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Department of Making Pregnancy Safer

Maternal mortality in Afghanistan. Dr. Maurice Bucagu Sachiyo Yoshida. Department of Making Pregnancy Safer. Preventable maternal mortality and morbidity and human rights.

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Department of Making Pregnancy Safer

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  1. Maternal mortality in Afghanistan Dr. Maurice Bucagu Sachiyo Yoshida Department of Making Pregnancy Safer

  2. Preventable maternal mortality and morbidity and human rights …the unacceptably high global rate of preventable maternal mortality and morbidity is a health, development and human rights challenge…” Resolution 11/8. UN Human Rights Council, 2009

  3. Fight for Life http://www.who.int/making_pregnancy_safer/videos/afghanistan.html

  4. Statistics from the ground reality • Maternal mortality ratio 1800 per 100000 live birth (Source: Estimate developed by WHO, UNICEF, UNFPA and the World Bank) • Life time risk of maternal deaths is 1 in 8. (Source: Estimate developed by WHO, UNICEF, UNFPA and the World Bank) • Infant mortality 129 per 1000 live births. (Source: Afghanistan Health Survey 2006)

  5. Antenatal care coverage at least once by skilled providerSource: Afghanistan Health Survey 2006 NRVA: National Risk and Vulnerability Assessment AHS: Afghanistan Health Survey

  6. % of births assisted by skilled birth attendantsSource: Afghanistan Health Survey 2006 NRVA: National Risk and Vulnerability Assessment AHS: Afghanistan Health Survey MICS: Multiple Indicator Cluster Survey

  7. % of births assisted by skilled birth attendantsby wealth statusSource: Afghanistan Health Survey 2006

  8. Place of deliverySource: Afghanistan Health Survey 2006

  9. Place of delivery by travel time to health facility using routine mode of transportationSource: Afghanistan Health Survey 2006

  10. Family planningSource: Afghanistan Health Survey 2006

  11. Conclusion (1) • Like in all conflict situations, women and children bear the brunt of crisis (e.g. access to basic health services; maternity services). • Women, particularly pregnant women, and their newborns are often overlooked or hard to reach. • Pregnancy & childbirth do not wait for the stabilization period in case of crisis. • Afghanistan: WHO priority country;

  12. Conclusion (2) • Key interventions for maternal and newborn survival: • Identify: pregnant women and newborns, • Identify: skilled personnel and available materials • Supply kits to: pregnant women (delivery kits); skilled staff (midwifery kits); health facilities with appropriate kits. • Establish a referral system for obstetric emergencies; • Ensure safe-blood transfusion; • From crisis to developmental vision (MDGs 4&5): To reduce maternal mortality: • Skilled care at birth + Emergency Obstetric care + Newborn care + Family planning. • Adequate funding for maternal and child health programme

  13. Thank you

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