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Maternal mortality in Afghanistan. Dr. Maurice Bucagu Sachiyo Yoshida. Department of Making Pregnancy Safer. Preventable maternal mortality and morbidity and human rights.

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Department of Making Pregnancy Safer

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Maternal mortality in Afghanistan

Dr. Maurice Bucagu

Sachiyo Yoshida

Department of Making Pregnancy Safer


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Preventable maternal mortality and morbidity and human rights

…the unacceptably high global rate of preventable maternal mortality and morbidity is a health, development and human rights challenge…”

Resolution 11/8. UN Human Rights Council, 2009


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Fight for Life

http://www.who.int/making_pregnancy_safer/videos/afghanistan.html


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Statistics from the ground reality

  • Maternal mortality ratio 1800 per 100000 live birth

    (Source: Estimate developed by WHO, UNICEF, UNFPA and the World Bank)

  • Life time risk of maternal deaths is 1 in 8.

    (Source: Estimate developed by WHO, UNICEF, UNFPA and the World Bank)

  • Infant mortality 129 per 1000 live births.

    (Source: Afghanistan Health Survey 2006)


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Antenatal care coverage at least once by skilled providerSource: Afghanistan Health Survey 2006

NRVA: National Risk and Vulnerability Assessment

AHS: Afghanistan Health Survey


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% of births assisted by skilled birth attendantsSource: Afghanistan Health Survey 2006

NRVA: National Risk and Vulnerability Assessment

AHS: Afghanistan Health Survey

MICS: Multiple Indicator Cluster Survey


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% of births assisted by skilled birth attendantsby wealth statusSource: Afghanistan Health Survey 2006


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Place of deliverySource: Afghanistan Health Survey 2006


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Place of delivery by travel time to health facility using routine mode of transportationSource: Afghanistan Health Survey 2006


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Family planningSource: Afghanistan Health Survey 2006


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Conclusion (1)

  • Like in all conflict situations, women and children bear the brunt of crisis (e.g. access to basic health services; maternity services).

  • Women, particularly pregnant women, and their newborns are often overlooked or hard to reach.

  • Pregnancy & childbirth do not wait for the stabilization period in case of crisis.

  • Afghanistan: WHO priority country;


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Conclusion (2)

  • Key interventions for maternal and newborn survival:

    • Identify: pregnant women and newborns,

    • Identify: skilled personnel and available materials

    • Supply kits to: pregnant women (delivery kits); skilled staff (midwifery kits); health facilities with appropriate kits.

    • Establish a referral system for obstetric emergencies;

    • Ensure safe-blood transfusion;

  • From crisis to developmental vision (MDGs 4&5): To reduce maternal mortality:

    • Skilled care at birth + Emergency Obstetric care + Newborn care + Family planning.

    • Adequate funding for maternal and child health programme


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Thank you


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