Professional Documents
Culture Documents
Central Hospitals Provincial Hospitals General Hospitals Rural Hospitals Health Centers Total
The main causes of Death were Prematurity (50%), Severe asphyxia (32%), Neonatal sepsis ( 29%)
Neonatal Sepsis constitute the main cause of death among Newborns born in Rural Health Centres (27.3%) and at community level (44.9%) This demonstrated a need to improve our actions and interventions at these levels to better address the NB sepsis more efficiently
Type of HF
District, Provincial, General Rural Hospitals and Urban, Rural Health Centers ,and Outreach services
Maternal
1/500.000 hab (Emoc Basic; 5/500.000 hab (Emoc Complete) Central, Provincial, General and Rural Hospitals (specialized) Central, Provincial, General Rural Hospitals and Urban, Rural Health Centers and Outreach services Central, District, Provincial, General Rural Hospitals and Urban Health Centers, Health Centers with maternities
MCH nurses, surgical technicians, Doctors Gynecology& Obstetric specialists MCH nurses, curative medicine agents& technicians, Doctors MCH nurses, technicians, Doctors, surgical technicians
Family Planning
Type of HF
Central, District, Provincial, General Rural Hospitals Urban and Rural Health Centers District, Provincial, General Rural Hospitals and Urban, Rural Health Centers and Health Posts * Central, District, Provincial, General Rural Hospitals and Urban, Rural Health Centers District, Provincial, General Rural Hospitals and Urban, Rural Health Centers and outreach services
Newborn
Post-natal care with focus on the 1st week of life (visit on day 3, 7) and between day 21-28 to support health practices and earlier detection and referral of complications
Model Maternity (2009) Neonatal component Central, District, Provincial, General (immediate skin-skin contact, early breastfeeding early Rural Hospitals and Urban Health - first hour after birth , neonatal resuscitation and Pos Centers, Health Centers type I and A Natal Care - 3, 7 and 21-28 days after deliver)
Quality performance base standards (2011)
MCH Nurses, pediatric Nurses, Generalists, Gynecology& Obstetric specialists, Curative Medicine Agents &
IMNCI :
Number of health facilities with Emergency Obstetric &Newborn Care: 530 out of 1.292 HF More than 1.000 health workers have been trained in ENC from 2009 to 2010
Since 1998 the package has been scaled up to 144 Districts with support from country collaboration partners. In 2008 the strategy was updated to add Neonatal Care and HIV/AIDS. Implementation of an action plan for effective roll out will start in May 2013
KMC: The method have been introduced to all Provinces. In most HF it is an integrated service( no specific units) KMC is integrated as key thematic issue in most continuing education MNCH trainings. HBB : Recently adopted by the Country. 330 Health Workers and 43 National master trainers have been trained , an action plan to accelerated the roll out of HBB is currently being prepared .
The coverage of the interventions within the provinces is variable depending on local partners support..The country still need to improve M&E system to monitor implementation of these interventions as well as certification of the HF that implement it. Preliminary data from national quality assessment of newborn services done in 2012 is still to be finalized.
Percentage
Comparison between the Baseline (2009-10) and the Last Measurement (Q4 2011 or later)
Data from 28 Health Facilities
Challenges
Insufficient availability of human resources/Weak institutional capacity for retention of qualified human resources
Implementation of an action plan to accelerate roll out of IMNCI, HBB and KMC( training and mentoring of HW, supplies, certification criteria and Inclusion of specific indicators for those interventions at HIS/routine data management ) Improve the health infrastructure to the newborn (to reduce overcrowding services neonatology to prevent sepsis)
Challenges
Improve the availability of ATB (parenteral) to treat sepsis and other commodities/material and equipment at all levels Upgrading of existing Health Post Update IMNCI training curricula for Revision of training curricula, role & responsibilities of TBAs, APEs and other Community Health Volunteers