1 / 71

M aternal S urvival and H ealth A P athway to D evelopment in U ganda

M aternal S urvival and H ealth A P athway to D evelopment in U ganda. Application of the REDUCE Model in Uganda. Uganda: Sustained Economic Growth. US$. 186. Annual per Capita Income. $. $. Uganda: Sustained Economic Growth. US$. 330. 186. Annual per Capita Income.

jtyrrell
Download Presentation

M aternal S urvival and H ealth A P athway to D evelopment in U ganda

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Maternal Survival and HealthA Pathway to Development in Uganda Application of the REDUCE Model in Uganda

  2. Uganda: Sustained Economic Growth US$ 186 Annual per Capita Income

  3. $ $ Uganda: Sustained Economic Growth US$ 330 186 Annual per Capita Income

  4. Uganda: An Inspirational African Success Story

  5. Uganda: An Inspirational African Success Story? • Total fertility rate (TFR) 6.9 • Infant mortality rate (IMR) 97 • Child mortality rate (CMR) 147 • Child stunting at 2 years of age 45% • Full vaccination at 2 years of age 44% • Access to safe water in rural areas 47% • Primary education completion 34% HDI: 158/174

  6. Maternal Death (WHO, 1980) “The death of a woman during pregnancy, delivery, or the six weeks following the birth of her baby.” UNICEF/C-55-10/Watson

  7. Maternal Mortality Ratios in Africa Maternal Deaths/100,000 Live Births Source: UNFPA, 1999

  8. Maternal Mortality Ratios in Africa Maternal Deaths/100,000 Live Births Source: UNFPA, 1999

  9. Mothers’ Index The Mothers’ Index ranks Uganda 76 out of 106 countries UNICEF/Pirozzi Source: Save the Children, 1999

  10. Maternal Mortality: a Small Part of a Larger Problem Maternal Mortality UNICEF/C-79-53/Goodsmith Poor Health and Disability

  11. Women’s Participation in the Labor Force Women’s economic contribution is crucial to reduce poverty UNICEF/C-79-53/Goodsmith 53% (Ugandan Labor Survey, 1998)

  12. Population Living in Absolute Poverty Poor maternal health reduces dramatically the capacity of Ugandan women to grow out of poverty 44% (Source: UNICEF, 1999)

  13. Investing in Safe Motherhood in Uganda • Increases Survival • Improves Health • Reduces Poverty

  14. Major Causes of MaternalMortality in Uganda HIV/AIDS Malaria Anaemia

  15. Women’s Low Status • Lack of access to and control of resources • Limited access to education • Lack of decision-making power Jorge Moreiro

  16. Inadequate Attention to Adolescent Reproductive Health Percentage of Ugandan women who experience their first pregnancy by the age of 19 70%

  17. REDUCE… a Model on Maternal Health and Survival

  18. Estimating the Consequences of Poor Maternal Health Data on Maternal Health Reduce Model Impact on Survival and Productivity (2001-2010)

  19. REDUCE: Data Used • Uganda 1995 Demographic and Health Survey • WHO Global Burden of Disease • Uganda Safe Motherhood Costing Study • 1991 Demographic Projections • Sexual and Reproductive Health Minimum Package • Other local literature and surveys

  20. Survival

  21. Maternal Deaths(2001-2010) 61,000 Maternal Deaths! Jorge Moreiro

  22. Infant Deaths per 1000 Life Births(Bangladesh) Infant Deaths/1000 Life Births

  23. Infant Deaths Resulting from Maternal Deaths 40,000 Infant Deaths 65% Jorge Moreiro

  24. Infant Deaths Resulting from Maternal Poor Health During Pregnancy • Neonatal Tetanus: 38,000 Infant Deaths • Maternal Iodine Deficiency: 31,000 Infant Deaths • Maternal Malaria and Anemia: 220,000 Infant Deaths 65%

  25. Maternal Deaths(2001-2010) 61,000 Maternal Deaths! Jorge Moreiro

  26. Older Children

  27. Orphaned Children More vulnerable to rights violations

  28. Disabilities

  29. Maternal Mortality: a Small Part of a Larger Problem 1 Woman Dies 20-30 Women Suffer Short and Long Term Disabilities

  30. Maternal Mortality: a Small Part of a Larger Problem • 110,000 women will become infertile • 1,200,000 women will suffer: • Inability to breastfeed • Anaemia • Incontinence due to fistulae • Chronic pelvic pain • Emotional depression • Physical weakness • Reduced productivity (2001-2010)

  31. Economic Consequences

  32. Present Value of Productivity Losses (2001-2010) 47 353 400 million US $

  33. Iodine Deficiency during Pregnancy Iodine is necessary for the normal development of the baby’s brain during pregnancy UNICEF/C-79-39

  34. Iodine Deficiency during Pregnancy Translates into reduced • Learning ability • School performance • Retention rates in School-Age Children Permanent! UNICEF/C-56-19/Murray-Lee

  35. Present Value of Productivity Losses (2001-2010) 47 353 400 408 million US $ 808

  36. Recommendations

  37. Three Delays • Delay in deciding to seek appropriate care • Delay in reaching a treatment facility • Delay in receiving adequate treatment at the facility UNICEF/C-55-10/Watson

  38. Maternal Mortality Ratios in Africa Maternal Deaths/100,000 Life Births Source: UNFPA, 1999

  39. Maternal Mortality Ratios in Africa Maternal Deaths/100,000 Life Births Source: UNFPA, 1999

  40. The Six Pillars of Safe Motherhood in Uganda Safe Motherhood Family Planning Obstetric Care Ante-Natal Care Post-Natal Care STD-HIV Control Post-Abortion Care

  41. 1. Family Planning • Increase number service delivery points • Encourage adolescents to delay first pregnancy • Encourage couples to space births • Update service providers’ skills: • Contraceptive technology • Counseling

  42. 2. Ante-Natal Care • Provide iron+folic acid supplements • Conduct immunization against tetanus • Conduct routine deworming • Provide presumptive treatment for malaria • Screen for risk factors

  43. 3. Skilled Obstetric Care at Birth • Increase the number of midwives • Update providers’ life saving skills • Monitor labor using a partograph • Provide essential obstetric care • Improve referral system • Mobilize ambulance/transportation services • Provide vitamin A supplement after delivery

  44. 4. Post-Natal Care • Identify and manage danger signs • Counsel and provide family planning services • Counsel on maternal nutrition during lactation • Promote good traditional social support • Conduct maternal mortality audits and review meetings

  45. 5. Post-Abortion Care • Train and equip personnel to offer MVA • Counsel and provide family planning services • Start prompt treatment for sepsis

  46. 6. STD/HIV Control • Offer voluntary testing and counseling • Screen pregnant women for syphilis • Manage cases and their complications • Continue and expand ongoing successful prevention activities

  47. The Six Pillars of Safe Motherhood in Uganda Safe Motherhood Family Planning Obstetric Care Ante-Natal Care Post-Natal Care STD-HIV Control Post-Abortion Care

  48. The Six Pillars of Safe Motherhood in Uganda Safe Motherhood Family Planning Obstetric Care Ante-Natal Care Post-Natal Care STD-HIV Control Post-Abortion Care Communication for Behavior Change

  49. The Six Pillars of Safe Motherhood in Uganda Safe Motherhood Family Planning Obstetric Care Ante-Natal Care Post-Natal Care STD-HIV Control Post-Abortion Care Communication for Behavior Change P r i m a r y H e a l t h C a r e

More Related