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RH in North-Western Tanzania Refugee Camps – EmOC Herman Tirwosha Nadine Cornier

RH in North-Western Tanzania Refugee Camps – EmOC Herman Tirwosha Nadine Cornier. Introduction.

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RH in North-Western Tanzania Refugee Camps – EmOC Herman Tirwosha Nadine Cornier

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  1. RH in North-Western Tanzania Refugee Camps – EmOCHerman Tirwosha Nadine Cornier

  2. Introduction The health interventions in the camps focus on both preventive and curative care. The multisectoral concept is the basis for delivery of all health services. Community health workers, TBAs, and community development workers are key human resources in the provision of community based outreach health programs including Reproductive health.

  3. Comprehensive RH Care • Family planning • Safe motherhood: ANC, delivery, PNC • Gynaecologic care and post abortal care • STI/HIV/AIDS prevention and treatment • GBV prevention and management • IECs/Capacity building • Adolescent RH programs

  4. Major Areas of Response in EmOC • Surgical procedures including Caesarean section • Control of hemorrhage, including safe blood transfusions • Manual vacuum aspiration • Assisted vaginal delivery • Treatment of eclampsia • Treatment of sepsis • Management of diseases that impact on pregnancy and birth • Management of complications in the newborn

  5. Maternal Mortality Ratio in the Refugee Camps 2004-2007

  6. % of Births by Skilled Attendants in the Refugee Camps 04 - 07

  7. Neonatal Mortality Rates 04 -07

  8. Achievements • Increasing the availability of skilled attendants and implementing basic EmOC at the camp level • Building a strong referral system for comprehensive EmOC • Improved community based initiatives and participation • Comprehensive integrated quality services • Increased rate of male involvement in RH activities • Strong collaboration, coordination, and information sharing among the stakeholders

  9. Challenges in EmOC Implementation • High staff turnover (Skilled both national and refugees) • Low FP acceptance • Post abortal management – lack of MVA • Significant early marriages and pregnancies are still recorded

  10. Way Forward • Strengthening multisectral committees • Replacement of repatriated staff and training • Continue capacity building to our midwives, CSWs, CHWs • Improve FP acceptance rates – Identification of family planning promoters in the community, train them • Think of KAP study

  11. Regional EmOC DataEthiopia, Kenya, Tanzania

  12. Regional Maternal Mortality Data(January - June 2007)

  13. Thank you for your attention

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