Achievements of the Republic of Kazakhstan on recommendations of the VI CARK MCH Forum Dr. Anatoly Belonog, First Vice-Minister of the Health Republic of Kazakhstan

Priority Actions for Reduction of Infant and Child Mortality 4A New Post of a Deputy Health Minister was established that would be primarily responsible for MCH 4A National Project on Improvement of Perinatal Care for is developed 4Continue activities on certification of maternal health facilities as Baby Friendly Hospitals and 19 hospitals were certified

Priority Actions for Reduction of Infant and Child Mortality 4Main activities as per International Code on Marketing of Breastmilk Substitutes were developed according to the Decree of the President of Kazakhstan 4Adoption and Introduction of WHO PHC guidelines on Health Care for Children have been initiated

Priority Actions for Reduction of Infant and Child Mortality 4Integrated Management of Child Illnesses (IMCI) strategy is being implemented in pilot regions 4The IMCI training modules were translated into Kazakh and distributed in pilot regions 4IEC materials as per third IMCI component were developed 4The Better Parenting KAP/B Study conducted and currently the results are being analyzed

Priority Actions for Reduction of Infant and Child Mortality 4Safe immunization programme is successfully implemented – 95% immunization coverage 4Republic of Kazakhstan certified by WHO as polio free country 4Initiated activities on liquidation of rubella and measles by 2007

Priority Actions for Reduction of Infant and Child Mortality 414 cold rooms were purchased 4The surveys on Access to and Quality of PHC services and Public Expenditures Review were conducted 4Preliminary results will be used for policy and management decisions aimed at reduction of maternal, infant and child mortality

Priority Actions on Life Birth Definition (LBD) Implementation 4Use of International LBD is introduced in pilot regions of Republic of Kazakhstan 4Under the Ministry of Health a Coordination Board was established and legislative regulatory base for WHO recommended LBDs were developed 4A meeting on introduction of LBDs in pilot regions was held and the results were thoroughly discussed

Priority Actions on Safe Motherhood 4Plan of Actions on Mother and Child Health specified in a President Decree of Republic of Kazakhstan 4Initiated development of a National Programme and Strategy on Prevention of Mother To Child Transmission 4Drugs for preventive treatment of pregnant women and newborns are being purchased from local budgets

Priority Actions on Prevention of Vitamin a Deficiency 4The survey on vitamin A deficiency conducted in two regions of Republic of Kazakhstan 4Development of a National Programme on prevention of vitamin A deficiency is initiated

Priority Actions on Prevention of Iodide Deficiency Disorders (IDD) 4The National Coordination Committee on food fortification was established 4Conduct National IDD prevention Communication campaign aimed at decision- makers, mass media and population 4The law «On Iodine Deficiency Disorders Prevention», of Republic of Kazakhstan from October 14, 2003 # 489 adopted

4The mechanisms and legislation regulations to ensure the law’s implementation and follow up are to be developed 4The training of SES staff on ensuring quality control of salt iodization would be conduct at oblast level until the end 2003 Priority Actions on Prevention of Iodine Deficiency Disorders (IDD)

Priority Actions on Prevention of Iron Deficiency Anemia 4Within the framework of the project on “Improving nutrition for poor mothers and children in Asian Countries in transition” the following activities were conducted 4Within the framework of the project on “Improving nutrition for poor mothers and children in Asian Countries in transition” the following activities were conducted: äA premix formula, which consist of iron, vitamin B group, zinc and folic acid is developed äFlour Fortification Equipment was purchased and set at 15 mills. Also premix was provided to the same flour producers. äA Communication campaign on prevention of Iodine deficiency disorders and Iron deficiency anemia at pilot level are conducted

Priority actions on prevention of Iron deficiency anemia 4The Communication campaign have been transferred now up to the National level 4Cost efficiency and cost benefit analysis of achievement of the universal flour fortification was conducted. Results of the analysis submitted to the Government of Kazakhstan