Unit 3.2 national safe motherhood policy 1998

Unit 3.2 national safe motherhood policy 1998

• 1.
  Safe motherhood policy1998 in Nepal Chetraj pandit BPH,MPH
• 2.
  Introduction • Maternal healthindicates to the health of women from pregnancy to the postpartum period. • Every day, about 830 women worldwide die from preventable causes related to childbirth. • Of the 99% of all maternal deaths that occur in developing countries; SEA accounts almost one-third. • The major causes are haemorrhage, infection (sepsis), high blood pressure, obstructed labour, and unsafe abortion.
• 3.
  Introduction • MDG 5aimed to reduce global MMR by three-quarter in between 1990 & 2015 but it was dropped only by about 44%. • Despite of significant reduction (>60%) in maternal mortality, SEA also missed in achieving MDG 5. • SDG 3 aims to reduce the global MMR to <70 per 100000 live births by 2030.
• 4.
  Safe Motherhood Policy1998 Aim • To reduce mortality and morbidity among women during pregnancy, childbirth and postnatal period through the adoption of a combination of health and other measures. (11)
• 5.
  Safe Motherhood Policy1998 Objectives • To increase the accessibility, availability and utilization of maternal health services. • To strengthen the technical capacity of maternal health care providers at all levels • To strengthen referral services for maternity care • To raise public awareness on maternal health care and safe motherhood • To improve the legal & socio-economic status of women.(11)
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  Strategies 1. Promoting inter‐sectoralcollaboration by ensuring advocacy for and commitments to reproductive health, including safe motherhood, at the central, regional, district and community levels focusing on poor and excluded groups – Ensuring the commitment to SMNH initiative at all levels by promoting collaboration between sectors like health, education, and social welfare, legal and local development. (Strengthening RHSC, RHCC, District RHCC and SMNSC)
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  - Mobilizing nationalauthorities, District Health Management Committee (DHMC), community leaders and community members to play active roles in creating suitable environment for promoting safe motherhood
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  2. Strengthening andexpanding delivery by skilled birth attendant, basic and comprehensive obstetric care services (including family planning) at all levels. Interventions include the following: • Developing the infrastructure for delivery and emergency obstetric care. • Standardizing basic maternity care and emergency obstetric care at appropriate levels of the healthcare system; • Strengthening human resource management; • Establishing functional referral system and advocating for emergency transport systems and funds from communities to district hospitals for obstetric emergencies and high‐risk pregnancies; • Strengthening community‐based awareness on birth preparedness and complication readiness through FCHVs, increasing access of all relevant maternal health information and service.
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  3. Supporting activitiesthat raise the status of women in society; 4. Promoting research on safe motherhood to contribute to improved planning, higher quality services, and more cost‐effective interventions.
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  Thank You!