Maternal and child health program اعداد سيف مصدق حسن الفرطوسي كلية التمريض جامعة الكوفة

1. Master Program
Community Health Nursing

2. “Every day we hear about the
dangers of cancer, heart disease
and AIDS. But how many of us
realize that, in much of the world,
the act of giving life to a child is still
the biggest killer of women of
childbearing age?”

3. why Mother and child must
be considered a single unit ?

4. 1. During antenatal period fetus is a part of mother and obtains all the building
material and oxygen from mother’s blood.
2. Child’s health is closely related to maternal health, a healthy mother
brings forth a healthy baby.
3. Certain conditions and diseases are likely to have their
effect on fetus e.g.. DM, infections etc.
4. After birth child is dependent on mother.
5. Mother is first teacher of child.

5. According to WHO Maternal and child
health services can be defined as
“promoting, preventing, therapeutic or
rehabilitation facility or care for the
mother and child”
Definition

6. REDUCTION OF MATERNAL ,PERINATAL, INFANT, AND
CHILDHOOD MORTALITY AND MORBIDITY
PROMOTION OF REPRODUCTIVE HEALTH
PROMOTION OF PHYSICAL AND PSYCHOLOGICAL
DEVELPOMAENT OF THE ADLOSECENT WITHIN THE FAMILY.
OBJECTIVES OF MCH SERVICES

7. MMR : measles, mumps, and rubella
IMR : infant mortality rate
Neonatal mortality rate
Under five mortality rate
Child survival rate
Indicators of MCH

8. 1/ Before Pregnancy:-
 for physical and psychological
preparation to bear responsibility.
MCH SERVICES

9. 2/ Antenatal services
THE CARE OF THE WOMEN DURING PREGNANCY.
AIM
THE PRIMARY AIM OF ANTENATAL CARE IS TO
ACHIEVE AT THE END OF A PREGNANCY A
HEALTHY MOTHER AND A HEALTHY BABY.

10. ANTENATAL SERVICES……….
A/ANTENATAL VISITS:
MINIMUM OF 3 VISITS COVERING THE ENTIRE PEROID OF PREGNANCY SHOLUD
BE :
1ST VISIT AT 20TH WEEKS
2ND VISIT AT 30TH WEEKS
3RD VISIT AT 36TH WEEKS
B/Health education
C/ Immunization
D /Supplementations

11.  Delivery may be arranged at home or
hospital
 Institutional delivery is safe
3/ Intranatal services
AIMS:
• Asepsis
• Minimum injury to mother and newborn.
• Preparedness to deal with complications.
(prolonged labor – ante partum hemorrhage
convulsions malpr.)
• Care of baby at delivery.

12. High Risk Deliveries
Mother Delivery Fetus
Toxemia of
pregnancy
Prolonged labor Prematurity
Diabetes mellitus Breech
presentation
LBW
Age < 20 yrs Cord prolapse Fetal distress
Age > 35 yrs Multiple
pregnancy
Meconium
stained liquor
amniiParity 5 + Premature rupture
of membranes

13. 4/ Post natal services
Care of mother and new born after delivery.
Aims:
 Health restoration.
 Check adequacy of breast feeding.
 Provide basic health education.
 To provide family planning

14. Postnatal services
• Postnatal examination
• Hb examination during postnatal visit
• Teaching postnatal exercises
• Family planning services
• Health education

15. Timing of Maternal Death
• Antenatal: 24%
• Intra-natal: 15%
• Postnatal: 61% (most occur within
24 hours of delivery)

16. 1. Reduction of infant and under 5 mortality rate
2. Reduction of moderate and severe malnutrition
3. Universal access to safe drinking water
4. Access to all couples to information and services
to prevent pregnancies that are too early, too
closely spaced, too late or too many.
5. Reduction of low birth weight babies
6. Elimination of iodine deficiency
7. Elimination of vitamin A deficiency
8. Encouragement of women to breast feed their
children exclusively
Infant and child priorities (UNICEF)

17. 9. Growth promotion and monitoring
10. Eradication of poliomyelitis
11. Elimination of neonatal tetanus
12. Reduction of measles death
13. Maintenance of a high level of immunization coverage.
14. Reduction of deaths due to diarrheal diseases
15. Increased acquisition of knowledge, skills and values
required for better living by all families.

18. • Immunization
• Breast feeding
• Growth and development
• Personal hygiene
• Detection of health problems &
treatment
Child health services

21. References
1. Liddell HG, Scott R. A Greek-English Lexicon, στρα^τηγ-ία. [cited 2012 May
10]; Available
from:http://www.perseus.tufts.edu/hopper/text?doc=Perseus%3Atext%3A1999.04.0057%3
Aent ry%3Dstrathgi%2Fa
2. Johnson PG, Scholes PK. Exploring Corporate Strategy: Text and Cases. 7th ed.
Financial Times/ Prentice Hall, 2006.
3. Thames K. Why Have a Health Strategy? [cited 2012 May 10]. Available from:
http://www.kingston.gov.uk/browse/health/health_in_kingston/health_strategy/strategy_w
hy.htm
4. WHO. Global Strategy for Women’s and Children’s Health, 2010. [cited 2012 Apr 17].
Available from:
http://www.who.int/pmnch/activities/jointactionplan/201009_globalstrategy_6lang/en/inde
x.html