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Maternal Survival in Afghanistan: Progress and Challenges

Maternal Survival in Afghanistan: Progress and Challenges. Mary Ellen Stanton Senior Maternal Health Advisor Bureau for Global Health, USAID Health in Afghanistan: How Can We Save Women’s Lives? Women’s Policy, Inc Canon House Office Building July 20, 2010. Health Situation (2001-2002).

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Maternal Survival in Afghanistan: Progress and Challenges

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  1. Maternal Survival in Afghanistan:Progress and Challenges Mary Ellen Stanton Senior Maternal Health Advisor Bureau for Global Health, USAID Health in Afghanistan: How Can We Save Women’s Lives? Women’s Policy, Inc Canon House Office Building July 20, 2010

  2. Health Situation (2001-2002) • Fertility 6.8 children/women • No access to health care services for 1/3 population • Crumbling health infrastructure • Vast human resource needs Photo: Linda Bartlett

  3. Lifetime Risk of Maternal Death 1:4,800 USA 1:8 Afghanistan The chance of a woman dying as a result of pregnancy is 600 x greater in Afghanistan than it is in the United States. Source: WHO/ UNICEF/UNFPA, The World Bank. Maternal Mortality Estimates 2005, App 8, pub 2007

  4. Maternal causes of death in Afghanistan4 regions (n=154), 1999-2002

  5. Maternal Mortality and the Cycle of Poverty in Afghanistan

  6. Much has been achieved… much remains to be done

  7. Ingredients of success formaternal and child health Government leadership Focus on rural health, equity BPHS: Basic Package of Health Services EPHS: Essential Package of Hospital Services Large-scale contracting capacity with NGOs Human resource policies Pharmaceutical policies Clinic construction Social marketing of health products Recruitment, training & support of female community midwives & community health workers

  8. Looking ahead… • Security • Expanded attention tomidwifery education • Family planning — more services to meet unmet need • Focus on quality improvement, especially at referral level – prevention & treatment of obstetric complications • Accountability to communities – working with religious and community leaders – on availability and quality of interpersonal care • Seizing the opportunities and developing strategy for innovation such as mobile health/telemedicine • Measuring impact • RAMOS II a possibility • National survey — all cause mortality underway

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