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IMPROVING THE QUALITY OF LIFE OF YOUTH AND CHILDREN IN SA

IMPROVING THE QUALITY OF LIFE OF YOUTH AND CHILDREN IN SA. Dr SA Amos Cluster Manager: MCWH & Nutrition 14 September 2007. Presentation Outline. Organogram Identifying causes of maternal, infants and under-5 morbidity and mortality Enquiry findings Coverage of child survival interventions

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IMPROVING THE QUALITY OF LIFE OF YOUTH AND CHILDREN IN SA

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  1. IMPROVING THE QUALITY OF LIFE OF YOUTH AND CHILDREN IN SA Dr SA Amos Cluster Manager: MCWH & Nutrition 14 September 2007

  2. Presentation Outline • Organogram • Identifying causes of maternal, infants and under-5 morbidity and mortality • Enquiry findings • Coverage of child survival interventions • Key interventions, programmes and/or strategies: - Neonates infants - Children1-5 years - Youth and adolescents • MCWH & N Budget • Conclusion

  3. ORGANOGRAM Cluster: MCWH and Nutrition Three directorates Child, Youth and Adolescent Women’s Health and Human Genetics Nutrition

  4. Identifying causes of maternal, infants and under-5 morbidity and mortality • In order to provide appropriate and relevant intervention strategies, we need to understand the causes and underlying factors of maternal and child mortality in South Africa. • The Department of Health has introduced programmes to analyze causes and factors leading to maternal and child deaths • Maternal Death Inquiry Programme, • Child Problem Identification Program (CHIP) • Perinatal Problem Identification Program (PPIP).

  5. Some of the Enquiry findings • Administrative Problems • Health Professional Related • Patient Orientated Problems – (social and cultural issues)

  6. Coverage of child survival interventions • ANTENATAL CARE • 94% of pregnant women attend ANC and at least 73% attend 4 visits or more (DHS)- (Missed opportunities) • 84% of deliveries attended by a skilled health workers (nurses and doctors, DHS) Skills and human resource shortages- pre-service, in-service, more financial resources

  7. Coverage of child survival interventions FEEDING: • 40% of newborns are breastfed within a hour of birth • 12% of children are exclusively breastfed at 0-3 months and 1.5% at 6 months • Vitamin A: Coverage above 90% for children 6-12mnths 25% for children 13-60mnths Solution: • Expansion of BFHI • Building capacity of CHW on Infant feeding

  8. Coverage of child survival interventions IMMUNISATION • 94% of children <1 year are fully immunized against DPT, Hib and Polio (2005) -82% of children <1 year are immunized against measles A high national immunisation coverage Still have pockets of low coverage

  9. Key Interventions, programmes and /or strategies NEONATES AND INFANTS Quality antenatal, intra-partum and immediate post-partum care Basic Antenatal Care (BANC) Basic Intra-partum Care (BIC) Baby Friendly Hospital Initiative (BFHI)

  10. Key Interventions, programmes and /or strategies CHILDREN 1-5yrs • EPI • IMCI • Paediatric CCMT • ECD • Vitamin A • Growth Monitoring • CHIP • Management of Severe Malnutrition (facility based) • School Health Services

  11. Key Interventions, programmes and /or strategies YOUTH AND ADOLESCENTS • Youth Friendly Services- (Training of HCP, TOT, and Facility Accreditation) • sexual and reproductive health management • Mental health- substance abuse, suicide, eating disorders etc Great Concern: Teenage pregnancy Actions: Expansion of youth friendly services Increase number of trained health care providers Increase the number of Peer Educators Emphasis on Emotional Quotient

  12. Key Interventions, programmers and /or strategies Life skills training • Youth Indaba (annual, week long event) – Youth as active participants • Presentations on youth health risks, social issues impacting on health • Shared experiences by survivors • Career opportunities and guidance presented by various experts and other governmental departments • Promotion of patriotism and community involvement

  13. MCWH AND N BUDGET • The total MCWH and N budget 28,819,000 • Cluster Manager’s office: 2,497,000 • Child and Youth Health: R11,132,000 • Nutrition; 4,795,000 • Women’s Health & Genetics: 10,395,000 • Additional funding of: R2,752,000-CCMT

  14. conclusion • In order to step up efforts at improving child survival we need; • an increased resource allocation, • integrated approach to programming, • community involvement and participation, • translating knowledge into action as well as, • strengthening monitoring and evaluation of programmes. “IN Service there is no Them and US, there is only We” David R Patient

  15. Thank you

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