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Progress in Implementation of Child Health Programme

Meeting of South-East Asia Regional Programme Managers on Child Health, Kathmandu, 15 – 18 Nov 2011. Progress in Implementation of Child Health Programme. Country: MYANMAR. Total population-59.13 million (2009-2010, CSO) 11.7%- under five population

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Progress in Implementation of Child Health Programme

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  1. Meeting of South-East Asia Regional Programme Managers on Child Health, Kathmandu, 15 – 18 Nov 2011 Progress in Implementation of Child Health Programme Country: MYANMAR Child Health Programme Managers' Meeting

  2. Total population-59.13 million (2009-2010, CSO) • 11.7%- under five population • DOH, MOH is mainly taking the responsibilities for promotive, preventive, curative and rehabilitative health care services for the people. • WCHD is the main section for child health development. • Child health related projects and program Child Health Programme Managers' Meeting

  3. EPIDEMIOLOGY / BURDEN OF CHILDHOOD DISEASES: Child Health Programme Managers' Meeting

  4. TRENDS IN CHILD MORTALITY RELATED TO MDG 4, MYANMAR U5MR IMR MDG Deaths per 1,000 LB MICS DOH DOH CSO DOH Child Health Programme Managers' Meeting

  5. NUTRITION STATUS Percentage Stunting Under weight Wasting LBW 2000 2003 2010 1997 Child Health Programme Managers' Meeting

  6. MAIN CAUSES OF UNDER-FIVE DEATHS (Source: Cause specific under five mortality survey, DOH/UNICEF, 2003) Child Health Programme Managers' Meeting

  7. MAIN CAUSES OF NEONATAL MORTALITY (Source: Cause specific under five mortality survey, DOH/UNICEF, 2003) Child Health Programme Managers' Meeting

  8. IMCI IMPLEMENTATION Child Health Programme Managers' Meeting

  9. Child Health Programme Managers' Meeting

  10. IMCI Implementation 2004 - 2011 Child Health Programme Managers' Meeting

  11. Child Health Programme Managers' Meeting

  12. Key factors that helped scaling up: 1. Political and community commitment 2. Priority issue in National Health Plan • Existence of Child Health Development Strategic Plan and implementation plan • Strong coordination/cooperation/collaboration with UN agencies, NGOs, related departments and ministries and projects and program Key challenges to scaling up: 1. Policy shift 2. Funding gaps 3. HR gaps Child Health Programme Managers' Meeting

  13. NEWBORN HEALTH Child Health Programme Managers' Meeting

  14. ENC Course adapted: Year 2006 • Other training courses: IMCI, PCPNC, WCHD, Management of Critically ill children • Healthcare providers trained: in 30 Tsps out of 330 tsps Child Health Programme Managers' Meeting

  15. IN-PATIENT (HOSPITAL) CARE OF SICK NEBORNS AND CHILDREN Child Health Programme Managers' Meeting

  16. WHO Pocket Book introduced: Year 2008-2009 • Training courses for Hospital care done: Yes • Details: Four days training for doctors and nurses • Number and proportion of Healthcare providers trained: • MOs: 864 /10927 • Nurses: 865/25644 • BHS: 16,172/19556 • Proportion of hospitals providing pediatric care having oxygen: No exact data • Hospital assessment using WHO tools carried out: not yet • Year/s: planned for 2012-13 • How many hospitals covered: Child Health Programme Managers' Meeting

  17. CHW APPROACH FOR CARE OF SICK NEWBORNS AND CHILDREN Child Health Programme Managers' Meeting

  18. Child Health Programme Managers' Meeting

  19. PROGRAMME REVIEW AND MANAGEMENT Child Health Programme Managers' Meeting

  20. CH Short Programme Review introduced, if yes : • Year: 2009 • National or sub-national: both • Programme Management Course introduced, Not yet. Planned for 2012-13 Child Health Programme Managers' Meeting

  21. HEALTH MANAGEMENT INFORMATION SYSTEM (HMIS)AND DHS/MICS Child Health Programme Managers' Meeting

  22. Indicators related to ARI/pneumonia Child Health Programme Managers' Meeting

  23. Indicators related to diarrhoea Child Health Programme Managers' Meeting

  24. Indicators related to nutrition Child Health Programme Managers' Meeting

  25. Indicators related to nutrition Child Health Programme Managers' Meeting

  26. Indicators related to WASH Child Health Programme Managers' Meeting

  27. Indicators related to EPI Child Health Programme Managers' Meeting

  28. Indicators related to vital statistics Child Health Programme Managers' Meeting

  29. Other Indicator related to NCH Child Health Programme Managers' Meeting

  30. Data collection and management in HMIS Data collection • Data Collection System was well established • Cover the whole country • Statistician at state and regional level • Integrated data set • Standing order/clear instruction • Data dictionary to reduce systemic error Processing and analysis • Manual data editing • Data entry by Epi data program • Data analysis by SPSS program Child Health Programme Managers' Meeting

  31. Data collection and management in HMIS Dissemination &Use • Monthly and quarterly report • Annual statistics report • Township health profile Quality Control of HMIS Data • Monitoring and supervision • Desk monitoring and feedback at each and every level • Field monitoring and supportive supervision • Data quality assessment in selected township Child Health Programme Managers' Meeting

  32. FUTURE PLAN Child Health Programme Managers' Meeting

  33. Strengthening and scale-up plans for Next 2 years • IMCI: IMNCI trainings to 2 more townships • ICATT use: not planned yet • CHW Packages: • Home Based NB Care package:10 townships • Sick child package: CCM-5 townships • Healthy Child (ECD) package from 2012-13 biennium • Referral (Hospital) Care: F-IMNCI planned 2012-13 • Programme Review and Management: • CH Short Programme Review: 2013 • Programme Managers Course: 2012-13 Child Health Programme Managers' Meeting

  34. Strengthening of HMIS at all levels e.g. training of HMIS with newly revised data set is urgently needed in 2012. • Capacity building of information staff at various level is needed for data management. Child Health Programme Managers' Meeting

  35. THANK YOU Child Health Programme Managers' Meeting

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