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---Prashiddha Dhakal 
MBBS, KUSMS
“SIX PILLARS” OF SAFE MOTHERHOOD 
Safe Motherhood 
FP ANC PNC 
Obs. 
Care 
Post 
Aborti 
on 
Care 
Communication for behav...
1.Family Planning--- Information & services to 
plan the timing, number & spacing of 
pregnancies
2.Antenatal Care--- For early detection & 
treatment of complications of pregnancy
3.Obstetric Care--- Provide proper knowledge & 
equipments to the birth attendants & ensure 
emergency care for high risk ...
4.Postnatal Care--- For both mother & her baby. 
Includes lactation assistance, FP services & 
management of complications...
5.Post abortion care--- Management of 
complications & FP consultation
• 6.STD/HIV Control--- Voluntary Counseling & 
Testing (VCT), Prevention of Mother to Child 
Transmission (PMTCT)
National Safe Motherhood & Newborn 
Health-Long Term Plan 2006-2017
• Developed by MoHP to fulfill the goals of 
maternal health status in Nepal 
• Goal--- 
To improve maternal & neonatal he...
• Other indicators of safe motherhood--- 
1. Infant Mortality Rate 
2. Total Fertility Rate 
3. Contraceptive Prevalence R...
• Strategies--- 
1. Promoting intersectorial collaboration for safe 
motherhood at central, regional, district & 
communit...
4. Expanding delivery by skilled birth attendant & 
basic/comprehensive obstetric care services at 
all levels---Intervent...
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Safe motherhood

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Basics of safe motherhood concept

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Safe motherhood

  1. 1. ---Prashiddha Dhakal MBBS, KUSMS
  2. 2. “SIX PILLARS” OF SAFE MOTHERHOOD Safe Motherhood FP ANC PNC Obs. Care Post Aborti on Care Communication for behavior change Equity & Education for women STD/ HIV Contr ol Primary health care
  3. 3. 1.Family Planning--- Information & services to plan the timing, number & spacing of pregnancies
  4. 4. 2.Antenatal Care--- For early detection & treatment of complications of pregnancy
  5. 5. 3.Obstetric Care--- Provide proper knowledge & equipments to the birth attendants & ensure emergency care for high risk pregnancy
  6. 6. 4.Postnatal Care--- For both mother & her baby. Includes lactation assistance, FP services & management of complications of delivery
  7. 7. 5.Post abortion care--- Management of complications & FP consultation
  8. 8. • 6.STD/HIV Control--- Voluntary Counseling & Testing (VCT), Prevention of Mother to Child Transmission (PMTCT)
  9. 9. National Safe Motherhood & Newborn Health-Long Term Plan 2006-2017
  10. 10. • Developed by MoHP to fulfill the goals of maternal health status in Nepal • Goal--- To improve maternal & neonatal health & survival, especially of poor & excluded people • Key indicators of the goal--- 1. Maternal Mortality Ratio- Reduction from 539 per 1 lakh life births to 134 per 1 lakh by 2017 2. Neonatal Mortality Ratio- Reduction from 39/1000 to 15/1000 by 2017
  11. 11. • Other indicators of safe motherhood--- 1. Infant Mortality Rate 2. Total Fertility Rate 3. Contraceptive Prevalence Rate 4. ANC coverage rate 5. % delivery assisted by SBA 6. % of women who took iron during pregnancy 7. % of institutional delivery 8. % of caesarean section 9. Obstetric case fatality rate
  12. 12. • Strategies--- 1. Promoting intersectorial collaboration for safe motherhood at central, regional, district & community level---- i.e. between sectors like health, education, and social welfare ,legal and local development 2. Promote research on safe motherhood to contribute to improved planning , higher quality services, and more cost-effective interventions 3. Supporting activities that raise the status of women in society
  13. 13. 4. Expanding delivery by skilled birth attendant & basic/comprehensive obstetric care services at all levels---Interventions include :  Developing the infrastructures for delivery and emergency obstetric care.  Establishing functional referral system and advocating for emergency transport systems and funds from communities to district hospitals for obstetrics emergencies and high – risk pregnancies.  Strengthening community –based awareness on birth preparedness and complication readiness through FCHVs ,increasing acess of all relevant maternal health information and service

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