1 / 17

Advancing Maternal Health in Kenya: Symposium Wrap-Up and Path to Progress

This symposium wrap-up outlines the current maternal health status in Kenya, identifying regional disparities, trends in maternal care, family planning challenges, and delivery service availability. It highlights quality issues in maternal, newborn, and child health (MNCH) services, priority interventions needed, and high-impact interventions required for improvement. The way forward includes a conceptual framework focusing on contextual, intermediate, and proxy determinants affecting maternal health, addressing issues like government commitment, professional regulations, resource allocations, leadership, advocacy, and behavior change. It emphasizes the need for policy direction, infrastructure improvements, training, supervision, and community awareness to eliminate delays and improve access to quality maternal care.

thiery
Download Presentation

Advancing Maternal Health in Kenya: Symposium Wrap-Up and Path to Progress

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. INNOVATIONS FOR AATAINMENT OF MDGs 4&5 SYMPOSIUM 10TH JANUARY 2013 WRAP UP AND WAY FORWARD ON MATERNAL HEALTH NDAVI wa MUIA

  2. Outline • MATERNAL HEALTH STATUS IN KENYA • CONCEPTUAL FRAME WORK • CONTEXT: 1st, 2nd and 3rd Delays • INTERMEDIATE: 1st, 2nd and 3rd Delays • PROX: 3rd Delays

  3. MATERNAL HEALTH STATUS IN KENYA • Pop:40m; 9.6m WRA; 6-8% pregnant=600000-800000 (about 1m) • Regional differentials/disparities • MMR 488/100,000 Live Births: • SBA 44%: • ANC 92% ONCE, 47% 4 TIMES: • LATE ATTENDANCE FOR ANC: • TRENDS IN MATERNAL CARE: 1999-50%, 2008/9-43%:

  4. FAMILY PLANNING • UNMET NEED FP 26% • CPR (7%-1977/8, 33%-39% 1993 -2003, 46% 2008/9) • Adolescent & youth: 30% • 18% of 15-19 yr olds are child bearing • 21 % of women suffered sexual violence. • Provision of youth friendly services still a great challenge.

  5. AVAILABILITY OF DELIVERY SERVICES • SERVICES FOR • Normal delivery: 30% • C/S: 5% • ANC, normal delivery and C/S: 5% • Vacuum extractor in delivery facilities: 6% • Vacuum aspirator in delivery facilities: 36% • Management of obstetric emergencies low

  6. QUALITY OF MNCH SERVICES • Competencies in: • Management of normal labour and use of the Partograph: • Management of obstetric emergencies: identification and management of: • postpartum haemorrhage: • Preeclampsia /eclampsia: • Prematurity

  7. PRIORITY INTERVENTIONS • Training • Provision of equipment & supplies • Scaling up of the HIIs at all levels • Supportive supervision • Community level awareness

  8. HIGH IMPACT INTERVENTIONS ??????

  9. WAY FORWARD A CONCEPTUAL FRAMEWORK

  10. Contextual determinants • Government/political commitment • Constitution and Legislation: chapter 4 on the Bill of Rights- articles 26 and 43.+ • Amelioration and elimination of all inequities/inequalities/disparities • Professional regulations: MPDB, Nursing Council • Policy direction on high impact interventions: education, poverty eradication, economic improvements for communities/women, • 2005 the year of the partogram (MP&ND)

  11. Resource allocations: devolution and quality/ appropriate utilization • Human: (no more 1 midwife for 8 women in labour) • Financial: devolution • Infrastructure, equipment/supplies: delivery & newborn / newborn resuscitation care units (no more 3 women in labour on one bed), suction tubes, infection prevention requirements; laboratory infrastructure • Transport /communication-elimination of the 2nd delay

  12. Socio-economic / cultural development • DRH and its leadership role in management of MNCH services: training (MEPI), provision of equipment & supplies, scaling up of the HIIs at all levels, supportive supervision, community level awareness-elimination of the 1st delay • Availability of facility infrastructure for MNCH services including BEOC/CEOC • Advocacy: role of professional organizations and unions, FBOs, NGOs, civil societies etc to promote women’s sexual and reproductive rights • Elimination / abandonment of harmful SRH practices

  13. Intermediate determinants • Access to and quality of SRH services • Leadership in maternity and newborn units: labour ward, infection control teams, clinical audit teams, task forces ….. • 24/7 hotlines • Availability and appropriate application of guidelines / protocols / SOPs for obst. emergencies: partogram, infection prevention protocols, PPH, PE/E, BEOC / CEOC guidelines • Elimination of the 3rd delay • Guidelines on promotion of training in sexuality in reproductive health

  14. Sexual/Reproductiveand Health behavior • Avoidance of too early (initiation of child bearing), too many, too frequent and too late: • Sexuality: not directly and deliberately addressed in the symposium • FP behavior and escalation of CPR • Use of services for ANC, labour / delivery and postpartum / post natal period • Elimination of the 1st delay

  15. Proxy determinants • Pregnancy: SR behavior intendendness/planned status of a pregnancy • Management of pregnancy / labour / puerperium / postpartum. • Innovations on leadership in our units/facilities • Appropriate use of management guidelines and protocols / SOPs: prevention of 3rd delay • Development and management of complications • Competencies in identification and management: role of guidelines and protocols / SOPs: prevention of 3rd delay

  16. Sikomo

More Related