Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Why mothers die?
1. What can we do about it?
Prof. Muhammad Aslam
Department of ObGyn
LGH, Lahore
2. Every Death is a Tragedy!
Maternal Death is a
Catastrophe!!
Why Mothers Die? Prof. Aslam LGH Lahore 2
3. 350 deaths/100,000 live births
In Baluchistan: 785 per 100,000
Highest in South Asia
Rank 30 with Ethiopia and Ghana
MDG 5: reduction to 140 by 2015
Why Mothers Die? Prof. Aslam LGH Lahore 3
4. Rank Country MMR
22 Afghanistan 460
43 Pakistan 260
52 India 200
54 Burma 200
59 Bhutan 180
60 Nepal 170
117 China 37
118 Sri Lanka 35
138 Iran 21
Why Mothers Die? Prof. Aslam LGH Lahore 4
5. For every woman who dies in
childbirth or pregnancy, another 20 to
30 are left with illnesses and injuries
that can be debilitating for life
Why Mothers Die? Prof. Aslam LGH Lahore 5
7. In Afghanistan, among infants born
alive to mothers that died of maternal
causes ~ 74% subsequently died too
The survivors face much higher risk of
malnutrition, dropping out of school,
or even death
Why Mothers Die? Prof. Aslam LGH Lahore 7
10. Lack of skilled birth attendants
Lack of emergency obstetric care
Poor nutrition
Lack of family planning services
Why Mothers Die? Prof. Aslam LGH Lahore 10
11. >50% women want to delay or
prevent pregnancy, yet 25% of them
are not using modern contraceptives
Because of poverty
Lack of education
Lack of services
Why Mothers Die? Prof. Aslam LGH Lahore 11
12. Most maternal deaths are easily
preventable when basic care is
available
Maternal deaths have been virtually
eliminated in wealthy countries
Why Mothers Die? Prof. Aslam LGH Lahore 12
13. Delay in making a decision to go to
the health facility
Delay in getting to the health facility
Delay in the health facility itself
Why Mothers Die? Prof. Aslam LGH Lahore 13
14. Elimination of 3Ds ~ aims for poverty
reduction
Strengthening of community based
and hospital based health services
Why Mothers Die? Prof. Aslam LGH Lahore 14
15. Training of village midwives about
essential emergency obstetric care
and lifesaving skills
Why Mothers Die? Prof. Aslam LGH Lahore 15
16. Training of lifesaving skills and
provision of essential comprehensive
obstetric care
Why Mothers Die? Prof. Aslam LGH Lahore 16
17. Training of midwives and hospital
personnel to emphasize quality of
care
Why Mothers Die? Prof. Aslam LGH Lahore 17
18. Ensuring quality care
Support, guide, train, and assist
medical staff
Clear job descriptions for staff ,
accompanied by checklists
Why Mothers Die? Prof. Aslam LGH Lahore 18
19. Primary cause of delay in obtaining
adequate care is failure to recognize
danger signs, or the tendency to seek
treatment from traditional healers
Raising the level of community
preparedness for obstetric
emergencies
Why Mothers Die? Prof. Aslam LGH Lahore 19
20. MMR in 1950 = 500/100,000
In Mid-1970 =100/100,000
In 2012 = 35/100,100
Why Mothers Die? Prof. Aslam LGH Lahore 20
21. Emergency obstetric care was developed
Progressive and sequenced investment:
Initially massive training program for
midwives and health workers
Investments were then made in the
primary health care system
And finally in hospitals
Why Mothers Die? Prof. Aslam LGH Lahore 21
22. The lives of women and children are
demonstrably affected by the quantity
and quality of spending on maternal,
newborn and child health
Governments have the power to fix
the problem
Why Mothers Die? Prof. Aslam LGH Lahore 22
23. Scarce resources are often not allocated
where they will have the biggest impact
Scarce resources are directed to
relatively expensive, highly specialized
services rather than to primary or
secondary care
Wrong balance is struck between
spending on curative care and measures
for health promotion and the prevention
of poor health
Why Mothers Die? Prof. Aslam LGH Lahore 23
24. 70% (400,000) of the world's maternal
deaths could be prevented by
spending an additional $13-billion
annually on health care and family-
planning services
Study by United Nations Population Fund and
the Guttmacher Institute
Why Mothers Die? Prof. Aslam LGH Lahore 24
25. Additional cost /
capita/yr (US$)
Core Package <3
Expanded Package 4-6
Comprehensive Package 8-12
Source: Maternal, Newborn and Child Health Network for Asia and the Pacific
Why Mothers Die? Prof. Aslam LGH Lahore 25
only 41% of expectant mothers in South Asia have skilled attendantUnsafe abortion and lack of contraceptives are also key factorsUnmet need for family planning exceeds 10% in South-East Asia and is 15% in South Asia
Maternal mortality provides a kind of social x-ray of a society
Each year, South Asia (Afghanistan, Bangladesh, Bhutan, India, Nepal and Pakistan) spends just US$26 per capita per year on health from both domestic public and private sources and from international development assistancePakistan spends US$15 and Bangladesh just US$12
