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Integrated Maternal And Child Health Campaign in Ghana By Georgina Amidu Programme Communication Officer UNICEF/Ghana 8 th April 2008, Dakar - Senegal

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Integrated Maternal And Child Health Campaign in Ghana By Georgina Amidu Programme Communication Officer UNICEF/Ghana 8 th April 2008, Dakar - Senegal. Outline of Presentation. Introduction Context of IMCHC in Ghana Main problems identified Communication strategies Key achievements

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Integrated Maternal And Child Health Campaign in GhanaByGeorgina AmiduProgramme Communication Officer UNICEF/Ghana 8th April 2008, Dakar - Senegal

outline of presentation
Outline of Presentation
  • Introduction
  • Context of IMCHC in Ghana
  • Main problems identified
  • Communication strategies
  • Key achievements
  • Key challenges
  • Lessons Learned
  • Perspectives for 2008
introduction
INTRODUCTION
  • Estimated population of 23Million
  • U5M of 111/1000 live births (42nd out 191 countries)
  • Maternal mortality 187/100,000 live births with about 50% of pregnant women accessing supervised delivery
context of imchc in ghana
Context of IMCHC in Ghana
  • Interventions not reaching all target populations through routine service delivery
  • Causes of U5 & maternal mortality & morbidity in Ghana are preventable
  • Cost-effective interventions available in Ghana
  • Urgent call to INCREASE COVERAGE to achieve MDGs 4 & 5
package of imchc
Package of IMCHC
  • OPV for children 0-59 months
  • Deworming children 24-59 months
  • Vit A supplementation for chn 6-59 months and lactating women within 8wks postpartum
  • Free ITNs to chn under 12 months and all pregnant women
  • Free birth registration for chn below 12 months
main problems identified
Main Problems Identified
  • Health workers administered vaccines without telling clients of possible side effects, what to do in such instances etc.
  • Mothers were not told to continue with routine immunization
  • Education on how to use ITNs was absent in most centers
  • Pregnant women/children without ID cards were refused services at some immunization centers
main problems cont
Main Problems Cont.
  • Some women who attended ANC/CWC during the month were confused (not sure if they could still access campaign services
  • Some women refused to patronise some centers when they heard ITNs were finished
  • Refusal of some mothers to send older children to centers because they were not captured for ITNs
  • Some mothers did not attach importance to the activities
communication strategies implemented to address some of the issues
Communication Strategies Implemented to address some of the issues
  • Education on all components of the campaign on subsequent days (Gong gong)
  • Street announcements on coupon system
  • Gong gong beating to remind all care givers to send their chn to immunisation centers
  • Volunteers followed up to encourage some care-givers to patronise services (IPC)
key challenges
Key challenges
  • Cultural/traditional barriers
  • Lack of commitment by some volunteers & care givers
  • Late release of funds to regions, districts & sub-districts etc.
  • Inadequate staff (Partners)
  • More concentration on service delivery
  • Late start of social mobilization activities at district/ community levels
  • Shortage of birth registration forms
  • Inaccurate target pop. Estimates (micro plans)
  • Rumours and perceptions
lessons learned
Lessons Learned
  • Involving CBAs e.g GRCS/CMA mother facilitators is rewarding
  • Patronage/success to a campaign does not rely solely on awareness creation but also dialogue
  • ITNs as part of campaign package has a lot of challenges (disincentive)
  • Too much value placed on ITNs by mothers
perspectives for 2008
Perspectives for 2008
  • Start the social mobilization earlier & involve all relevant groups in communities
  • Use mass media- Radio,TV street announcement by (ISD)etc
  • Volunteers for the campaign to be well briefed. (Support with fliers)
  • Use of community registers for chn U5
perspective for 2008
Perspective for 2008
  • Create awareness on campaign at both static and outreach clinics
  • Community-wide meetings/durbars to explain components of campaign and concerns of community members early before the campaign (drama, PLA)etc
  • Continue the dialogue on the objectives of campaign with communities
perspectives cont
Perspectives Cont.
  • Compose local songs on the campaign at all levels
  • Gong gong beating in communities
  • IE & C on the need for caregivers & pregnant women to continue with routine clinics (CWC/ANC)
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