amendola: honduras

7/28/2019 Amendola: Honduras

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Community Based Maternal,Neonatal, and Child Health (MNCH)

Innovation in the context of NationalHealth System Decentralization

April 2013


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Contents

Introduction

Country Context

Problem Description

Methodology

Results


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Introduction

ChildFund is a globalchild development &protection agency

13.5million children

31countries

Our mission is to helpdeprived, excluded &vulnerable childrensurvive and thrive


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Country Context

Honduras one of thehighest MMR in thewestern hemisphere

100/100,000 LB, NMR18/1000, and SBA of 56%

Access to reproductivehealth services in ruralcommunities is limited.

Women and newbornsdie from pregnancy-related causes, childbirth,and postpartumcomplications.

Population

BELOW

65%

poverty line

POPULATION

MILLION

8,296,693


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Problem Description

Despite evidence on theinterventions that cansave lives at low cost, the

pathways to deliveringhealth services in low andmiddle income countriesare still not well known.

Many studies on deliverystrategies ignore theoverall effect these wouldhave on the poor.


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Introduction: Project Information

Community Based(CB) HealthInnovations1. Define & standardize role of

communities to increase

institutional deliverieswithin anational decentralizationstrategy

2. Create self-sustaining CB healthunits (UCOS) which integrateMinistry of Health programs

3. Adapt & implement CBcontinuous quality improvementfor UCOS


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12 Ruralmunicipalities

41.780Women

and

children


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ResultsUCOS have proven to be an efficient model

that seeks to become Governmentalextension for delivery of care for hard to

reach communities

In 4 year of project implementationinstitutional deliveries increased by 52%.

IMR reduction from 20/1000 lb to 16/1000

and NMR from 10.8 to 2.1

$66,000 annual savings to government due

to disease prevention


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Increase in Institutional Deliveries

from 2009-2012

0

50

100

150

200

250

300

350

400

2006 2007 2008 2009 2010 2011 2012

80

118 125

187

314 318361

Years

#o

fDeliveries


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Decrease in Neonatal Mortality Rate

from 2009-2012

0

2

4

6

8

10

12

2009 2010 2011 2012

10.8

7.9

5.1

2.1

Years

Neonata

lMortalityR

ate


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Thank you for yourattention!

For more information:

[email protected]

amendola: honduras

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