Achieving mdg 5 requires a health systems solution a message from the state of qatar
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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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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

Weill Cornell Medical College

Doha State of Qatar


Today s presentation

Today’s Presentation

What is our challenge?

Where do we stand?

Reflections from PEARL Study

How to Move forwards?


Today s presentation1

Today’s Presentation

What is our challenge?

Where do we stand?

Reflections from PEARL Study

How to Move forwards?


Millennium development goal 5

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


Today s presentation2

Today’s Presentation

What is our challenge?

Where do we stand?

Reflections from PEARL Study

How to Move forwards?


Maternal mortality in pakistan

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


Achieving mdg 5 requires a health systems solution a message from the state of qatar

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


Maternal mortality ratios in pakistan and surrounding countries 1990

Maternal Mortality Ratios in Pakistan and Surrounding countries – 1990

WEST

PAKISTAN

EAST

Source: World Health Statistics 2011, WHO


Maternal mortality ratios in pakistan and surrounding countries 2008

Maternal Mortality Ratios in Pakistan and Surrounding countries – 2008

WEST

EAST

PAKISTAN

Source: World Health Statistics 2011, WHO


Maternal mortality ratios in pakistan and surrounding countries

Maternal Mortality Ratios in Pakistan and Surrounding countries

1990

2008


Today s presentation3

Today’s Presentation

What is our challenge?

Where do we stand?

Reflections from The State of Qatar

How to Move forwards?


Perinatal neonatal outcomes research study in the arabian gulf pearl study

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


State of qatar s national

State of Qatar’s National

Maternal, Neonatal and

Perinatal Mortality Rates 2011-12

PEARL Study Analysis


Maternal mortality rate qatar 2011 12

Maternal Mortality RateQatar 2011-12

Maternal Deaths (Criteria A,B & C) n= 2


Comparative analysis of mortality rates

COMPARATIVE ANALYSISof Mortality Rates

Qatar versus Global, Regional and

High Income Countries Rates


Maternal mortality rate

Maternal Mortality Rate

Source: World Health Statistics 2011


Maternal mortality in qatar

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


A pearl study analysis of trends in qatar s maternal mortality rates

A PEARL Study Analysis ofTrends in Qatar’s Maternal Mortality Rates

1990-2012


Mmr trends within qatar 1990 2012

MMR Trends within Qatar 1990-2012


The state of qatar

The State of Qatar


The changing landscape and lifestyle in the arabian gulf

The Changing Landscape and lifestyle in the Arabian Gulf


The new landscape and life style in the arabian gulf

The New Landscape and Life stylein the Arabian Gulf


The state of qatar1

The State of Qatar


Gdp per capita 2011 gcc countries other high income countries

GDP Per Capita 2011GCC Countries & Other High Income Countries


Achieving mdg 5 requires a health systems solution a message from the state of qatar

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


Profile of reproductive health care in qatar

Profile ofReproductive Health Care in Qatar


Health care expenditure in qatar

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


Maternal and child health care in qatar

Maternal and Child Health care in Qatar


Maternal and childhood mortality in qatar

Maternal and Childhood Mortalityin Qatar


The message

The Message


Achieving mdg 5 requires a health systems solution a message from 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


Achieving mdg 5 requires a health systems solution a message from the state of qatar

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


Women s literacy rate in qatar 1986 2007

Women’s LITERACY RATE IN QATAR 1986-2007

Source: www.qsa.gov.qa


Female 15 24 years literacy rate over 15 years period qatar vs pakistan

Female (15 – 24 Years) Literacy Rate over 15 years period Qatar Vs Pakistan

Source: www.indexmundi.com , Qatar Statistics Authority


Today s presentation4

Today’s Presentation

What is our challenge?

Where do we stand?

Reflections from PEARL Study

How to Move forwards?


Pakistan how to move forwards back to basics

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


Future is not a gift it s an achievement

Future is NOT a Gift It’s an Achievement


Thank you

Thank You!


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