safe motherhood - dr. abram siregar

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    Safe Motherhood

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    Background

    Too many women die related to childbirthToo young/too old, too many, too close, too

    late, too sick

    Childbirth must not carry with the risk ofdeath or disability for woman & infant

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    Background

    The medical cause of maternal deaths are similarthroughout the world:

    Hemorrhage

    Sesis

    Hyertensi!e disorder of

    regnancy "#clamsia$

    %rolonged or obstructed labor

    Comlications ofunsafe abortions

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    hat is Safe Motherhood

    ' woman(s ability to ha!e

    a safe and healthy

    regnancy and deli!ery

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    hat is The Safe Motherhood

    )nitiati!e*)s a global effort that aim to reduce

    deaths and illnesses among women and

    infants, esecially in de!eloingcountries

    as launched in +-. to imro!ematernal health and cut the number of

    maternal deaths in half by the year 0001

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    S'2# M3TH#4H335

    6)S)37:

    omen able to make decisions for

    themsel!es and their families and tocontribute to the socioeconomicde!eloment

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    S'2# M3TH#4H335

    M)SS)37 5et1of Health in artnershis with

    local go!ernment unit, ri!ate sector,

    uni!ersity and others, commit to leadand ro!ide 8uality maternal healthser!ices to make regnancy, childbirthand motherhood a safe e9erience for

    all mother

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    S'2# M3TH#4H335

    3';

    To imro!e well being of mothers

    through a comrehensi!e aroach ofro!iding, re!enting, romoti!e,curati!e and rehabilitati!e health care

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    #ssential Ser!ices 2or Safe Motherhood

    Community #ducation on Safe Motherhood

    High 8uality %renatal care

    Skilled assitance during birth

    Care for obstetrics comlications, including

    emergencies %ostartum care

    Management of abortion comlications

    2amily lanning counseling, information and

    ser!ices 4eroducti!e health education and ser!ices for

    adolescents

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    Safe Motherhood Goal

    Reduce maternal mortality and morbidity

    Core ObjectivesImprove quality and increase access to family

    planning and maternal health care services

    Educate couples to ensure they have the best

    chance for a anted and safe pregnancy

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    'ro9imate )ncome ;e!els "

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    %otential )mact

    Improved maternal health and nutrition(appropriate management of delivery andimmediate postpartum care could prevent)

    over one*half of infant deaths

    ++, of maternal deaths

    - million deaths and ./- million stillbirths

    Costing 011 per death averted in lo*income

    country

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    Safe Motherhood 'ctionMessages

    %dvance safe motherhood through human rights

    Safe motherhood is a vital social and

    economic investment

    Empoer omen) ensure choices

    2elay marriage and first birth

    Recogni3ed that every pregnancy

    faces ris's

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    Safe Motherhood 'ctionMessages

    Ensure s'illed attendance at delivery

    Improve access to quality reproductivehealth service

    4revent unanted pregnancy andadress unsafe abortion

    Measure progress

    5tili3e the poer of partnership

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    SAFE

    MOTHERHOOD

    BASIC MATERNITY CARE

    PRIMARY HEALTH CARE

    EQUITY FOR WOMEN

    FAM

    ILY

    PLANN

    ING

    ANTE

    NATAL

    CARE

    CLEA

    N

    SAFE

    DEL

    IVERY

    ESSEN

    TIAL

    OBSTETRIC

    CA

    RE

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    The MotherBaby %ackage

    1. WHY The Mother-Baby Package ?

    2. WHAT is The Mother-Baby

    Package ?

    3. HOW to operationai!e

    The Mother-Baby Package ?

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    H *The MotherBaby %ackage

    1. Most "aterna #eaths ha$e the

    sa"e ca%ses

    2. Most pregnancy co"pications can

    be pre$ente# or treate#

    3. &a'e "otherhoo#

    bene'its babies too

    (. &a'e "otherhoo# is attainabe

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    H'T )S *The MotherBaby %ackage

    1. )oa an# Ob*ecti$es2. +a"iy panning

    3. Basic "aternity care(. Pre$ention, eary #etection an#

    "anage"ent o' co"pications

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    2amily %lanning Hels %re!ent

    nante# Pregnancy

    an# there'ore nsa'e Abortion

    an# there'ore Materna /eaths

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    H3 to oerationaliDeThe MotherBaby %ackage

    1. /e'ine nationa poicy an# g%i#eines

    2. Asses nee#s

    3. Prepare nationa pan o' action

    (. 0sti"ate costs. #enti'y so%rces o' 'inancia s%pport

    . /e$eop #etaie# i"pe"entation pan

    4. "pe"ent pan acti$ities

    5. Monitor an# e$a%ate

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    The MotherBaby %ackage)nter!ention

    +1 Before and

    during regnancy

    1 5uring deli!ery@1 'fter deli!ery for Mother

    A1 'fter deli!ery for newborn

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    Making %regnancy Safer "000$

    ALL%regnant omen

    Are at risk ofObstetric 6o"pications

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    ONLY

    #mergency

    Obstetric Care

    &A70& 870&

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    3bstetricsComlication

    Are Made Fatalby

    The Three /eays

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    The Three 5elays

    /eay to &009 6A:0

    /eay to +;/ 6A:0

    /eay to )0T 6A:0

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    #!ery %regnant oman

    Has a 4)HTTo Secial Care

    2rom the Health Ser!ices

    2rom Her 2amily

    2rom Her Community

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    Thank you