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Safe Motherhood

Background
Too many women die related to childbirth
Too young/too old, too many, too close, too
late, too sick

Childbirth must not carry with the risk of


death or disability for woman & infant

Background
The medical cause of maternal deaths are similar
throughout the world:
Hemorrhage
Sepsis
Hypertensive disorder of
pregnancy
(Eclampsia)
Prolonged or obstructed labor
Complications of
unsafe abortions

What is Safe Motherhood


A womans ability to have
a safe and healthy
pregnancy and delivery

What is The Safe Motherhood


Initiative?
Is a global effort that aim to reduce
deaths and illnesses among women and
infants, especially in developing
countries
Was launched in 1987 to improve
maternal health and cut the number of
maternal deaths in half by the year 2000.

SAFE MOTHERHOOD
VISION:
Women able to make decisions for
themselves and their families and to
contribute to the socioeconomic
development

SAFE MOTHERHOOD
MISSION
Dept.of Health in partnerships with
local government unit, private sector,
university and others, commit to lead
and provide quality maternal health
services to make pregnancy, childbirth
and motherhood a safe experience for
all mother

SAFE MOTHERHOOD
GOAL
To improve well being of mothers
through a comprehensive approach of
providing, preventing, promotive,
curative and rehabilitative health care

Essential Services For Safe Motherhood


Community Education on Safe Motherhood
High quality Prenatal care
Skilled assitance during birth
Care for obstetrics complications, including
emergencies
Postpartum care
Management of abortion complications
Family planning counseling, information and
services
Reproductive health education and services for
adolescents

Safe Motherhood Goal


Reduce maternal mortality and morbidity

Core Objectives
Improve quality and increase access to family
planning and maternal health care services
Educate couples to ensure they have the best
chance for a wanted and safe pregnancy

Maternal Mortality
Deaths per 100,000 Live Births

1471
900

Yemen
Cambodia

400

Indonesia

105

Vietnam

US$ 200

887

Ivory Coast

650

Bolivia

Armenia
35
30
Sri Lanka
US$ 750

Approximate Income Levels (US $/capita/year)

822

Congo

372

Morocco

139

Tunisia

US$ 1600

Potential Impact
Improved maternal health and nutrition,
appropriate management of delivery and
immediate postpartum care could prevent:
over one-half of infant deaths
99% of maternal deaths
4 million deaths and 1.4 million stillbirths
Costing $66 per death averted in low-income
country

Safe Motherhood Action


Messages
Advance safe motherhood through human rights
Safe motherhood is a vital social and
economic investment
Empower women: ensure choices
Delay marriage and first birth
Recognized that every pregnancy
faces risks

Safe Motherhood Action


Messages
Ensure skilled attendance at delivery
Improve access to quality reproductive
health service
Prevent unwanted pregnancy and
adress unsafe abortion
Measure progress
Utilize the power of partnership

BASIC MATERNITY CARE


PRIMARY HEALTH CARE
EQUITY FOR WOMEN

ESSENTIAL
OBSTETRIC
CARE

CLEAN SAFE
DELIVERY

ANTENATAL
CARE

FAMILY
PLANNING

SAFE
MOTHERHOOD

The Mother-Baby Package


1. WHY The Mother-Baby Package ?
2. WHAT is The Mother-Baby
Package ?
3. HOW to operationalize
The Mother-Baby Package ?

WHY ?
The Mother-Baby Package
1. Most maternal deaths have the
same causes
2. Most pregnancy complications can
be prevented or treated
3. Safe motherhood
benefits babies too
4. Safe motherhood is attainable

WHAT IS ?
The Mother-Baby Package
1. Goal and Objectives
2. Family planning
3. Basic maternity care
4. Prevention, early detection and
management of complications

Family Planning Helps Prevent


Unwanted Pregnancy

and therefore Unsafe Abortion

and therefore Maternal Deaths

HOW to operationalize
The Mother-Baby Package
1. Define national policy and guidelines
2. Asses needs
3. Prepare national plan of action
4. Estimate costs
5. Identify sources of financial support
6. Develop detailed implementation plan
7. Implement plan activities
8. Monitor and evaluate

The Mother-Baby Package


Intervention
1. Before and
during pregnancy
2. During delivery
3. After delivery for Mother
4. After delivery for newborn

Making Pregnancy Safer (2000)

ALL
Pregnant Women

Are at risk of
Obstetric Complications

ONLY
Emergency

Obstetric Care
SAVES LIVES

Obstetrics Complication

Are Made Fatal


by
The Three Delays

The Three Delays


Delay to SEEK CARE

Delay to FIND CARE

Delay to GET CARE

Every Pregnant Woman


Has a RIGHT
To Special Care
From the Health Services
From Her Family
From Her Community

Thank you

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