Upload
thurein-naywinaung
View
512
Download
1
Embed Size (px)
Citation preview
Ministry of Health
Department of Health Women and Child Health Development
Section
WCHD has been implemented
• To integrate and compliment related activities for more effective use of resources for women, children and newborn health development activities
• To strengthen the Maternal Newborn and Child health services
Objectives
General Objective
To provide quality health care service for women, children including newborn in order to reduce U5MR and MMR according to MDGs and to promote health development of women, children and newborn
Specific Objectives
To reduce Under Five Mortality Rate and Maternal Mortality Rate according to MDGs for Health
To ensure quality health services for children including newborn and women
Targets
Impact targets
• Reduce the Under-five Mortality Rate to
43/1,000 live births
• Reduce Infant Mortality Rate to 35/1,000 live
births
• Reduce Neonatal Mortality Rate to 16/1,000
live births
Coverage targets
(a)80% of all newborns receive the community
based Essential Newborn Care package
(b) 80% of all low birth weight infants receive
extra care during the newborn period
(c) 60% of the families practice hand washing
and provide appropriate feeding for children
0-23 months of age
(d) 60% of infants 0-6 months are exclusively
breastfed
(e) 50% of the acutely malnourished children
(uncomplicated moderate and severe
malnutrition) are treated adequately
(f) 90% of children with acute diarrhoea are
treated with Oral Rehydration Therapy (ORT),
including Oral Rehydration Solution (ORS) and
continued feeding
(g) At least 70% of suspected pneumonia is
treated with antibiotics recommended by the
program
Indicators 1990
2009-2010
2015
Under Five Mortality Rate(per 1,000LB)
130 46.1 43.3
Infant Mortality Rate(per 1,000LB)
98 37.5 32.7
Proportion of 1 year old children immunized against measles (%)
72 90.7 100
Trends of indicators related to MDG4
Implementing Components & levels
Three Components
1.Women health development
2.Child health development
3.Newborn health development
At Three levels
1.Household level
2.Primary health care level
3.Secondary and tertiary care level
1. Capacity building 2. Awareness Raising Activity3. Logistic Supply4. Research and Survey5. Community based activity6. Other activities
Activities undertaken by WCHD
Logistic supply• Child survival Kit A, Kit B• Tube and mask device, Bag and mask
device• Mucous extractor• RHC kits and sub-RHC kits• Thermometer • Respiratory timber• Weighing scale (spring type)• AMW kit• Clean delivery kit• EOC equipment
Research and survey• Nation Wide Causes Specific Under Five
Mortality Survey(2002-03)
• Study on KFP and Local Terminology for
Selected Ethic Groups (2004,WHO,UNICEF)
• Study on performance of AMW (2005)
• Nation Wide Causes Specific Maternal Mortality
Survey(2004-05)
• Health facility assessment (2008)
• Emergency Obstetric Care study (2008-2009)
• Cause of under five deaths (on going)
Community based interventions
• Community based health activities (CBHA)
• Community case management of pneumonia and diarrhoea
• Community based newborn care
Other activities
• Cooperation within the department, with UN agencies, INGOs , Local NGOs and related departmentschild survival forumchild health lead working group meeting
national child health committee
• Supervision and Monitoring
• Evaluation
Implementation status of WCHDYear Area covered
2001
2003
2004
2005
2006
19
21
21
20
20
2002
12
200 UNICEF
Total
2007 12
2008 12
2009 12
2010 35
2011 16
5
4
4
5
18 WHO 218
Kachin - 6
Sagaing - 31 Magway – 25 (whole)
Shan - 20
Chin- 9(whole)
Rhakhine - 17(whole)
Mandalay-
28
Bago - 8
Ayeyarwaddy - 21
Yangon- 8
Kayah- 4
Kayin- 7(whole)
Mon- 10 (whole)
Tanintharyi- 4
Area Coverage in State & Region
Child health services in HSS townships
Sr No Township WCHD MCH Others
1 Bamaw WCHD PSI( SQH (MxP’neu),SPH(CCM P’)
2 Shweku PSI(SQH Mx P’neu)
3 Moekaung PSI(SQH Mx P’neu)
4 Moenyin PSI(SQH Mx P’neu)
5 Demauso WCHD
6 Shartaw
7 Baulakhae WCHD
8 Maesae
9 Fruso WCHD
10 Paann WCHD, CBNBC, CCM pneu diarr
PSI (SQH(Mx of P’neu)
11 Myawaddy WCHD PSI (SQH(Mx of P’neu)
12 Kaukarrait WCHD SQH,SPH(Mx of P’neu, CCM P’neu)
13 Hakah WCHD Merlin(CBNBC,CCM P’, CBHA)
14 Htantalan WCHD Merlin(CBNBC,CCM P’, CBHA)
15 Tonzan WCHD Merlin(CBNBC,CBHA)
16 Yayoo WCHD PSI (SQH,SPH(Mx of P’neu, CCM P’neu)
17 Wattlat WCHD ENC PSI (SQH,SPH(Mx of P’neu, CCM P’neu)
18 Minnkin WCHD CDA(NR training)
19 Kalaywa WCHD CDA(NR training)
20 Meik PSI (SQH(Mx of P’neu)
21 Tanintharyi WCHD
22 Pulaw PSI (SQH(Mx of P’neu)
23 Yayphyu
24 Yaytarshae WCHD, CBHA
25 Thanutpin IMCI PSI (SQH(Mx of P’neu)
26 Kawa IMCI ENC PSI (SQH(Mx of P’neu)
27 Thayawaddy IMCI PSI (SQH,SPH Mx of P’neu, CCM P’neu)
28 Paukaung IMCI
29 Moenyo IMCI
30 Hteelin WCHD CDA(NR training)
31 Saetoattra WCHD Save the children
32 Saw WCHD Save the childrenCDA(NR training)
33 Pyintphyu WCHD PSI (SQH Mx of P’neu, SPH for CCM P’neu)CDA(NR training)
34 Tatkone WCHD, CBNBC, CBHA
PSI (SQH Mx of P’neu)CDA(NR training)
35 Laewae WCHD, CBNBC, CBHA
PSI (SQH Mx of P’neu)CDA(NR training)
36 Thapatekyin
WCHD ENC PSI (SQH Mx of P’neu, SPH for CCM P’neu)CDA(NR training)
37 Tharze WCHD, CBHA, CBNBC
PSI (SQH Mx of P’neu)CDA(NR training)
38 Mudone WCHD PSI (SQH,SPH Mx of P’neu, CCM P’neu)
39 Thahtone WCHD,CBHA PSI (SQH,SPH Mx of P’neu, CCM P’neu)
40 Kyaikhto WCHD,CBHA PSI (SQH,SPH Mx of P’neu, CCM P’neu)
41 Beelin WCHD PSI (SQH,SPH Mx of P’neu, CCM P’neu)
42 Mauntaw WCHD
43 Ann WCHD, CBHA
44 Gwa WCHD PSI (SQH Mx of Pneu)
45 Kyaington WCHD, CBNBC, CCM Pneu diarr
PSI (SQH Mx of Pneu)
Sr No Township WCHD MCH Others
46 Maipyat Merlin (CBNBC,CBHA)
47 Maipyin WCHD
48 Nyaunshwe IMNCI PSI (SQH Mx of Pneu)
49 Hopone WCHD PSI (SQH Mx of Pneu)
50 Loilin PSI (SQH Mx of Pneu)
51 Pinlaung
52 Hsipaw
53 Larshio WCHD, CBNBC, CCM pneu diarr
PSI (SQH Mx of Pneu)
54 Kyaukme WCHD
Sr No Township WCHD MCH Others
55 Kauhmu WCHD, CBNBC
PSI (SQH Mx of P’neu, SPH for CCM P’neu),CDA(NR training)
56 Hmawbe WCHD PSI(SQH,SPH Mx of P’neu,CCM P’neu)
57 Titekyi WCHD PSI(SQH,SPH Mx of P’neu,CCM P’neu)
58 Ngaputaw WCHD ENC
59 Kangyidaunt ENC PSI (SQH Mx of Pneu)
60 Laymyatnar
Minimal essential package of interventions
Intervention Township
Station
RHC SRHC Community
Newborn interventions
Immediate essential newborn care ( at the time of birth)
Immediate thermal care
√ √ √ √ √
Initiation of EBF
√ √ √ √ √
Hygienic cord and skin care
√ √ √ √ √
Neonatal resuscitation
√ √ √ √ -
Intervention Township
Station
RHC SRHC Community
Newborn infection management
Case Mx of neonatal sepsis, and pneumonia
√ √ √ √ -
Presumptive antibiotics therapy for NB at risk of bacterial infections
√ √ - - -
Management of NB with jaundice
√ √ √ √ -
Intervention Township
Station
RHC SRHC Community
Newborn infection management
Initiation of ART in babies born to HIV infected mother
√ √ - - -
Intervention Township
Station
RHC SRHC Community
Interventions for small and ill babies
Kangaroo
mother care
for preterm
and LBW
√ √ √ √√
Extra support for feeding small and preterm babies
√ √√ √ -
CPAP to Mx babies with RDS
√ - - - -
Intervention Township
Station
RHC SRHC Community
Child health interventions
Infancy and childhood
EBF √ √ √ √ √
Continued BF and CF
√ √ √ √ √
Prevention and case Mx of malaria
√ √ √ √ √
Comprehensive care of children infected with or exposed to HIV
√ √ - - -
Intervention Township
Station
RHC SRHC Community
Immunization √ √ √ √ √
Vitamin A supplementation
√ √ √ √ √
Mx of severe acute malnutrition(without complications)
√ √ √ √ √
Mx of severe acute malnutrition(with complications)
√ √ - - -
Intervention Township
Station
RHC SRHC Community
Case Mx of pneumonia
√ √ √ √ ??
Case Mx of diarrhoeaa)Acute diarrhoeab) Dysentry
√ √ √ √ √
Case Mx of meningitis
√ √ - - -
Home visit for children across the continuum of care
√