Annual UN Inter- Agency Support Group on Indigenous Peoples Issues

Slides:



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

Health Literacy in Afghanistan Achievements and Way forward Regional Ministerial Meeting for Asia and the Pacific on Promoting Health Literacy 29 and 30.
GENDER EQUALITY: PROGRESS AND CHALLENGES OF ECONOMIC GROWTH AND POLITICAL CHANGE Special Focus Note Regional Update.
RH Component of the 7 th GoU/UNFPA Country Programme A Presentation by RH Team Output Leaders at Staff Orientation Meeting: Wilfred Ochan, Primo Madra,
REDUCING MATERNAL AND NEONATAL MORTALITY IN MOZAMBIQUE THE CHALLENGE IN THE NEW MILLENIUM.
Delivery of Maternal and Newborn Care Services in Africa: What are the facilities telling us? Koye Oyerinde MD, MPH, FAAP Symposium on Maternal Mortality,
UNICEF Cambodia September 2010
Increasing Utilization of Maternal Health Services through targeted Community Interventions in Malawi Anna Chinombo MSc. Nursing; Save the Children MCHIP.
EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY AND MORTALITY IN KISARAWE DR. M.O. KISANGA KISARAWE INTRODUCTION Kisarawe District is among the seven.
1 |1 | Making Pregnancy Safer UN Human Rights Council Session 14 4 th June 2010 Department of Making Pregnancy Safer Dr. Maurice Bucagu Sachiyo Yoshida.
National Conference on MDG 5 – Improving Maternal Health in Pakistan November, 2013 Islamabad, Pakistan.
Building Community Orientated Primary Care in Mali Group One.
Neonatal Mortality in Ghana Keeps MDG 4 at the Crossroads.
Community Based Newborn Care BRAC. PRESENTATION OUTLINE Maternal and Child Health Scenario in Bangladesh BRAC MNCH Programme Service Delivery Service.
What does the Lord require of you but to do justice, to love kindness, and to walk humbly with your God - Micah 6:8 MDG5: MATERNAL HEALTH.
A well managed population for quality life Prevention of Maternal Deaths – Role of Family Planning Dr. Josephine Kibaru-Mbae Director General National.
Tracking Progress in Child Survival Addressing Inequities Mushtaque Chowdhury, PhD Dean, James P. Grant School of Public Health, BRAC University and Professor.
MALE INVOLVEMENT IN REPRODUCTIVE HEALTH
Group Work 2 Lessons Learned in Social Protection in Health Group No. 9 Facilitator: Elly Van Kanten.
Dr.Awatif Alam.
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.
JHPIEGO in partnership with Save the Children, Constella Futures, The Academy for Educational Development, The American College of Nurse-Midwives and Interchurch.
Ms. Mariyam Nazviya Ministry of Health & Family Republic of Maldives ESA/STAT/AC.219/21.
Early Childhood Development HIV/AIDS in Malawi
Health Indicators Population = 1.8 Million Annual growth rate = 1.9%. The life expectancy at birth = 41.2 The Infant Mortality Rate (IMR) 94/1000 HIV.
Improving Early ANC Attendance: Project ACCLAIM Mary Pat Kieffer, Godfrey Woelk, Daphne Mpofu, Rebecca Cathcart and the ACCLAIM Study Group.
1 INCREASING ACCESS TO EMERGENCY OBSTETRIC SERVICES : EXPERIENCES FROM RAJASTHAN, INDIA Presenter: Hemant Dwivedi Authors : Venkatesh Srinivasan Hemant.
ANNUAL REPORT 2010 HIGHLIGHTS. It’s a record! The international donor community rallied behind the goals of UNFPA, contributing a record $850 million.
Addressing the SRH needs of married adolescent girls: Lessons from a case study in India K. G. Santhya Shireen J. Jejeebhoy Population Council, New Delhi.
UNFPA - Delhi MATERNAL DEATH CAN AND SHOULD BE PREVENTED By Francois M. Farah UNFPA REDEFINING PREGNANCY AND CHILDBIRTH FROM A RISK MANAGEMENT.
Arie Hoekman,UNFPA Representative Strengthening Midwifery to save lives and promote health of women and newborn 3rd MCH Annual Conference Nanchang, November.
Francis Kundu Assistant Director of Population National Council for Population and Development.
Well come to presentation. World Breastfeeding Trends Initiative (WBTi) Assessment of the Status of Global Strategy for Infant and Young Child Feeding.
Community-Based Livelihood Development for Women & Children in Swaziland Benjamin Rinehart, Chief of Party, FHI 360 June 16, 2014.
Decentralising Maternal Care In Fiji Dr James Fong Chairperson Obstetrics and Gynaecology CSN.
Afghanistan Health Services Support Project Presented by Denise Byrd Former Jhpiego Country Director, Afghanistan, & HSSP Chief of Party 8 May 2013.
TRANSFORMING THE EDUCATION AND TRAINING OF CLINICAL PROFESSIONAL: DELIVERING MATERNAL AND CHILD HEALTHCARE IN MALAWI MELANIE HAMI GLADYS MSISKA.
Engaging Communities to Help Mothers and Newborns: MaMoni Experience from Bangladesh Rowshon Jahan.
Country Team Action Plan Cambodia. Tracks 1 & 2 2 Where are we now? Key program/country needs and challenges –MMR of 472 / 100,000 hasn’t budged in 15.
STAYING ALIVE! MAKING MATERNAL HEALTH WORK KENYA MONITORING AND EVALUATION TRAINING Tools and AkvoFlow BY ALEXIA WADIME 30 TH OCTOBER 2013.
Africa Regional Meeting on Interventions for Impact in EmOC Feb 2011, Addis Ababa Maternal and Newborn Health in the African Region Africa Regional.
China’s Success Stories and UNICEF’s Contribution: From Pilots-to-Policy-to-Results at Scale.
Washington D.C., USA, July 2012www.aids2012.org Bottlenecks analysis – a critical step to evidence based- planning for eMTCT: Cameroon experience.
Saving Mothers and Newborns in Emergency Settings Victor Guma Maternal and Child Health Integrated Program/Jhpiego, South Sudan South Sudan Integrated.
Examples of Analyses from Recent Needs Assessments.
Reproductive Health class#2 Safe motherhood. Women’s Health Key facts.
Improving Maternal and Newborn Care through Increased Access International Workshop on Progress Made and Lessons Learned in Scaling-Up FP-MNCH Best Practices.
MNCH& Disability Seminar ‘Taking Next Steps with Confidence’ Vientiane, Laos May 23-27, 2011.
Strengthening Integration between RMNCH and HIV services Nuhu Yaqub WHO Tanzania.
Shornokishoree: An Innovative Approach to Promote Adolescent Girl’s Health & Development in Bangladesh Dr. Nizam Uddin Ahmed Executive Director & General.
Noviembre 30-diciembre 1 de English Outline Institutional niche working in maternal / RMM in LAC Strategic priorities in maternal health Beneficiaries,
Policy Brief: Maternal Mortality Case Of LESOTHO By M Ramathebane M Thoothe.
Strengthening Capacity of Women Religious in ECD (SCORE ECD) Project
SOCIAL EXCLUSION AMONG ETHNIC MINORITY GROUPS Vietnam case
At a glance Health access and utilization survey among non-camp refugees in Lebanon UNHCR November 2015.
Measuring results - Experiences from Vietnam
Policy Brief: Maternal Mortality Case Of LESOTHO
A 10 -Year Literacy/NFE Policy and Programme Framework Nepal 2006
Development of the detailed Nutrition Response Plan
UNICEF supported interventions
Improving Reproductive Health in Punjab
Joseph Ocran Department of Sociology University of Ghana, Legon
Addressing violence against women in the Americas: the role of health systems Special Meeting of The Permanent Council On The Subject “Addressing Violence.
Definition of midwife is a professional in obstetrics. The midwife providing care to women during pregnancy and birth, some midwives may also provide primary.
Pilot Project: Women’s Participation in Camp Governance Structures
Quality Early Childhood Care and Development:
Saving Children’s lives through Community based Interventions
Technical / Program Consultant Scaling Up Nutrition (SUN) Unit
ACHIEVING RESPECTFUL CARE THROUGH BUILDING CAPACITY OF HEALTH WORKERS
ANTENATAL, INTRAPARTUM & POSTNATAL CARE
Presentation transcript:

Annual UN Inter- Agency Support Group on Indigenous Peoples Issues Unfpa-supported Maternal Health interventions in three asian countries: china, Philippines, Vietnam Annual UN Inter- Agency Support Group on Indigenous Peoples Issues 22 November 2011

CHINA - background 55 ethnic minorities - 105 million people (8.1% total pop) Southwest China: Yunnan 14.5 m. ethnic minority pop. Guizhou 13.6 m. ethnic minority pop. Constraints: less developed, poorer, geographical challenges Higher MMR and IMR among minorities: home deliveries unattended by skilled providers, poor uptake of ANC & PNC, high anemia in pregnant women Cultural barriers – traditional beliefs & practices

Spanish MDG Fund: Improving MCH in Minority Areas 2009 –2011 UNFPA supported base & end-line qualitative studies in 6 counties, among 6 ethnic groups: Miao, Dong, Jingpo, Dai, Hui and Tibetans Ethnic minority researchers used wherever possible Data collected on: traditional & spiritual practices relating to maternal and child health and health-seeking behaviour harmful practices (delivery-related, dietary restrictions, feeding practice for infants and young children etc.) perceived barriers of minorities to uptake of MCH services community suggestions for increasing uptake of services

UNFPA inputs to improving service delivery Manual developed on culturally sensitive service provision; each training includes inputs from minority people in person IEC materials in local languages developed; MCH messages transmitted through ethnic cultural media Local religious/spiritual leaders consulted & involved Advocacy at local and national levels: resulted in the National Centre for Women and Children’s Health recognizing value of ‘culturally sensitive’ programming & adopting the tool for minority areas

Achievements: Improved access to and uptake of MCH services in project counties Annual percentage increase in Hospital Delivery Rate and Antenatal Care coverage (%) % Although the approach has been adopted by NCWCH, it’s too soon to know if inputs have had positive results on maternal and infant mortality rates, despite positive proxy indicators on this slide. UNFPA has included an output in the next CP to continue working with ethnic minorities even though the Spanish MGD funds finished at end of 2011 Data source: Baseline survey & endline survey; & China Health Statistical Abstract, 2011

PHILIPPINES: background 10-15% total population (between 6.5 and 12 million people) are IPs comprising 110 ethno-linguistic groups National MMR is 162 per 100,000 live births MMR among IPs (data is available in 3 IP Provinces: Bukidnon (2009 FHSIS): 18 deaths/ 1,000 pop.; North Cotabato 14 deaths/1,000 pop. ; Misamis Oriental 8 deaths/ 1000 population Challenges: securing availability of FP supplies & other life saving RH commodities, geographical isolation, difficult terrain, security

Community Empowerment to advance RH and rights among IPS in Mt Community Empowerment to advance RH and rights among IPS in Mt. Province and Ifugao Participatory Community Needs Assessment Strengthening of IP organizations for RH service delivery and referrals for FP and EmONC cases RH and gender education informed by needs assessment findings, designed to use IP community health systems Federation building of IP organizations as a sustainability mechanism

Achievements Network of community RH advocates established Mechanisms in place for dialogue between health providers & community leaders to ensure inclusive community health planning Revitalization of the “Ayod” system (indigenous term for hammock, also system for transporting sick people to traditional healer or health clinic) Emergency health fund from livelihood incomes established for women with pregnancy-related complications IEC developed in local languages, used for awareness raising Increased male involvement (adoption of non scalpel vasectomy) China - forced sterilisation policy, human rights abuses

VIETNAM: Background 13.7% population ethnic minorities, located mainly in remote mountainous and coastal regions Socio-economic and health status of EMs low compared to national average, especially in mountainous areas National MMR is 69 per 100,000 live births (MOH, 2010) MMR is over 200/100,000 live births in mountainous and remote regions Diff. terrain & cultural barriers affect access to services Health services in general, and RH services in particular, are under-utilized in ethnic minority regions

Addressing high maternal mortality A 2009 national maternal mortality assessment identified major causes of high maternal deaths: shortage of skilled birth attendants poor capacity of service providers in EM regions cultural barriers limited access to RH services (even when basic EmOC services were available, they were under-utilized). National Safe Motherhood Master Plan 2003-2010 was developed by MoH supported by UNFPA (in collaboration with UNICEF and WHO). Focusing on reduction of maternal mortality, the following approach was adopted: Improve skills and competencies of RH providers to deliver BEmOC and CEmOC in mountainous and difficult-to-reach regions: network of ethnic minority midwives established; their work is monitored by the MOH Conduct culturally sensitive community-based activities using behavior change approach to create demand for RH services Develop and implement appropriate local human resource policies to ensure availability of trained birth attendants in mountainous and difficult-to-reach villages BEmOC – basic emergency obstetric care CEmOC – comprehensive emergency obstetric care

Ethnic minority midwifery training Why special training programmes? Home deliveries are common, and unsafe for women Poor socio-economic status results in high drop out rates amongst ethnic minority girls Few people from local communities complete high school (minimum condition for formal midwifery training courses) Two training programmes developed for ethnic minority with low education levels; participants selected by communities

Focus of the two ethnic minority courses 6 month training programme : Focuses on normal deliveries, early detection of complications and referral of complicated cases to higher levels. So far, the programme has trained 783 ethnic minority midwives, most of whom have returned home to serve their local communities 18 month training programme: Initiated in 2007, this 18-month programme has been piloted in three mountainous and coastal provinces. Building on the 6-month programme, it focuses more on skills required for management of complicated deliveries. By the end of 2011, the first 78 ethnic minority women graduated and returned to work at their community

Challenges and the way foward Retention and recognition from authorities Supportive supervision and quality assurance of services Way forward: Document cost effective evidence of the interventions Support development and implementation of evidenced-based policies on human resource policies including ethnic minority midwives Support the government to scale up best practices of the interventions in ethnic minority regions