Beruflich Dokumente
Kultur Dokumente
Imteaz Mannan MaMoni Integrated Safe Motherhood, Newborn Care, Family Planning Project
WHO/UNICEF Joint Statement 2009 Home visits for the newborn child: A strategy to improve child survival
"Studies have shown that home-based newborn care interventions can prevent 30 60% of newborn deaths in high mortality settings under controlled conditions. Therefore, WHO and UNICEF now recommend home visits in the babys first week of life to improve newborn survival."
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NNHS approved
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SMPP
ACCESS ISMNC
SMPP-2
MaMoni
Joint UN MNH BRAC HP/MNCH UNICEF/BRAC MNCH DFID Char Livelihoods Project
HPNSDP 2011-16 prioritizes MNH and PNC PNC traditionally recorded at MIS as care within 42 days Trained vs. medically trained provider
MaMoni ISMNC-FP Project One of the models of USAIDs GHIs upazila health system strengthening MOH&FW key service provider Partner NGOs - supportive and facilitative role An integrated package District wide approach Integration and linkage of Non health sectors community, LG with MOH health care providers
Activity
Maternal
Newborn positioning/attachment, EBF, danger signs, delayed bathing, thermal management BCG, EPI
Counseling and LAM, PPFP, danger Support signs, nutrition Referral for PP Vit-A, PP-IFA, routine services Check for complication
Nipples/breastfeeding, Infection, LBW, hypothermia sepsis, other problems Same +S2S Contact,
Mgmt/Referral Identify appropriate of complications center, notify service provider Program Mgmt Misoprostol use validation
WHO
WHEN
Home
Tea Garden
WHERE
Outreach Clinics
Clinic
Civil Surgeon, Deputy CS, MO District District Hospital (100 beded) UH&FPO, RMO, MA, EPI Technician, HI
MCWC
Upazilla
Few MCWC
Union
Health Sub Centre MO, MA, AHI, Pharmacist Community Clinic (For 6000 people)
Ward/Out reach
Househol d
HA
FWA
The How MaMoni Strategy to Expand PNC Activities Training (FWA, HA, FWV, SACMO) Volunteers /300 pop. Community groups /900 pop. or /village Satellite clinic strengthening - history Community -planning involving FWA, HA, volunteers to update MIS data
Habiganj
TBA orientation (delivery notification) PNC register revision FWA - 48h, 7d Supportive Supervision (JSV) Facility strengthening for delivery, PNC Referral chain setup, transport
too low?
showing no trend?
No single report
Facility delivery often double counted HAs report not processed No record of continuum of care of ARH-FP-MNCH, some mothers not recorded at all
No single denominator
Live births vs. BCG: The 22-50 issue Identification system different for H&FP, not updated Delivery notification a challenge
Less time: Move away from domiciliary services, promoting one-stop services (Community Clinics)
PNC/OPD confusion
More people: HH-CHW ratio doubled since last HR planning, even triple in some areas
1 FWA/6,000 population in 1995
More work: 18 items in the JD including promoting VAW, homestead gardening, etc.
Community microplanning (396/mnth) Birth notification by TBA, link to FWV/A UP registration GR support in one upazila Poil study
Single MIS for ANC/Delivery/PNC Validation of data (BCG/Live birth)
For high mortality districts, home based PNC is needed, lessons from Habiganj should be considered
"Childrens lives should be counted in years and decades, not in minutes, hours and days
Thank You