Professional Documents
Culture Documents
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Objectives
At the end of this session the learnerns will be able to know; Definition of MCH Goals and objectives of MCH Factors affecting MCH in Pakistan History of MCH in Pakistan Statistics of MCH in Pakistan in comparison to other counteries of world Causes of Maternal Mortality and Infant Mortality in Pakistan How we can Improve Maternal and Child Health in Pakistan
Maternal and child health
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Definition
MCH
refers to the promotive, preventive,curative and Rehabilitative health care of mothers and children (BT Basavanthappa,community health nursing)
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Goals of MCH
Ensure comprehensive prenatal and postnatal care
Assure access to care for low income women and
children Reduce infant,maternal and childhood mortality and morbidity Increase health assessments, diagnosis and Treatment Ensure access to preventive, and rehabilitative services Assure family-centered, community-based systems of coordinated care
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Objectives of MCH
To reduce maternal,infant and childhood mortality
and morbidity To promote reprodutive health To promote physical and psychological development of children and adolescent
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Dais
Maternal and child health programme i.e GOBI-FFF
and Safe Motherhood programme Maternal and child health services Maternal and child health mission
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midwifes and nurses to educate and care for pregnant women and their children Visiting nurses at home Midwife training by government
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Maternal Health
Maternal Mortality the death of a woman while pregnant or within 42 days of termination of pregnancy, from any cause related to or aggarvated by the pregnancy or its management but not from accidental or incidental causes
(BT Basavanthappa,community health nursing) The death of the mother is intimately related to the health and well-being of their children.
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Maternal Health
Causes of Maternal Mortality The leading causes of maternal death are classified as; Direct Indirect
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labor ,delivery and the post-partum periods. Hemorrhage (uncontrolled bleeding) 25 % Sepsis (infection) 15% Hypertensive Disorders 12% Prolonged or Obstructed Labor 08% Unsafe Abortion 13% Direct causes account for 80% of maternal death
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Child Health
Infant mortality rate 63/1000 live births in pakistan
Under five mortality rate 86.5/1000 live births in
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Child Health
More than 10 million children die each year from
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Child Health
Which countries have the largest problems? India 2,402,000 child deaths each year Nigeria 834,000 China 784,000 Pakistan 565,000 Bangladash 484,000 Ethiopia 472,000
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Child Health
The Index of Infant Mortality has Diminished Since the 1960s in Pakistan
1960 2000
United Nations Millennium Development Goals are to diminish Infant Deaths to 25/1000 by the year 2015
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Child Health
Causes of Death of Newborn to One Month of Age
Born before due date Pneumonia/Sepsis
Asphyxia
Tetanus Diarrhea
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Child Health
Causes of Infant Death Between One Month and 5 years
Pneumonia
Diarrhea
Malaria Measles
HIV/AIDS
Injuries
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malignances
Offer Voluntary Counseling and Testing (VCT) to detect
HIV infections in pregnant mothers before they give birth. The Importance of Literacy, Pure Water, Food and Health Care We cannot wait until governments build schools and train teachers to make women literate
complications Nutritional management in pretem babies Educate about time of weaning Prevent deafness and cleft palate Prevent malaria by providing nets impregnated with insecticides Provide inexpensive treatments for:
A. Antibiotics for pneumonia B. Oral solutions for diarrhea
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Recommendations
Pakistan continue efforts to increase coverage of high-
quality services including family planning, antenatal and postnatal care, skilled delivery and emergency obstetric care. To reduce under-five mortality rate, there is a need for huge investment in health services for pregnant women and the newborn baby, including the prevention of preterm births and stillbirths and scaleup of effective low-cost interventions, it stated.
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