saving a generation: maternal, newborn and child health (mnch) eastern and southern africa aga khan...
TRANSCRIPT
![Page 1: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/1.jpg)
Saving a Generation: Maternal, Newborn and Child Health (MNCH)
Eastern and Southern AfricaAga Khan Health Services
![Page 2: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/2.jpg)
Today’s presentation
• Situation of Maternal, Newborn and Child Health (MNCH) in Sub-Saharan Africa, with a particular focus on Tanzania
• Approaches and impact of community interventions to improve mother and child health outcomes
![Page 3: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/3.jpg)
ESA: maternal mortality amongst the highest in the world
“In 2010, close to 58,000 women [across Eastern and Southern Africa] lost their lives in pregnancy and childbirth, accounting for more than 1/5 of all such deaths in the world.
That’s close to 10 deaths every hour.”
- UNICEF
![Page 4: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/4.jpg)
Tanzania’s maternal mortality rates are amongst the worst in an already bad situation
Rwanda
Burundi
Uganda
Kenya
Tanzania
0 300 600 900
Maternal Mortality Rate
Amongst highest maternal mortality rates in the world, Tanzania ranks 21st globally, tied with Afghanistan.
![Page 5: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/5.jpg)
Child mortality rates are also unconscionably high
Tanzania
Under 5 mortality rate: 81 / 1000 live births
Infant mortality rate:51 / 1000 live births
Neonatal mortality rate:26 / 1000 live births
The neonatal mortality rate is the first 28 days after birth, and in Tanzania accounts for over 30% of all child deaths.
![Page 6: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/6.jpg)
Largely, the problem is no skilled attendant at delivery…
![Page 7: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/7.jpg)
…and most deaths are largely preventable
Haemorrahage
Infections
Eclampsia
Unsafe Abortions
Obstructed Labour
Others
0% 10% 20% 30%
Direct Cause of Maternal Deaths
Asphyxia
Congenital
Preterm
Infection
Diarrhoea
Tetnus
Other
0% 5% 10% 15% 20% 25% 30% 35%
Causes of Neonatal Deaths
![Page 8: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/8.jpg)
But, there is progress in both maternal mortality rate…
1996 2004 20100
150
300
450
600
750
529 578454
Maternal Mortality Rate in Tanzania – 1996-2010
![Page 9: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/9.jpg)
…and in child mortality rate
Newborn Infant Under-50
20
40
60
80
100
120
140
160
40
99
147
32
68
112
29
58
91
51
81
Child mortality in Tanzania (per 1000 live births)
1999200520082010
![Page 10: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/10.jpg)
Still, there are large challenges in Tanzania’s health sector
Within health sector:
.Weak health infrastructure
.Limited human resources
.Poor referral systems
.Inadequate equipment and supplies
Community:
.Inadequate community involvement and participation in health
Other factors:
.Education levels
.Economic, social, & cultural issues.Gender dynamics
![Page 11: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/11.jpg)
Still, there are large challenges in Tanzania’s health sector
Within health sector:
.Weak health infrastructure
.Limited human resources
.Poor referral systems
.Inadequate equipment and supplies
Community:
.Inadequate community involvement and participation in health
Other factors:
.Education levels
.Economic, social, & cultural issues.Gender dynamics
![Page 12: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/12.jpg)
Why do we work in the community?
In Tanzania:• Out of a population of 40
million, 80% live in rural areas
• In rural areas, health infrastructure and services are limited
• Most people live below the poverty line and cannot afford to travel for health services
Outreach aims to: • Develop a relationship
with the communities• Stimulate behavioral
changes that improve health and prevent disease
• Improve maternal, newborn and child health indicators
![Page 13: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/13.jpg)
And what exactly do we do?
Community support
Service delivery in communities Community
Meetings and Interactions
Health promotion activities
Develop links with referral
health facilities
![Page 14: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/14.jpg)
Develop links with referral health facilities
• Links established through comms systems
• Ambulance services • Feedback mechanism• Follow-up
Government referral hospital
Aga Khan Health Services PCM
Public Health Facility
![Page 15: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/15.jpg)
Teleconsultation Linkage
![Page 16: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/16.jpg)
Service delivery in communities
![Page 17: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/17.jpg)
Community meetings and interactions
Mobile health reach:• Regular outreach mobile
health visits to under-served rural areas
• Community training and empowerment
• Support to community health workers
![Page 18: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/18.jpg)
Health promotion activities – education & entertainment
Community health camps:• Create demand• Raise awareness –
prevention, treatment care, social services
• Change attitudes to foster behavioral change
![Page 19: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/19.jpg)
Outpatients at public health centres rose 6.5x last year…
37,971
243,676
30,000
80,000
130,000
180,000
230,000
280,000
2012 2013
Year
Number of Outpatient (Public Health Facilities)
![Page 20: Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services](https://reader035.vdocuments.mx/reader035/viewer/2022062712/56649c725503460f9492391c/html5/thumbnails/20.jpg)
…and deliveries in health facilities rose 11x
1,539
17,351
0
5,000
10,000
15,000
20,000
2012 2013
Year
Number of Deliveries (Public and Private Health Facilities)