victor: impact of delivering an integrated maternal and newborn package

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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victor: impact of delivering an integrated maternal and newborn package

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