Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaMaternal, Newborn and Child Health:A Global ...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaPresentation Guide1. Introduction2. Facts an...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaIntroduction Maternal health refers to the ...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaStatistics (as of December 2011) Worldwide,...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaStatistics (as of December 2011) 40% of und...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaKey facts (As of May 2012) Every day, appro...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaKey facts• Every day, +8 000 newborn babies ...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila Highest maternal, neonatal and under-five ...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaInequity in maternal and newborn healthThe h...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaWhen do they die?Up to 50%of neonataldeaths ...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila• Maternal, perinatal and newborn health and...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaWhat we do… Improving maternal, newborn and...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaJoint Programme on Maternal andNewborn Healt...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaUNDAF Sub-outcomes related to JPMNH Sub-Out...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaTransitional Phase (2009-2011):– was not an...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaElements of a Joint Programmea common work ...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaContinuum of CarePre-pregnancyPregnancy Birt...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaArea Focal Agency(ies) Supporting PartnersFa...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaThe 3 UN agencies will support adolescent se...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaWHO-focus (urban poorareas in NCR): CAMANA ...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaMajor Accomplishments Support to MCP Accred...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaMajor Accomplishments Support to the streng...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaPhase 2 Proposal The JPMNH team selected co...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaConsiderations for the choice of Phase 2 sit...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaJPMNH Areas: Service Delivery Network
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaThe Buzz WordsAccountability for ResultsNa...
Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manilahttp://www.who.int/topics/maternal_health/en...
Upcoming SlideShare
Loading in...5
×

Maternal, Newborn and Child Health: A Global Perspective

6,756

Published on

Presentation of Jacqueline F. Kitong, M.D., MPH, technical officer for Maternal and Child Health and Nutrition, World Health Organization at the PhilHealth Maternal, Newborn and Child Health Summit

1 Comment
12 Likes
Statistics
Notes
No Downloads
Views
Total Views
6,756
On Slideshare
0
From Embeds
0
Number of Embeds
8
Actions
Shares
0
Downloads
0
Comments
1
Likes
12
Embeds 0
No embeds

No notes for slide

Transcript of "Maternal, Newborn and Child Health: A Global Perspective"

  1. 1. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaMaternal, Newborn and Child Health:A Global Perspective…..The Joint Programme on Maternal andNewborn Health(JPMNH);a Joint DOH-UNFPA, UNICEF & WHOIntervention with funding from AusAIDJacqueline F. Kitong, M.D., MPHTechnical Officer for Maternal and Child Health & NutritionWHO Philippine Country Office
  2. 2. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaPresentation Guide1. Introduction2. Facts and Figures on MNCH3. Issues and Challenges4. The JPMNH; an intervention to the RMNH gapsand challenges in the Philippines.
  3. 3. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaIntroduction Maternal health refers to the health of women duringpregnancy, childbirth and the postpartum period. Good maternal health and nutrition are importantcontributors to child survival. lack of essential interventions to address maternal healthand nutrition, and other health conditions often contributeto indices of neonatal morbidity and mortality Poor maternal, newborn and child health remains asignificant problem in developing countries.
  4. 4. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaStatistics (as of December 2011) Worldwide, 358 000 women die during pregnancy andchildbirth, annually estimated 7.6 million children die under the age of five. majority of maternal deaths occur during or immediatelyafter childbirth common medical causes for maternal death includebleeding, high blood pressure, prolonged and obstructedlabour, infections and unsafe abortions. A child’s risk of dying is highest during the first 28 days oflife
  5. 5. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaStatistics (as of December 2011) 40% of under-five deaths take place, translating intothree million deaths Up to one half of all newborn deaths occur within the first24 hours of life and 75% occur in the first week. Globally, the main causes of neonatal death are pretermbirth, severe infections and asphyxia Children in low-income countries are nearly 18 timesmore likely to die before the age of five than children inhigh-income countries.
  6. 6. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaKey facts (As of May 2012) Every day, approximately 800 women die from preventablecauses related to pregnancy and childbirth. 99% of all maternal deaths occur in developing countries. Maternal mortality is higher in women living in rural areas andamong poorer communities. Young adolescents face a higher risk of complications and deathas a result of pregnancy Skilled care before, during and after childbirth can save the livesof women and newborn babies. Between 1990 and 2010, maternal mortality worldwide dropped byalmost 50%
  7. 7. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaKey facts• Every day, +8 000 newborn babies die frompreventable causes.• Nearly 99% of all neonatal deaths occur in low- andmiddle-income countries.• 70% of global deaths among newborn babies happenin just two WHO regions: Africa and South-east Asia.• Essential maternal and newborn care and access tocare for complications can save the lives of mothersand newborn babies.
  8. 8. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
  9. 9. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
  10. 10. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
  11. 11. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila Highest maternal, neonatal and under-five mortality ratesare in sub-Saharan Africa and in Southern Asia. Substantial progress has been made towards achievingMDGs 4 and 5 but rates of decline in maternal, newbornand under-five mortality remain insufficient to achievethese goals by 2015. Interventions and strategies for improving reproductive,maternal, newborn and child health and survival are closelyrelated and must be provided through a continuum ofcare approach.
  12. 12. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaInequity in maternal and newborn healthThe health of the mother and newborn is inseparable
  13. 13. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaWhen do they die?Up to 50%of neonataldeaths are inthe first 24 hours75% of neonataldeaths are inthe first week –3 million deaths
  14. 14. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila• Maternal, perinatal and newborn health andmortality are closely linked:• risk of dying from neonatal conditions- lessenedby improved access to skilled care at birth- keyinterventions provided during pregnancy andbirth for the mothers and immediate postpartum/postnatal period (within 48 hours).
  15. 15. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaWhat we do… Improving maternal, newborn and under-five health andsurvival is one of WHO’s priorities. Work to reduce maternal, newborn and under-fivemortality by providing clinical and programmaticguidance, setting global standards, and providingtechnical support to Member States. WHO advocates for more affordable and effectivetreatments, designs training materials and guidelines forhealth workers, and supports countries to implementpolicies and programmes and monitor progress.
  16. 16. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manila
  17. 17. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaJoint Programme on Maternal andNewborn HealthDelivering as One
  18. 18. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaUNDAF Sub-outcomes related to JPMNH Sub-Outcome 1.2: Universal Health CareBy 2018, the health care system is able toprovide equitable access to health care andaddress inequities in health outcomes Sub-outcome 1.3: Reproductive, Maternaland Neonatal Health :By 2018, increased utilization of high qualityreproductive, health, maternal and neonatal(RHMNH) services by women and theirneonates, young people and men.
  19. 19. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaTransitional Phase (2009-2011):– was not anchored on the past UNDAFUpcoming Implementation Phase (2012-2016) :– Shall refer to the 2012-2018 UNDAF and contribute to the JointImplementation Plan– Is seen as a subset of the Sub-outcome 1.2 (Universal HealthCare) and Sub-outcome 1.3 (Reproductive, Maternal andNeonatal Health)Joint Programme on Maternal andNeonatal Health
  20. 20. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaElements of a Joint Programmea common work plan,a budget,the coordinating and managementmechanism and; signature of the parties to the jointprogramme
  21. 21. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaContinuum of CarePre-pregnancyPregnancy Birthing Post-natal/Post-partum Unmetneed for FP CPRmodernmethod Teenagepregnancies At least 4antenatalcare visits• Deliveries bySkilled healthprofessionals• Facility baseddeliveries• EmOC met need• Caesarian Sectionrate• Case fatality rate• Post-partumvisits (eg. Checkforsigns ofcomplications,EarlyBreastfeeding)
  22. 22. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaArea Focal Agency(ies) Supporting PartnersFamily Planning UNFPA, WHO UNICEFAntenatal Care UNICEF, WHO UNFPASkilled Attendance at Birth WHO, UNFPA, UNICEFB-EmONC UNFPA, UNICEF WHOC-EmONC WHO, UNFPA UNICEFPost-partum WHO, UNFPA UNICEFNewborn care WHO, UNICEF UNFPAMaternal-Neonatal Nutrition UNICEF, WHO UNFPARole of the UN agencies
  23. 23. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaThe 3 UN agencies will support adolescent sexualreproductive health (ASRH), monitoring andevaluation (M and E) and MNH in humanitariansituations.UNFPA will pilot demand-side financing in cooperationwith UNICEF and WHOAusAID will provide technical/financial support (M&Edevelopment, CQI through missions, South-to-Southcooperation, fellowship)Role of the UN agencies
  24. 24. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaWHO-focus (urban poorareas in NCR): CAMANA and QuezonCity and GeneralSantos CityUNFPA-focus: Eastern Samar, Ifugao,Lanao SurUNICEF-focus: Maguindanao, Saranganiand North CotabatoTransition Phase Project Areas:North Cotabato andMaguindanaoEastern SamarSaranganiMAP OF PROJECT AREASS. KudaratNCR: Malabon-Navotas,Quezon CitySurigao Norte
  25. 25. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaMajor Accomplishments Support to MCP Accreditation of health facilities thrusupport to:– BEmONC training– EINC Quality Improvement Workshops– Reaching the Urban Poor(RUP) for RMNH services Evidence-based clinical practice guidelines for MNH caredeveloped and disseminated (ENC Protocol and PoliciesMandating Safe and Quality Care for Mothers andNewborns; CPG for Intrapartum and ImmediatePostpartum Care
  26. 26. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaMajor Accomplishments Support to the strenghtening of the vital registration– ICD Training to enhance reports on deaths, especial maternaland newborn deaths– MNDRS– MDRRS Technical assistance in the development of evidencebased social marketing communication materials onbreastfeeding and in EINC.
  27. 27. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaPhase 2 Proposal The JPMNH team selected convergence areas to enableall three agencies to work together. starting point -municipal level as the bottom of theservice delivery triangle ,as this was the smallestgeographical area where UNICEF, UNFPA or WHOworked with communities. Once these had been defined overlapping higher levelswith agency presences were mapped.
  28. 28. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaConsiderations for the choice of Phase 2 sites: LGU with potential for SDN at 3 levels: LGU, provincial,regional; Building on gains in Transition phase- common areaswhere some components of SDN: EINC in CEMONC,RUP activities, family planning commodities and systems ; Convergence of the three participating UN agencies’activities / common country program sites
  29. 29. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaJPMNH Areas: Service Delivery Network
  30. 30. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, ManilaThe Buzz WordsAccountability for ResultsNational OwnershipHarmonizationAlignmentCapacity buildingJoint Programming from a UN perspective supports nationalgoals for more coherence, effectiveness and efficiency.
  31. 31. Maternal , Newborn and Child Health Summit28 May 2013, WHO Philippines, Manilahttp://www.who.int/topics/maternal_health/en/ /http://www.who.int/maternal_child_adolescent/en

×