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Care of critically ill mothers at KNH - Gaps and Opportunities.

Care of critically ill mothers at KNH - Gaps and Opportunities. Zahida Qureshi John Ongech 7 th February 2014. Political will. Maternal healthcare is a primary concern for the Jubilee Government. President Uhuru Kenyatta decreed free maternal healthcare for all women in Kenya.

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Care of critically ill mothers at KNH - Gaps and Opportunities.

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  1. Care of critically ill mothers at KNH - Gaps andOpportunities. Zahida Qureshi John Ongech 7th February 2014

  2. Political will • Maternal healthcare is a primary concern for the Jubilee Government. President Uhuru Kenyatta decreed free maternal healthcare for all women in Kenya. • Courtesy of President Kenyatta’s policy, we shall strive to provide an environment where every pregnancy is wanted, every childbirth is safe, and every young person’s potential is fulfilled.

  3. In order to improve maternal and child health outcomes in the country, the First Lady of Kenya, Margaret Kenyatta launched the ‘Beyond Zero Campaign’ on 24 January in Kenya’s capital Nairobi. • “I am deeply saddened by the fact that women and children in our country die from causes that can be avoided. It doesn’t have to be this way,” said Ms Kenyatta. “This is why I am launching the ‘Beyond Zero Campaign’ which will bring prenatal and postnatal medical treatment to women and children in our country.” • The ‘Beyond Zero campaign’ is part of the initiatives outlined in the Strategic Framework for the engagement of the First Lady in HIV control and promotion of maternal, newborn and child health in Kenya that was unveiled on World AIDS Day 2013.The campaign aims to raise funds to help improve maternal and child health care in the country.

  4. Deliveries July2012-June 2013

  5. Labour ward Admissions July12-June 2013

  6. MATERNAL MORTALITY TREND (JULY 2012 – JUNE 2013= 119)

  7. Multicountry survey in 20 hospitals in Kenya 2012

  8. WHO Maternal Near Miss identification criteria 05_XXX_MM10

  9. Critically sick mothers • Haemorrhage • Hypertensive disease • Medical conditions • Infectious disease • Obstructed labour • Abortion complications • Sepsis • Acute kidney failure • Anemia

  10. Obstetrical conditions requiring critical care Oct-Dec 2013

  11. Table 5: Adequacy of partograph completion Variable scored at least one observation recorded

  12. Level of care in patients with obstetric haemorrhage

  13. Level of care in patients with severe pre-eclampsia and eclampsia

  14. Outcome by diagnosis

  15. Posterior Tear

  16. Decapitated Head

  17. KNH/UON sits at the apex of the pyramid of the KEPH levels. This is the ultimate referral Centre. • Referral system • Infrastructure • Human resource • Multidisciplinary management • Supplies, equipment • Support from Lab and imaging dept • Emergency response • Teams • Skills/ drills • There is need to set the standards, norms and SOPS for improved MCNH

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