2. WCHD has been implemented
• To integrate and compliment related activities for
more effective use of resources for women,
children and newborn health development activities
• To strengthen the Maternal Newborn and Child
health services
3. Objectives
General Objective
To provide quality health care service for women,
children including newborn in order to reduce
U5MR and MMR according to MDGs and to
promote health development of women, children
and newborn
4. Specific Objectives
To reduce Under Five Mortality Rate and Maternal
Mortality Rate according to MDGs for Health
To ensure quality health services for children
including newborn and women
5. Targets
Impact targets
• Reduce the Under-five Mortality Rate to 43/1,000
live births
• Reduce Infant Mortality Rate to 35/1,000 live births
• Reduce Neonatal Mortality Rate to 16/1,000 live
births
6. Coverage targets
(a) 80% of all newborns receive the community based
Essential Newborn Care package
(b) 80% of all low birth weight infants receive extra care
during the newborn period
(c) 60% of the families practice hand washing and provide
appropriate feeding for children 0-23 months of age
(d) 60% of infants 0-6 months are exclusively breastfed
7. (e ) 50% of the a cute ly ma lnouris he d childre n
(uncomplica te d mode ra te a nd s e ve re
ma lnutrition) a re tre a te d a de qua te ly
(f) 90% of childre n with a cute dia rrhoe a a re tre a te d
with Ora l Re hydra tion The ra py (ORT), including
Ora l Re hydra tion S olution (ORS ) a nd continue d
fe e ding
(g) At le a s t 70% of s us pe cte d pne umonia is tre a te d
with a ntibiotics re comme nde d by the progra m
8. Trends of indicators related to MDG4
Indicators
1990
20092010
2015
Under Five Mortality
Rate(per 1,000LB)
130
46.1
43.3
Infant Mortality Rate
(per 1,000LB)
98
37.5
32.7
Proportion of 1 year
old children immunized
against measles (%)
72
90.7
100
9. Implementing Components & levels
Three Components
1. Women health development
2. Child health development
3. Newborn health development
At Three levels
1. Household level
2. Primary health care level
3. Secondary and tertiary care level
10. Activities undertaken by WCHD
1.
2.
3.
4.
5.
6.
Capacity building
Awareness Raising Activity
Logistic Supply
Research and Survey
Community based activity
Other activities
11. Logistic supply
•
•
•
•
•
•
•
•
•
•
Child survival Kit A, Kit B
Tube and mask device, Bag and mask device
Mucous extractor
RHC kits and sub-RHC kits
Thermometer
Respiratory timber
Weighing scale (spring type)
AMW kit
Clean delivery kit
EOC equipment
12. Research and survey
• Nation Wide Causes Specific Under Five Mortality
Survey(2002-03)
• Study on KFP and Local Terminology for Selected Ethic
Groups (2004,WHO,UNICEF)
• Study on performance of AMW (2005)
• Nation Wide Causes Specific Maternal Mortality
Survey(2004-05)
• Health facility assessment (2008)
• Emergency Obstetric Care study (2008-2009)
• Cause of under five deaths (on going)
13. Community based interventions
• Community based health activities (CBHA)
• Community case management of pneumonia and
diarrhoea
• Community based newborn care
14. Other activities
• Cooperation within the department, with UN
agencies, INGOs , Local NGOs and related
departments
child survival forum
child health lead working group meeting
national child health committee
• Supervision and Monitoring
• Evaluation
15. Implementation status of WCHD
Year
Area covered
2001
19
2002
21
2003
21
2004
20
2005
20
2006
12
5
2007
12
4
2008
12
4
2009
12
2010
35
2011
16
Total
200
UNICEF
5
18
WHO
218
16. Area Coverage in State &
Region
Sagaing - 31
Kachin - 6
Magway – 25
(whole)
Chin- 9(whole)
Shan - 20
Rhakhine 17(whole)
Kayah- 4
Mandalay- 28
Bago - 8
Ayeyarwaddy 21
Yangon- 8
Kayin7(whole)
Mon- 10
(whole)
Tanintharyi- 4
25. Inte rve ntion
Towns hip S ta tio
n
RHC
S RHC
Com
munity
Ne wborn inte rve ntions
Imme dia te e s s e ntia l ne wborn ca re ( a t the time of birth)
Imme dia te
the rma l ca re
√
√
√
√
√
Initia tion of EBF
√
√
√
√
√
Hygie nic cord
a nd s kin ca re
√
√
√
√
√
Ne ona ta l
re s us cita tion
√
√
√
√
-
26. Inte rve ntion
Towns hip S ta tio
n
RHC
S RHC
Com
munity
Ne wborn infe ction ma na ge me nt
Ca s e Mx of
ne ona ta l
s e ps is , a nd
pne umonia
√
√
√
√
-
P re s umptive
a ntibiotics
the ra py for NB
a t ris k of
ba cte ria l
infe ctions
√
√
-
-
-
Ma na ge me nt of
NB with
ja undice
√
√
√
√
-
27. Inte rve ntion
Towns hip S ta tio
n
RHC
S RHC
Com
munity
Ne wborn infe ction ma na ge me nt
Initia tion of
ART in ba bie s
born to HIV
infe cte d mothe r
√
√
-
-
-
28. Inte rve ntion
Towns hip S ta tio
n
RHC
S RHC
Com
munity
Inte rve ntions for s ma ll a nd ill ba bie s
Ka nga roo
√
√
√
√
√
Extra s upport
for fe e ding
s ma ll a nd
pre te rm ba bie s
√
√
√
√
-
CP AP to Mx
ba bie s with
RDS
√
-
-
-
-
mothe r ca re for
pre te rm a nd
LBW
29. Inte rve ntion
Towns hip S ta tio
n
RHC
S RHC
Com
munity
Child he a lth inte rve ntions
Infa ncy a nd childhood
EBF
√
√
√
√
√
Continue d BF
a nd CF
√
√
√
√
√
P re ve ntion a nd
ca s e Mx of
ma la ria
√
√
√
√
√
Compre he ns ive
ca re of childre n
infe cte d with or
e xpos e d to HIV
√
√
-
-
-
30. Inte rve ntion
Towns hi S ta tio
p
n
RHC
S RHC
Com
munity
Immuniza tion
√
√
√
√
√
Vita min A
s upple me nta tion
√
√
√
√
√
Mx of s e ve re
a cute
ma lnutrition
(without
complica tions )
√
√
√
√
√
Mx of s e ve re
a cute
ma lnutrition
(with
complica tions )
√
√
-
-
-
31. Inte rve ntion
Towns hip S ta tio
n
RHC
S RHC
Com
munity
Ca s e Mx of
pne umonia
√
√
√
√
??
Ca s e Mx of
dia rrhoe a
a )Acute
dia rrhoe a
b) Dys e ntry
√
√
√
√
√
Ca s e Mx of
me ningitis
√
√
-
-
-
Home vis it for
childre n a cros s
the continuum
of ca re
√
