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Safe Motherhood Guinea Country Study

Safe Motherhood Guinea Country Study. Guinea - DHS, 1999. 5.5 fertility rate 4.2% CPR Age of first marriage – 16 for women; 26 for men 72% of men and 87% of women in rural areas have no formal education 71% of pregnant women benefited from prenatal consultations; 33% during 1 st trimester

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Safe Motherhood Guinea Country Study

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  1. Safe MotherhoodGuinea Country Study

  2. Guinea - DHS, 1999 • 5.5 fertility rate • 4.2% CPR • Age of first marriage – 16 for women; 26 for men • 72% of men and 87% of women in rural areas have no formal education • 71% of pregnant women benefited from prenatal consultations; 33% during 1st trimester • 35% of deliveries assisted by trained health personnel

  3. Safe Motherhood • 528/100,000 maternal mortality • 48/1000 neonatal deaths • 1989: Guinea subscribed to the Safe Motherhood initiative • 1992: National Safe Motherhood Program established in MOH under DNSP

  4. Mandiana Prefecture

  5. USAID-Funded Activities • Save the Children CS grant • MSH/JHU PRISM • PRIME II • JHPIEGO

  6. STC/PRIME II • Developed and pretested curriculum for training TBAs, trainer’s guide, evaluation guide • Serving as model for ADRA/Siguiri

  7. PRISM • Training in pre-natal care and partogramme, infection prevention and contraceptive technology • Introduction of COPE and assessment of needs for introduction of PAC • Provided MCH equipment to hospital and HC • Training of prefectoral health department in facilitative supervision • Discussing with HKI addition of nutrition component to TBA training

  8. Results -BirthPreparedness • 44% (75%) of women of reproductive age received at least 2 doses of tetanus toxoid • Improved knowledge through training of village health committees and outreach • Creation by village health committees of emergency referral systems including transport plans with revolving funds (MURIGA)

  9. Results-Safe Delivery • In 2001, slight increase in number of births attended by trained TBAs; slight decrease in number of births at health center • 83% (70%) of births attended by trained personnel

  10. Results - Antenatal and Postnatal Care • 40% (70%) of pregnant women will receive at least 2 prenatal contacts • 50% (60%) of pregnant women receive malaria prophylaxis during pregnancy • 45% (60%) of postpartum women receive Vitamin A capsule

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