The document discusses the six pillars of safe motherhood: 1) family planning, 2) antenatal care, 3) obstetric care, 4) postnatal care, 5) post-abortion care, and 6) STD/HIV control. It also outlines Nepal's National Safe Motherhood and Newborn Health Long Term Plan from 2006-2017 which aims to reduce maternal and neonatal mortality rates. The strategies of the plan include promoting intersectoral collaboration, supporting research, empowering women, and expanding access to skilled birth attendants and emergency obstetric care services at all levels.

1. ---Prashiddha Dhakal
MBBS, KUSMS

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. 1.Family Planning--- Information & services to
plan the timing, number & spacing of
pregnancies

4. 2.Antenatal Care--- For early detection &
treatment of complications of pregnancy

5. 3.Obstetric Care--- Provide proper knowledge &
equipments to the birth attendants & ensure
emergency care for high risk pregnancy

6. 4.Postnatal Care--- For both mother & her baby.
Includes lactation assistance, FP services &
management of complications of delivery

7. 5.Post abortion care--- Management of
complications & FP consultation

8. • 6.STD/HIV Control--- Voluntary Counseling &
Testing (VCT), Prevention of Mother to Child
Transmission (PMTCT)

9. National Safe Motherhood & Newborn
Health-Long Term Plan 2006-2017

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. • 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. • 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. 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