Download - Mbo: English Summary of Responses
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7/28/2019 Mbo: English Summary of Responses
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DRC
Session 3D3
Dr. Marie Louise Mbo, M.P.H
Director of National Reproductive Health
Program - Democratic Republic of congo
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Trends in institutional deliveries :
Institutional deliveries increased from 69,7% in 1998 to74% in 2007
Maternal Mortality (MMR) decreased from1837/100000 live births in 1998 to 549/100000 in 2007
Neonatal Mortality (NMR) increased from 39/1000 livebirths in 2001 to 42/1000 LB in 2007
Institutional deliveries take place in health facilities,both public and private, and are assisted mostly byNurses, Midwifes, and less frequently by GeneralPractitioners and Specialists
Sources: MICS2 2001; Strategic Povert Reduction Document 2006-2008.DHS (Demographic and Health Survey) 2007; Situation analysis of NationalReproductive Health Programme 2007-2010
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Reasons of high rates of institutional delivery:
Behavior acquired since colonial time
Financial accessibility facilitated by family solidarity (birth is a happyevent)
Good availability of staff -even if not qualified-
Impacts of the increase of institutional delivery on the quality ofservice:
Offer has increased but insufficiently so that some women go to facilitiesnot compliant with standards or even quack doctors
Service isnt up to Maternal and Newborn Health standards andprocedures
Current post delivery discharge practices
Average duration of stay is 3 days
Discharge procedures : opinion of medical staff then administrativeauthorization (payment of expenses), discharge with an appointment for afollow-up visit at health facility after 6 days
However the Strategy of " Three 6 " is not followed (1st visit after 6th hour,2nd visit after 6th day, 3rd after 6th week]
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Challenges: Postnatal follow-up remains the big challenge.Even if Postnatal visits increased from 23,8 % to 64 % between2001 and 2010, risk of mortality remains. Furthermore, follow-up visit at home are not part of DRC strategies.
Solutions : National Strategic Plan 2011-2015
Building technical capacities
Increasing financial resources
Strengthening information system
Increasing number of maternity hospitals by bothconstruction & rehabilitation [6000 in 1990 & more than8000 in 2006]
Quality Insurance Plan of reproductive health products Strengthening communication on reproductive Health
Perspectives : Increase coverage / universal access; Improvequality of service ; Increase use of key services of Maternal and
Newborn Health.