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Achieving MDG-5 requires a Health Systems Solution: A Message from the State of Qatar

Achieving MDG-5 requires a Health Systems Solution: A Message from the State of Qatar. Dr. Sajjad ur Rahman Lead PI PEARL Study Senior Consultant Neonatal Perinatal Medicine Women’s Hospital Hamad Medical Corporation & Associate Professor of Clinical Pediatrics

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Achieving MDG-5 requires a Health Systems Solution: A Message from the State of Qatar

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  1. Achieving MDG-5 requires a Health Systems Solution: A Message from the State of Qatar Dr. Sajjad ur Rahman Lead PI PEARL Study Senior Consultant Neonatal Perinatal Medicine Women’s Hospital Hamad Medical Corporation & Associate Professor of Clinical Pediatrics Weill Cornell Medical College Doha State of Qatar

  2. Today’s Presentation What is our challenge? Where do we stand? Reflections from PEARL Study How to Move forwards?

  3. Today’s Presentation What is our challenge? Where do we stand? Reflections from PEARL Study How to Move forwards?

  4. Millennium Development Goal-5 A. Three quarters (75%) reduction in Maternal Mortality Ratio (MMR) between 1990 and 2015 B. Achieve universal access to reproductive health by 2015

  5. Today’s Presentation What is our challenge? Where do we stand? Reflections from PEARL Study How to Move forwards?

  6. Maternal Mortality in Pakistan Global maternal deaths in 2008= 342,900 50% of Global Maternal Deaths occur in six countriesIndia Nigeria Pakistan Afghanistan Ethiopia DR Congo Source: Lancet 2010; 375: 1609–23

  7. Pakistan's MMR compared with MMRs from Global, EMR, GCC countries and some high income countries from West and East. Source: World Health Statistics 2011

  8. Maternal Mortality Ratios in Pakistan and Surrounding countries – 1990 WEST PAKISTAN EAST Source: World Health Statistics 2011, WHO

  9. Maternal Mortality Ratios in Pakistan and Surrounding countries – 2008 WEST EAST PAKISTAN Source: World Health Statistics 2011, WHO

  10. Maternal Mortality Ratios in Pakistan and Surrounding countries 1990 2008

  11. Today’s Presentation What is our challenge? Where do we stand? Reflections from The State of Qatar How to Move forwards?

  12. PERINATAL NEONATAL OUTCOMES RESEARCH STUDY IN THE ARABIAN GULFPEARL STUDY A National Epidemiologic Reproductive Health Study Collaborating institutions: 1. Hamad Medical Corporation (HMC), Qatar 2. University of Gloucestershire, UK AObjectivesOIM&BJECTIVES: Qatar’s National Perinatal Registry Maternal Mortality and Morbidity Neonatal Mortality and Morbidity Perinatal Mortality and Morbidity Strategic Guidelines to improve Health Systems and Care Processes

  13. State of Qatar’s National Maternal, Neonatal and Perinatal Mortality Rates 2011-12 PEARL Study Analysis

  14. Maternal Mortality RateQatar 2011-12 Maternal Deaths (Criteria A,B & C) n= 2

  15. COMPARATIVE ANALYSISof Mortality Rates Qatar versus Global, Regional and High Income Countries Rates

  16. Maternal Mortality Rate Source: World Health Statistics 2011

  17. Maternal Mortality in Qatar Maternal Mortality in Qatar was Zero for several years between 1998 and 2004 Qatar had two maternal deaths in a year during 2011 and two in a year during 2012 United Stated had Two Maternal Deathsa day in 2011 Source: Amnesty International WWW.amnesty.org

  18. A PEARL Study Analysis ofTrends in Qatar’s Maternal Mortality Rates 1990-2012

  19. MMR Trends within Qatar 1990-2012

  20. The State of Qatar

  21. The Changing Landscape and lifestyle in the Arabian Gulf

  22. The New Landscape and Life stylein the Arabian Gulf

  23. The State of Qatar

  24. GDP Per Capita 2011GCC Countries & Other High Income Countries

  25. Qatar's population growthand live births over 36 years (1975-2012)(Source: Qatar Statistics authority www.qsa.org)

  26. Profile ofReproductive Health Care in Qatar

  27. Health Care Expenditure in Qatar Qatar provides Universal health care to all its citizens Health Qatar Spending in Qatar was 15% of national budget till 2010 Health care spending in 2011 increased to 27% of National Budget

  28. Maternal and Child Health care in Qatar

  29. Maternal and Childhood Mortalityin Qatar

  30. The Message

  31. Rahman S, Salameh K, Bener A, El Ansari W. Socioeconomic associations of improved maternal, neonatal, and perinatal survival in Qatar. IJWH 2010;2: 311–318

  32. Reduction in poverty, high rates of maternal education, and improved perinatal health care were temporally associated with improved maternal, neonatal, and perinatal survival in the State of Qatar. Rahman S, Salameh K, Bener A, El Ansari W. Socioeconomic associations of improved maternal, neonatal, and perinatal survival in Qatar. IJWH 2010;2: 311–318

  33. Women’s LITERACY RATE IN QATAR 1986-2007 Source: www.qsa.gov.qa

  34. Female (15 – 24 Years) Literacy Rate over 15 years period Qatar Vs Pakistan Source: www.indexmundi.com , Qatar Statistics Authority

  35. Today’s Presentation What is our challenge? Where do we stand? Reflections from PEARL Study How to Move forwards?

  36. Pakistan: How to Move forwards?Back to Basics Maternal and Child Health a top national priority Invest in Primary Maternal and Child Health Care Invest in Female Literacy Reduction in Poverty Improvement in social and living conditions (Clean drinking water, sewerage and drainage, pest control) Launch a Mandatory National Birth Registry Use of Low Cost Technology

  37. Future is NOT a Gift It’s an Achievement

  38. Thank You!

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