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

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


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



Today s presentation3
Today’s Presentation countries

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 countriesSTUDY 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 countries

Maternal, Neonatal and

Perinatal Mortality Rates 2011-12

PEARL Study Analysis


Maternal mortality rate qatar 2011 12
Maternal Mortality Rate countriesQatar 2011-12

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


Comparative analysis of mortality rates

COMPARATIVE ANALYSIS countriesof Mortality Rates

Qatar versus Global, Regional and

High Income Countries Rates


Maternal mortality rate
Maternal Mortality Rate countries

Source: World Health Statistics 2011


Maternal mortality in qatar
Maternal Mortality in Qatar countries

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 of countriesTrends in Qatar’s Maternal Mortality Rates

1990-2012


Mmr trends within qatar 1990 2012
MMR Trends within Qatar countries 1990-2012



The changing landscape and lifestyle in the arabian gulf
The Changing Landscape and lifestyle countriesin the Arabian Gulf


The new landscape and life style in the arabian gulf
The New Landscape and Life style countriesin the Arabian Gulf



Gdp per capita 2011 gcc countries other high income countries
GDP Per Capita 2011 countriesGCC Countries & Other High Income Countries


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


Profile of reproductive health care in qatar
Profile of countriesReproductive Health Care in Qatar


Health care expenditure in qatar
Health Care Expenditure in Qatar countries

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 childhood mortality in qatar
Maternal and countriesChildhood Mortalityin Qatar


The message
The Message countries


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


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 improved perinatal health care were temporally associated with improved maternal, neonatal, and perinatal survival in the State of 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 improved perinatal health care were temporally associated with improved maternal, neonatal, and perinatal survival in the State of Qatar.Qatar Vs Pakistan

Source: www.indexmundi.com , Qatar Statistics Authority


Today s presentation4
Today’s Presentation improved perinatal health care were temporally associated with improved maternal, neonatal, and perinatal survival in the State of Qatar.

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 improved perinatal health care were temporally associated with improved maternal, neonatal, and perinatal survival in the State of Qatar.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 improved perinatal health care were temporally associated with improved maternal, neonatal, and perinatal survival in the State of Qatar.It’s an Achievement


Thank you
Thank You! improved perinatal health care were temporally associated with improved maternal, neonatal, and perinatal survival in the State of Qatar.


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