established food fortification was established

Conduct National IDD prevention Conduct National IDD prevention Communication campaign aimed at decision-Communication campaign aimed at decision-makers, mass media and populationmakers, mass media and population

The law The law «On Iodine Deficiency Disorders «On Iodine Deficiency Disorders PreventionPrevention», », of Republic of Kazakhstan from of Republic of Kazakhstan from October 14, 2003 # 489 adoptedOctober 14, 2003 # 489 adopted

The mechanisms and legislation The mechanisms and legislation regulations to ensure the law’s regulations to ensure the law’s implementation and follow up are to be implementation and follow up are to be developed developed

The training of SES staff The training of SES staff on ensuring on ensuring quality control of salt iodization would quality control of salt iodization would be conduct at oblast level until the end be conduct at oblast level until the end 20032003

Priority Actions on Prevention of Priority Actions on Prevention of Iodine Iodine

Deficiency Disorders (IDD)Deficiency Disorders (IDD)

Priority Actions on Priority Actions on Prevention of Iron Prevention of Iron Deficiency AnemiaDeficiency Anemia

Within the framework of the project on “Improving Within the framework of the project on “Improving nutrition for poor mothers and children in Asian nutrition for poor mothers and children in Asian Countries in transition” the following activities were Countries in transition” the following activities were conductedconducted:A premix formula, which consist of iron, vitamin B A premix formula, which consist of iron, vitamin B

group, zinc and folic acid is developed group, zinc and folic acid is developed Flour Fortification Equipment was purchased and set Flour Fortification Equipment was purchased and set

at 15 mills. Also premix was provided to the same flour at 15 mills. Also premix was provided to the same flour producers. producers.

A Communication campaign on prevention of Iodine A Communication campaign on prevention of Iodine deficiency disorders and Iron deficiency anemia at pilot deficiency disorders and Iron deficiency anemia at pilot level are conductedlevel are conducted

Priority actions on Priority actions on prevention of Iron prevention of Iron deficiency anemiadeficiency anemia

The Communication campaign have The Communication campaign have been transferred now up to the National been transferred now up to the National level level

Cost efficiency and cost benefit Cost efficiency and cost benefit analysis of achievement of the universal analysis of achievement of the universal flour fortification was conducted. flour fortification was conducted. Results of the analysis submitted to the Results of the analysis submitted to the Government of KazakhstanGovernment of Kazakhstan