Maternal Health Cambodia UNICEF Cambodia September 2010 Slide 2
Cambodia Millennium Development Goals: Overall Summary of Progress
(scored in terms of % distance travelled from baseline to target)
Slide 3 Yes Child Mortality is falling Newborn mortality is falling
Life expectancy is rising Fertility is falling............but Is
health in Cambodia getting better? Slide 4 Between 2000-2008 there
is not recorded improvement in maternal mortality in Cambodia Slide
5 Maternal mortality reduction requires a strong health system,
with good interaction among various levels Societal values: Is
womens health important enough? Why? Slide 6 85% of all births are
uneventful But 15% of women in pregnancy and delivery develop a
potentially life threatening complication Few of these
complications can be predicted A fundamental challenge Slide 7 With
MMR of 461 in Cambodia.... -An estimated 1,700 2,000 women die
maternal deaths in Cambodia every year, or five women every day!
-These are young, productive women, leaving families and children.
Families often disintegrate after maternal death, and their
children have high mortality -Most of maternal death can be
prevented Slide 8 Causes of Maternal Mortality in Cambodia Almost
all of the above causes are either preventable or treatable, but
solutions are not available to all those in need Slide 9
Opportunities in Cambodia -Midwifery education is expanding
-Abortion is legal -Government and partners are committed: the
Minister of Health has launched a Fast Track Initiative Road Map
(FTIRM) to accelerate interventions for reduction of maternal
mortality -$15 incentive for professionally assisted deliveries
& health equity funds for the poor -Increased facility births:
11% in 2002 and 40% in 2008 -Community involvement, and
increasingly that of local government (transport contracts for
obstetric emergencies) - Slide 10 What is needed? -Further
strengthening of the health system: incentivized human resources,
drugs and supplies, improved 24-hour availability of Emergency
Obstetrics and Newborn care, stronger referral systems -Improve
quality of services -Remove financial barriers to care, especially
for the poor -Higher contraceptive prevalence to avoid unwanted
pregnancies -Improve family and community practices during
pregnancy, delivery and postpartum period - Slide 11 Child
mortality by poverty status Sources: Cambodia DHS, 2005 The MDG4
has been met in the richest quintile, but has a long way to go in
the poorest one Slide 12 UNICEF Contribution Strengthen knowledge
and evidence base for policy and action: studies, operational
research/pilots, good practices Support capacity development of
health managers at all levels to effectively plan, implement and
monitor quality maternal, newborn and child health and nutrition
services Support improvement of quality of care training of health
staff, post training follow-up, coaching and supervision Support
empowerment of communities to adopt healthy practices, seek timely
and appropriate health care and claim their rights to health and
nutrition media campaigns and interpersonal communication Slide
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