Maternal Newborn and Child Health

Transcription

1 Maternal Newborn and Child Health Progress Report Joint Annual Health Sector Review Meeting 29 TH -30 TH September Presented by Dr Neema Rusibamayila- AD -RCH 1

2 Presentation Outline Strategic Objectives Current Implementation Future plans 2

3 Strategic Objective-1 Increase access to maternal, newborn and child health services Expected Results Number of Health facilities providing quality Maternal, Newborn and Child Health services (MNCH) Referral systems at all levels in place Community Participation in place 3

4 Strategic Objective-2 Strengthen health systems to provide quality Maternal Newborn Child Health (MNCH) and Nutrition Services Expected Results Policies, guidelines and capacity development and supervision of MNCH and health facilities Availability of essential equipment and supplies Linkage with other health programmes is improved to deliver services in integrated way 4

5 Current Status of Implementation Indicators Maternal Mortality- 454/100,000 live births Contraceptive Prevalence Rate 36% all methods, 28% modern methods (Total Fertility Rate 5.4). (TDHS 2009/10) 50.6% health facility delivery coverage Antenatal Care attendance <16wks- 46% Antenatal Care attendance at least 4 visits 62% Insecticide Treated Net coverage in pregnant women 57% 5

6 Current Status of Implementation Indicators Under-five Mortality Rate- 81/1000 live births Infant Mortality Rate-51/1000 live births Neonatal Mortality Rate -26/1000 live births 91% coverage for measles vaccination 85% coverage DPT-HB-HiB3, TT coverage 82% 6

7 Current Status of Implementation Indicators Insecticide Treated Net Coverage 64% in Under-five children Vitamin A coverage 94% 68% of HIV positive pregnant women receive ARV prophylaxis for (PMTCT) 7

8 Current Status of Implementation Number of Health facilities providing quality MNCH services 4,792 (80% of all health facilities) of these; Family Planning services provided in 88% Focused Antenatal Care 100% Prevention of Mother of to Child Transmission of HIV (79% of RCH clinics, 17% HIV Early Infant Diagnosis) Integrated Management of Childhood Illness 74% Vaccination 100% 8

9 Current Status of Implementation Fistula management 0.9%. Adolescent Friendly Sexual Reproductive Health services 25.4% Referral systems at levels in place 32 ambulances procured and distributed to Dodoma, Kagera, Kigoma, Lindi, Coast and Rukwa regions Procurement in process for 400 motorcycle ambulances. 9

10 Current Status of Implementation Community Participation in place Reviewed Community -IMCI guidelines Developing integrated MNCH community package Policies, guidelines and capacity development and supervision of MNCH and health facilities Launch of National Family Costed Implemented Programme, and development of Adolescent Reproductive Health Strategy, 10

11 Current Status of Implementation Revised Life Saving Skills, Family Planning, Focused Antenatal Care, Kangaroo Mother care, training packages Guidelines for; Cervical Cancer Prevention and Control, Policy guidelines on Management of Gender Based violence. Essential newborn care guidelines, Postnatal care guidelines 11

12 Current Status of Implementation Policies, guidelines and capacity development and supervision of MNCH and health facilities Life Saving Skills /Focused Antenatal Care (>800 HW trained) Family Planning (> 470) Paediatric Hospital Initiative (> 228 HW) PMTCT, (>2000 HW) Helping Babies Breathe- Roll out (> 600 HW) Kangaroo Mother care (11 sites) Supervision 12

13 Current Status of Implementation Availabilities of essential equipment and supplies Maternal Newborn Child Health equipment World Bank, Aus-AID, SDC, UN- JP2, UN- JP6, WHO-EC/ MoHSW, Basket, CCHP s, Global fund round 7 Family Planning commodities USAID, UNFPA 13

14 Current Implementation Status Linkage with other health interventions is improved to deliver services in integrated way Integrated PMTCT/MNCH proposal submitted in round 10 Family Planning /HIV integration Ongoing process to strengthen integrated Maternal Newborn Child Health services delivery 14

15 Future Plans Strengthen integrated MNCH services Develop tools and job aids Integrated RMNCH supervision Strengthen RCH zonal supervision Integrated community MNCH package Strengthen availability of EMoNC and paediatric equipment and supplies Focus on Basic and Comprehensive EMoNC at health centre and hospital levels in next year 15

16 Future Plans Delivery pack distribution to begin in two regions Strengthen cold chain storage capacity for vaccines Conduct Emergency Obstetric Newborn Care assessment in 6 regions Continue effort to strengthen referral Through districts and partners continue to; Upgrade health centres to provide comprehensive Emergency Obstetric Care Build maternity waiting homes 16

17 Future Plans Strengthen Family planning and other Reproductive Child Health commodity security Finalize MNCH guidelines and curricula in development Continue capacity building of health workers Continue Advocacy and resource mobilization for MNCH at all levels 17

18 Future Plans Launch Campaign for Accelerated Reduction of Maternal Mortality in Africa in Tanzania Strengthen monitoring and evaluation for MNCH Strengthen cervical cancer prevention and control To finalize Strategy, Policy guidelines, training guidelines Begin preparations for introduction of vaccine 18

19 Conclusion Progress has been made WE CAN DO MORE Let us Play Our Part 19