Chiranjeevi Reducing maternal and neonatal mortality through PPPP Gujarat experience in safe motherhood and child survival Achieving MDG 5 Dr Amarjit Singh.

Slides:



Advertisements
Similar presentations
Skilled Attendant at Delivery MICS3 Data Analysis and Report Writing.
Advertisements

Closing the MGD Gap Through Health Literacy Working With Civil Society and Communities Dr Bernhard Schwartländer ECOSOC Annual Ministerial Review Regional.
Ghana Statistical Service
Abortion Worldwide: A Decade of Uneven Progress
THE STATE OF THE WORLD’S CHILDREN 2009
1. 2 Why are Result & Impact Indicators Needed? To better understand the positive/negative results of EC aid. The main questions are: 1.What change is.
Fee exemption policies for maternal health services A Review of 11 African countries Benin, Burkina Faso, Burundi, Ghana, Mali, Morocco, Niger, Nigeria,
Background Ethiopia: second populous country in Africa, 80 million
PPH Prevention through platform of antenatal care Albert Kitumbo, MD Ifakara Health Institute.
National Institute of Statistics of Rwanda
Preventing PPH: Community Based Distribution of Misoprostol Harshad Sanghvi Vice President & Medical Director, Jhpiego.
Saving a Generation: Maternal, Newborn and Child Health (MNCH) Eastern and Southern Africa Aga Khan Health Services.
Reproductive and Child Health Programme (RCH). ▪ Programme launched on 15 th October 1997 ▪ ‘People have the ability to reproduce and regulate their fertility,
National Maternity Benefit Scheme. Some facts Global: 529,000/year (400/100,000 births) 1 death every minute Lifetime risk: 1/ morbidities /
Emergency obstetric and newborn care signal functions and health facility capacity: Baseline evaluations of the Saving Mothers, Giving Life pilot districts.
Incentives For Service Delivery Jhimly Baruah National Health Systems Resource Centre New Delhi, India.
Dr. Bautista Rojas Gómez, Minister of Health April 23, 2012 Reducing Maternal Mortality Efforts, Progress, and Success in the Dominican Republic.
Jannani Suraksha Yojana and Maternity Benefit Scheme
By Mrs Susana Larbi Wumbee Deputy Director Nursing Services
Juanita Graham MSN RN Health Services Chief Nurse MS State Dept of Health.
Improved Labor Care to Reduce Neonatal Asphyxia Jeffrey M. Smith Maternal Health Team Leader Interventions for Impact in Essential Obstetric and Newborn.
Saving Newborn Lives: The Global Perspective Anne Tinker Director Saving Newborn Lives Initiative Save the Children Federation Washington, DC, USA World.
Potentially avoidable deaths – what can maternity planners do to help Bronwen Pelvin Senior Advisor, Maternity Services Clinical Leadership, Protection.
" Continuum of care-Extending horizons" Dr. Vikas K. Desai Gujarat.
Chetna Maliye. Equity in health is determined not only by health care but also by broader societal developments. Ensuring universal health care for all.
Child Heath- status and Initiatives in Gujarat Dr Siddharth Nirupam.
1 Averting Maternal Mortality Situation, Strategies and Future Dr. Dileep Mavalankar MD, Dr. P.H. Public Systems Group Indian Institute of Management Ahmedabad.
Cehat Conference, Mumbai (25th, 26th September 2009) 1 Can Public Private Partnership (PPP) reduce Maternal Mortality Rate (MMR)? Assessing efforts made.
Policies for einc* care. 3.4 million pregnancies occur every year 11 mothers die of pregnancy - related causes everyday Leading cause of maternal deaths:
A Presentation to __________ Healthy Timing and Spacing of Pregnancy (HTSP): For healthy babies, healthy mothers, and healthy communities.
Overview of Status of Women’s Health in Afghanistan Dr. S. M. Amin Fatimie Minister of Health Islamic Republic of Afghanistan Washington D.C. 14 July 2009.
1 Role of Dais in Promoting Safe Motherhood and New Born Care In Resource Poor Settings: The SEWA Rural Experience.
E - Mamta Mothers & Child Tracking
LESSON 13.7: MATERNAL/CHILD HEALTH Module 13: Global Health Obj. 13.7: Explain the risk factors and causes for maternal and child health problems.
National Rural Health Mission. The Challenges in health sector Under funded public health system High and prohibitive out of pocket expenditure Poor distribution.
Financial Alternative Gujarat Experience in improving Maternal and Child Health Care Dr Harshad Vaidya ( M D ) Medical director, Alka Hospital and Sonography.
Challenges of meeting MDG4 and MDG 5 in Bangladesh Prof. Kishwar Azad Project Director DAB-Perinatal Care Project.
1 INCREASING ACCESS TO EMERGENCY OBSTETRIC SERVICES : EXPERIENCES FROM RAJASTHAN, INDIA Presenter: Hemant Dwivedi Authors : Venkatesh Srinivasan Hemant.
Building Community Based Mechanisms Workable Solutions to reduce Maternal Mortality in India Presentation at the Civil Society Window on Maternal Mortality.
Problems of Low Birth Weight: A community based monitoring surveillance system in West Bengal. By Pandey CS, R. Anuradha, Jana Laboni Child In Need Institute.
E. Y Kwawukume Professor and Chair, K.K. Bentsi-Enchill Chair, University of Ghana Medical School, College of Health Sciences, Dept of Obst and Gynae,
Situation of Maternal Health: Pakistan Dr. Nabeela Ali Chief of Party PAIMAN.
A Call To Action: Supporting India’s Commitment to the Global Strategy for Women and Children’s Health Maternal and Child Health Integrated Program (MCHIP)
Accelerating Child Survival and Development in Gujarat and in India Dr Genevieve Begkoyian, MD MPH Chief of Health, India Country Office Healthy Gujarat.
SOCIAL OBSTETRICS Defined as the study of the interplay of social and environmental factors and human reproduction going back to preconceptional.
Promoting Right to Health Dr V Rukmini Rao. Current Status The health of Indian Women is linked to their status in society There is a strong son preference.
Implementation of Vacuum Assisted Delivery in the Mbale Region of Uganda Sean Watermeyer Presented by Fred Chemuko with help from Carol Porter.
Chiranjeevi Maternal Health Financing Issues and Options Dr Amarjit Singh Commissioner Health & Secretary Family Welfare Government of Gujarat.
Western NSW Integrated Care Strategy To transform existing services into an integrated Western NSW system of care that is tailored to the needs of our.
1 Health Minister’s Decision How to Save Women Dr. Dileep Mavalankar IIM Ahmedbad Magdegene Rosenmoller IESE Business School.
Introduction Millennium Development Goal-4 for child survival cannot be met without substantial reductions in neonatal mortality (Lawn JE et al. Lancet.
Click to edit Master title style 29/10/20151 By Dynes Chinyama-Kaluba Senior Programme Officer, MAMaZ, Zambia Responding to Demand side barriers to MNH.
1 Ensuring optimal breastfeeding and complementary feeding Dr Arun Gupta MD FIAP ICMR New Delhi 23 Feb 2011.
Africa Regional Meeting on Interventions for Impact in EmOC Feb 2011, Addis Ababa Maternal and Newborn Health in the African Region Africa Regional.
Title: Effect of prenatal care in pregnancy and delivery method Beigi.M, Afghari.A, Javanmardi.Z MSc, Department of midwifery,School of Nursing & Midwifery,
Reproductive Health class#2 Safe motherhood. Women’s Health Key facts.
By: Maria Jorgensen. Uganda has a high maternal mortality ratio, typical of many countries in sub-Saharan Africa, with an estimated 505 maternal deaths.
A Clinical Perspective of Maternal and Child Health Care in Sierra Leone: Princess Christian Maternity Hospital and Ola During Children’s Hospital Haroun.
Gender, Health and Poverty: Critical Factors Beyond the Health Sector Arlette Campbell White World Bank Institute.
Seite 1 Social Protection in India – Recent Initiatives and Role of GTZ Dr. Nishant Jain
An Action Plan To End Preventable Deaths #EveryNewborn EVERY NEWBORN Lily Kak On behalf of the ENAP Team Nigeria, October 23, 2014.
Emergency Obstetric and Newborn Care (EmONC)
Maternal Death Audit in Tamil Nadu: Its impact of health system
Chiranjeevi Maternal Health Financing Issues and Options
Health sector reform initiatives in Gujarat
OBGYN Hospitalist Program: The Increase in the Quality of Care by Adhering to Protocol-Driven Practices and Reducing Mistakes.
Reducing global mortality of children and newborns
But too many mothers and children die every year, Yes, more than half a million women die from pregnancy-related causes (that is 1 woman dying every minute).
REPRODUCTIVE & CHILD HEALTH PROGRAMME, PHASE II (RCH II)
REPRODUCTIVE & CHILD HEALTH PROGRAMME by mbbsppt.com
Presentation transcript:

Chiranjeevi Reducing maternal and neonatal mortality through PPPP Gujarat experience in safe motherhood and child survival Achieving MDG 5 Dr Amarjit Singh IAS Principal Secretary (FW) & Commissioner Health Government of Gujarat Currently ED, Population Stabilization Fund, GOI 26 th October, 2009

Why Chiranjeevi? SourceTime Period Urban Rural NFHS (424) NFHS (540) Rural Popu OBGYs Reqd In place Gap Popu /gynec AP Gujarat Mashtra MP India % women have pregnancy related complications 5 lac deaths globally 1.5 lacs in India Huge morbidity

Development of Chiranjeevi Focus on the marginalised population Development after a year long consultative process with – Insurance companies – IIM Ahmedabad – Sewa Rural Jhagadiya – GTZ – FOGSI – Public Health Experts Advance to private ObGYNs; Legal support In case of death during delivery One of the interventions in the package of maternal health interventions; the other interventions like trg SBAs; MOs in CeMOC and BeMOC skills continued Scheme kept simple; Use of existing mechanisms such as BPL cards issued by RDD

Package Rates for Chiranjeevi for Private Institutions (Dollars) Service No. of casesRate Per CaseCost Normal delivery Complicated cases 0.0 Eclampsia 22.2 Forceps/vacuum/breech Episiotomy 17.8 Septicemia Blood transfusion Cesarean (7%) Predelivery visit Investigation Sonography NICU support Food Dai Transport Total

Gynecologist involvement in Chiranjeevi District Total OBGY Specialists in the district # enlisted under Chiranjee vi scheme Total # of deliveries Performed Average delivery per Doctor BK Dahod Kutch P'mahal SK Total

Transport support for delivery Responded to 8.88 lac emergencies; average 2300 medical emergencies per day; around 2.76 lac (32%) pregnancies; delivery by EMT 6735 {5256 in ambulance; 1489 at site} 91% from rural areas;saved around 37,774 lives

Total Deliveries under CY scheme Likely Matern al deaths as per MMR Maternal death reported under CY scheme Mothers saved under CY scheme Likely Neo-Natal deaths as per Current NNMR Early Neo- Natal death reported under CY scheme Early Neonat es saved Outcome of Chiranjeevi (CY) Scheme: Mothers & New Born babies saved ( Up to Sept-09) Normal Deliveries: C-Section: (6.0%) Complicated Deliveries: (5.4%) Private specialist enrolled: 817/2000 Increase in institutional deliveries

Source: Form No. 9, State report

Issues Doable- Unprecedented support from the Private OBGYNs – potential for replication in other areas Surge of demand - boon to the poor - Unindicated C-section in check High level of anemia in women - Availability of blood??? Demand side effort Prompt payments – awards to high performers - independent regulation of contract SEARO, WHO conference in Gujarat Asian innovation award Publication in The Lancet PM award for excellence in Pub Admn Recognition

Let us join hands to reduce maternal mortality. We make a living by what we get; we make a life by what we give! Dr Amarjit Singh Principal Secretary, FW, Department of Health & FW Government of Gujarat, Gandhinagar, Gujarat