Definitions and Pillars For Safemother Hood
Definitions and Pillars For Safemother Hood
Definitions and Pillars For Safemother Hood
Components of Reproductive
Health
Safe motherhood
Family Planning
Unsafe abortion
STIs including HIV/AIDS
Adolescent Health
Infertility
Menopause and Andropause
Cancers of the RH Organs( Cervix and breast)
Gender Issues (Gender Based Violence, Obstetric
Fistula, Female Genital Mutilation, Male Involvement)
Introduction
Making motherhood safe for the worlds women calls
for national governments, multi-lateral and bi-lateral
agencies , non-governmental organisations
(NGOs)and civil society to make maternal health a top
priority
There is a need to ensure that the necessary political
and financial resources are dedicated to this effort.
Safe motherhood is a vital, compelling and costeffective economic and social investment. Promoting
womens health improves not only individual health,
but also the health and survival of womens families,
labour force and the well-being of communities and
countries.
The burden
For women of reproductive age,
pregnancy and childbirth are the
leading causes of death, disease and
disability, accounting for at least 18%
of the global burden of disease in this
age group.
Yet pregnancy is perceived to be a
normal event
Number of
deaths
Range in
maternal deaths
Nigeria
255,500
RD Congo
130,900
Ethiopia
119,500
44,900
Uganda
44,500
Kenya
43,600
Cte d'Ivoire
42,800
16
Angola
40,100
Mali
36,900
Niger
10
31,700
Ghana
11
29,200
24
Mozambique
12
28,500
10
South Africa
13
23,000
27
Madagascar
14
22,500
21
Burkina Faso
15
18,600
11
Tanzania
50%
90%
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Daily numbers of death in 37 countries during the first month of life - based on 38 DHS datasets (2000 to 2004) with
5,763 neonatal deaths
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14
EMERGENCY
OBSTETRIC CARE
CLEAN/SAFE
DELIVERY,
NEWBORN CARE
AND POSTNATAL
CARE
ANTENTAL CARE
FAMILY
PLANNING
SAFE
MOTHERHOOD
Family Planning
Family Planning is the practice of spacing
children that are born using both natural
(traditional) and modern (artificial) birth
control methods. Birth spacing promotes
the health of the mother, children and the
father. There are two types of birth control
methods: natural and modern (artificial).
The modern methods are further subdivided into short-term, long-term and
emergency contraception methods.
Antenatal Care
Ante-natal care is defined as a
planned programme of medical
management of pregnant women
directed towards making pregnancy
and labour a safe and satisfying
experience with an outcome of a
healthy baby and mother.
Safe Delivery
Refers to ensuring that the mother
experiences a clean and safe delivery
This area refers to both normal
vaginal birth and other modes such
as C/S and vacuum extraction
A Skilled attendant is recommended
Provision of emergency Obstetric and
newborn care when needed.
Postnatal Care
Postnatal care: This is health care
given to a mother and baby after
childbirth up to 6-8 weeks.
Newborn Care
Reduction: all-cause
neonatal mortality
Antenatal/ intrapartum/
postnatal
Family care: clean home delivery, hygienic cord care, thermal care,
breastfeeding promotion
10-50%
Preconception
Antenatal
Postnatal
10-20%
10-30%
20-55%
20-40%
10-35%
15-50%
The components
Family Planning
expansion of service delivery points;
improvement of communication through community based
and social marketing approaches;
training of service providers to enhance technical skills and
improve attitudes;
guaranteeing the availability of family planning commodities
and supplies at all levels;
improvement of family planning logistics management
(LMIS/HMIS);
enhancement of political and community support and
participation in family planning activities;
improvement of record keeping;
strengthening of the follow-up, supervision and referral
systems.
Antenatal Care
Delivery Care
Information on signs of labor, what to
expect and what to do
Monitoring labour and documenting
Referral if it becomes necessary
Clean supplies / Warm clothing
Drugs required for pain relief and delivery
Communication with the family members
especially the spouse
HIV testing and counseling
Infant feeding options
Current status
Only 48% of Women attend the
recommended 4 times during ANC
Only 52% of women deliver in health
units
Only 14% of HFs offer EmOC
Only 23% of women get post partum
care during the first 2 days following
child birth
Challenges
Insufficient awareness on danger
signs, safe motherhood in general
Low status of women- decision
making
Inadequate male support
Poor Education level
Poor health seeking behavior
High/ uncontrolled fertility
Government Stewardship
Parliaments and similar institutions should step
into the process
The importance of functioning health systems
Integrated approach
Introduction of mandatory regular analysis of
maternal deaths
Active involvement of civil society
Local research to inform the people and local
institutions/entities
Additional resources and International Solidarity
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Emergency
transportation
Communication
We need to follow it up
Thank you!