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Progress in Maternal and Child Health in the Republic of Kazakhstan, 2008

Progress in Maternal and Child Health in the Republic of Kazakhstan, 2008. Integration of child rights on survival and development into the health system Assatova A . B . Executive Secretary of the Ministry of Health of the Republic of Kazakhstan XI-th Meeting of CARK MCH Forum

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Progress in Maternal and Child Health in the Republic of Kazakhstan, 2008

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  1. Progress in Maternal and Child Health in the Republic of Kazakhstan, 2008 Integrationof child rights on survival and development into the health system AssatovaA. B. Executive Secretary of the Ministry of Health of the Republic of Kazakhstan XI-thMeeting of CARK MCH Forum Ashgabad 2008

  2. Achievements in Maternal and Child Health in the Republic of Kazakhstan, 2008 • National Programme of Health Care Reform and Development for the period 2005-2010 has being realized • In the framework of the second stage of the National Programme the Government of the Republic of Kazakhstanhasapproved the Sectoral Programme «Onreducing maternal and child mortality» with the budgetallocated at the republican and local levels

  3. Achievements in Maternal and Child Health in the Republic of Kazakhstan, 2008 Health Code was developed and taken into consideration by the Parliament of the RK: • Increasing status of medical workers; • Systematization, revisionandimprovement of the legislative and regulatory base for MCH services; • Harmonization with the international low; • Improving quality of medical services; • Changing relation of society towards health and health system issues.

  4. Achievements in Maternal and Child Health in the Republic of Kazakhstan, 2008 • Basic Benefit Package of Health Servicesforprovision availability and equality in medical and pharmaceutical care to mother and child has been revised; • Medical education system reforms with introduction of international approachesandharmonization with legislation has been started.

  5. Achievements in Maternal and Child Health in the Republic of Kazakhstan, 2008 • The National Scientific Center of Motherhood and Childhood andthe Republican ChildRehabilitation center opened for highly qualified medical care to women and children of the Republic; • The LBD introduction has been started from January 2008 Kazakhstan

  6. Achievements in Maternal and Child Health in the Republic of Kazakhstan, 2008 • The country has achieved Universal Salt Iodization (USI) in accordance with international criteria – 92% population use adequately iodized salt (MICS, 2006). • Monitoring system of Iodine Deficiency Disorders (IDD) and quality control of IS (MoH) is in place • The 28 % households used WFF (MICS, 2006).

  7. Budget allocation for MCH from 2003 till 2008 ( in USD)

  8. Causes of maternal and children mortality • Lack of professional skills of health workers at maternity houses and pediatricians, especially at PHS level • Lack of interaction and coordination between Primary and secondary level of the health service providers (PHS and hospitals) • Low level of knowledge and poor awareness of the population on family planning issues and responsibility for there own health • Quality of medical services at PHS level are not met to the international standard in area of the MCH

  9. Causes of maternal and children mortality • Insufficient introducing into the perinatal practice the evidence based/ effective medical technologies and international approaches • Insufficient Quality control in health care • High level of anemia among women of reproductive age – 44,5% (MICS, 2006) • High level of Vitamin A deficiency among children U5 – 56,1% (MICS, 2006)

  10. Ways To solve the problems • Implementation of Sectoral Program on Reducing Maternal and Child mortality • Improvement of perinatal care with introduction modern technologies on management of newborn care and resuscitation in line with LBD introduction • Introduction of ECD approach at policy level with scaling –up Home visiting /Better Parenting project at national level; consultation of Healthy Child and their parents at PHS level • Further supply enhancement and improvement of child and mother care at PHC level,

  11. Ways To solve the problems • To increase knowledge of health workers in MCH facilities • Provision of sufficient staffing at rural health facilities with related social welfare to the staff • Introduction the high doses of vitamin A supplementation nursing mothers and children from 6 – 59 months into the Health Benefit Package

  12. Ways forward: • Improvement of health management system, including quality assurance of health services, financing • Reconstruction and Improvement the PHC facilities in accordance with state standards • Building the 100 health facilities by end of the 2010

  13. Ways forward: • Introduction the results based approach to the financial system; • Starting from new academic year introduction the new standards of medical and pharmaceutical education using international standards; • Improvingmedical care quality andincreasing Basic Benefit Package of Health Services

  14. Thank you !

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