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Institucionalizacion Sistema Informatico Perinatal

Institucionalizacion Sistema Informatico Perinatal. Belize. Target 5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio 5.1 Maternal mortality ratio 5.2 Proportion of births attended by skilled health personnel Target 5.B:

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Institucionalizacion Sistema Informatico Perinatal

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  1. InstitucionalizacionSistema Informatico Perinatal Belize

  2. Target 5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio 5.1 Maternal mortality ratio 5.2 Proportion of births attended by skilled health personnel Target 5.B: Achieve, by 2015, universal access to reproductive health 5.3 Contraceptive prevalence rate 5.4 Adolescent birth rate 5.5 Antenatal care coverage (at least one visit and at least four visits) 5.6 Unmet need for family planning

  3. National Plan of Action for Children and Adolescents 2004-2015 endorsed by both political parties respond to the Convention on the Rights of the Child and the Millennium Development Goals. It include targets to improve maternal health.

  4. Sistema de expediente clínico electrónico • Su desarrollo inicia en el ano 2003 • Se implementa a partir del 2008 • Contiene modulo de salud materna e infantil • No incluye todas las variables del SIP • Se ha ido modificando sobre la marcha –completando-

  5. BHIS runs on PostgreSQL, available on all major operating systems (Linux, Unix and Windows). • Its a combination of PostgreSQL, Java-based web technologies and Extensible Markup Language (XML) Include use of firewalls, hypertext transfer protocols, usernames and passwords, audit trails and other features. • Access codes provided to users and monitored continuously for abuse

  6. HealthCareImprovement [HCI] • Salud Materno-Neonatal • Nicaragua, Agosto 2009 • Estándares e indicadores • Instrumentos de Monitoreo [25-29] • Política institucional –Noviembre 2009 • Capacitación • Fase demonstración • Fase diseminación

  7. Increasedcompliancerate of monitoring of labor with Partograph Continuous monitoring Reorganization of staff Peer Coaching Training 20 medical records audited on a monthly basis: maternal and fetal complications 70% reducción en tasa de mortalidad neonatal y 65% asfixia al nacimiento, en el primer ano de implementación

  8. Prioridad a complicaciones obstétricas y neonatales • Empoderamiento del personal de salud • Análisis inmediato de resultados obtenidos • Planeación inmediata de actividades para superar dificultades • Documentación de intervenciones planeadas y cumplidas

  9. Tasa de Fertilidad en adolescents [15 – 19 years] MICS 2011 64/1000 • Adolescents need more access to preventive SRH services • More participation from non traditional providers, schools and NGO,s, CBO’s • FHS females, more than 90% approved SRH should be thought in schools

  10. Tasausoanticonceptivos , 55.2% MICS 2011 Necesidadinsatisfecha 17% Services provided by MOH, Private sector, Pharmacies, BFLA MOH provides male and female condom, IUD, pills, injectable, surgical Family Health Survey 1999 (56%) and MICS 2006 (34%)

  11. Atencion prenatal y atencion del parto Source: MICS Round 4 - 2011 -preliminary data-

  12. Tasa de Alfabetismo • Nivel de consumo [-24] • poorest 74.6% richest 98.9% • The Maya 88.7% • MICS3 85.0% • Urban 96.5% [+10] • Rural 86.5% MICS3 Urban 90.7% Rural 87.8%

  13. Acceso a educacion School Attendance • Primary School Attendance 95.9% • Secondary school attendance 55.4% • Gender parity index (primary) 1.00 • Gender parity index (secondary) 1.23 [girls] • Children aged 7 years attending school 98% School attendance is compulsory in Belize up to age 14 years. School attendance is higher among school aged children attending primary schools. More girls than boys attend secondary.

  14. School attendance decrease with the increase in age Children of ages five and six are starting primary school. About 98 percent of children aged 7 years are attending school; age 7 is the official school starting age in Belize.

  15. Violencia intrafamiliar • Women who believe that domestic violence is acceptable tend to be from rural areas (11.2), Urban (5.5), • young women aged 15 – 19 (11.2), • no education (13.8) and • from poor families (17.1), rich (4.7) • The Maya deserve special mention (18.0)

  16. Belize’s MMR 2012 is almost half the MMR in Latin America and the Caribbean and Caribbean subregion

  17. 1990- 71 2000- 100 2011- 53 2012- 43 Violencia / Eclampsia / Shock septico

  18. El 95% de las muertes en menores de cinco anos ocurre en menores de dos anos Las causas mas frecuentes son las originadas en el periodo perinatal Tasa muerte fetal tardía 12.3 [2009 OMS] Intraparto 22% Tasa de Mortalidad Neonatal [OMS] - 18 2000 - 12 2011 - 8 Tasa de Mortalidad Perinatal [MINSA] 2005- 20 2006 - 22.1 2007- 17.3 2008- 24 2009- 14.8

  19. Próximos pasos • Actualizar HCPB • Asesoría técnica CLAP –integración del SIP al sistema de información en salud • Desarrollo del TCC para la introducción del SIP • Creación de política institucional SIP

  20. Desarrollo del TCC para la introducción del SIP • Fondos de Gobierno???? • Integración del SIP al sistema informático • Capacitación del personal de salud en uso del SIP • Creación normativa del SIP [Seguro Nacional de Salud] y actualización de política institucional de mejoramiento de salud materna y neonatal - Nicaragua • Curso de habilidades obstétricas – El Salvador- • Evaluación de TCC • Desarrollo de Plan estratégico [sostenibilidad]

  21. HCI • NivelNacional • Nivel Regional • Nivel hospital / APS

  22. Muchas gracias por su atención

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