1 A 5 POINT PROGRAMME TO SAVE CHILDREN By PDG Dr. Rekha Shetty RID 3230 Vice Chair - RFPD

2 REDUCE CHILD MORTALITY

3 5 Major Issues to save the lives of Children in the developing world 1.Pre-natal nutrition and health of mothers 2.Training of birth attendants and families 3.Neo-natal care and immunization 4.Health and nutrition of children 5.Poverty alleviation programme for mothers like micro-credit

4 10 FACTS OF MATERNAL HEALTH

5 10 FACTS Fact 1 Worldwide, a woman dies every minute due to complications during pregnancy and childbirth. Fact 2 Five main killers cause more than 70% of maternal deaths worldwide: severe bleeding, infections, unsafe abortion, hypertensive Most of these deaths are preventable.

6 Fact 3 More than 136 million women give birth a year. About 20 million of them experience pregnancy-related illness after childbirth. Very often, ill women are stigmatized and ostracized by their husbands, families and communities. Fact 4 About 14 million girls aged between 15 and 19 give birth each year, accounting for more than 10% of all births. In many countries, the risk of maternal death is twice as high for an adolescent mother as for other pregnant women.

7 Fact 5 The state of maternal health mirrors the gap between the rich and the poor. Only 1% of maternal deaths occur in high-income countries. Also, maternal mortality is higher in rural areas and among poorer and less educated communities. Fact 6 Most maternal deaths can be prevented through skilled care at childbirth and access to emergency obstetric care.

8 Fact 7 In developing countries, poor women in rural areas especially do not receive the necessary check-ups. They miss the opportunity to get immunization, and treatment for diseases or for prevention of mother-to-child transmission of HIV/AIDS. Fact 8 About 18 million unsafe abortions are carried out in developing countries every year, resulting in maternal deaths.

9 Fact 9 One target of the Millennium Development Goals (MDGs) is to reduce the maternal mortality ratio by three quarters between 1990 and So far, the progress has been slow. By 2005 the global maternal mortality ratio declined by only 5%, from 430 to 400 maternal deaths per live births. Fact 10 The main obstacle to progress towards better health for mothers is the lack of skilled care. This is aggravated by a global shortage of qualified health workers. By 2015 another midwives are needed to achieve universal coverage of mothers with skilled birth attendance.

10 Pre-natal Nutrition and Health of Mothers

11  Deaths to babies between birth and 28 days SOURCE : Calculated from most recent data available from Save the Children (neonatal mortality). Population Reference Bureau (total fertility rate), and UNICEF (maternal mortality ratio). Life Time Risks of Mothers Healthy Mothers and Healthy Newborns --The Vital Link

12 Newborn Health Begins With Mothers S O U R C E : Data from Demographic and Health Surveys from 17 countries, calculated by Shea Rutstein, MACRO International, Inc.

13 Birth Spacing and Newborn Survival

14 Complications of Childbirth

15 Impact of Maternal Infections

16 The Nutrition Link

17 Poor Nutrition Throughout the Life Cycle S O U R C E : Adapted from the ACC/SCN-appointed Commission on the Nutrition Challenges of the 21st Century.

18 Poverty Alleviation programme for Mothers like Micro-Credit

19 REDUCE CHILD MORTALITY