Child health Program in DPRK Mr. Pak Yong Nam MoPH DPR of Korea in Nepal Nov 15. 2011
1.Background data • Population -Total: 24,05milion -Women:12,33million -1,369million under age five -under age five mortality rate: 26.7/1 000 -Infant mortality rate: 19.3/1 000 -IMCI has been introduced in 97 counties at 8 province -IMCI survey has been conducted by central and provincial IMCI team -22 500 health care providers trained and IMCI pre- service developed
2.Goal of child health in DPRK 2.1 Goal -Improvement of child health and case management in PHC -To reduce the mortality rate and prevalence of major disease such as diarrhea, pneumonia, malnutrition, feverish disease, anemia -To propel children’s healthy growing and development
2.2 Specific Objective • To increase the understanding IMCI plays an important role in decreasing the prevalence and mortality rate of children • Improvement of health care system
3.Ordinary health indicators • Mortality rate under 1year of age: 19.3/1 000 live birth(2008) • Rate of low birth weight: 5.7% • Malnutrition/ 1 000 persons: low weight;18.8, weakness; 5.2% • EPI coverage: Malaria: proportion of children have gotten 7 kind of vaccine: 82.5% • Removal of sources of major disease that cause of incidence and prevalence of childhood illness • Increasing immunization rate and decreasing incidence and prevalence by CDs and parasitic disease.
4. Integrated Management of Child Illness • MCH Project implemented : USD 1 500 million each year 2006-2010 • UNCERF , Italy-fund support carried out 2008-2011 • County & Ri kit provided for first level of health care; distributed to 100 out of 208 county hospitals 1 200 Ri clinic • Critical mass of trainer trained; 22 500 health care provider trained through TOT traings and Cascade trainigs in 8 province 2006-2010 • Hundreds of undergraduates trained through pre-service training in 8 provincial medical universities 2001-2010
5. Key Results Breastfeeding-8 county hospitals are being prepared for BFHI, 805 health and non-health staff were trained-100,000 pregnant women and 12 000 postnatal women are aware on on promotion of BF and CF through dissemination of 12 000 booklets & 100 000 leaflets.
Complementary feeding -32 health staff were trained on complementary feeding through support from HQ -10 guiding principles of complementary feeding adapted to local context for wide dissemination in 14 baby homes and focus county nurseries.
Multi-micronutrients: Vitamin A • 1.5million children 6-59 months were supplemented with vitamin A through CHDs which was jointly observed with MoPH, Embassies and UN agencies
CMAM • Participation in the Joint FAO/WFP/UNICEF food and nutrition assessment & report • Three proposals prepared CERF, AUSID, HAC • Response of an integrated package targeting underlying causes of malnutrition prepared targeting the most 25 vulnerable food insecure counties.