1. Tutorial MCH Dr Hafsa Raheel Assistant Professor Department of Family & Community Medicine

2. MDGs What are the MDGs? (Millennium developmental goals) Which one of them are targeted towards maternal and child health?

3. Scenario 1 You are a young researcher, and are interested in calculating the Maternal mortality in your town. Which resources can you refer to for collection of data, about maternal deaths?

4. Scenario 2 In the year 2012, about 55 women died because of pregnancy related conditions in a nearby town. The total population of the town is 200,000, and the total live births in the year have been 600. Q1) Calculate the maternal mortality ratio Q2) Calculate the maternal mortality rate The maternal mortality ratio is greater than 250 per 100,000 live births. How would you interpret it?

5. With regard to the “ Safe motherhood model” by WHO, answer the following Enlist the 4 pillars of the WHO model for safe motherhood Discuss the basic idea of the model?

6. Scenerio 3 A 30 year old pregnant lady, Sara, lives in a rural area. She is mother of 4 children and her husband is a farmer. This is her fifth pregnancy and she is in her 3 rd trimester. She did not receive any ANC this pregnancy and a local midwife was visiting her off and on. Since a few days she was noticing swelling over her body and was referred by the midwife to the nearest PHC. While she was on her way, she developed seizures. At the center, the attending nurse started her on an IV drip and told her husband to take her to the city, as no further treatment was available at the PHC. Q) Talk and discuss in detail the delays that Sara is facing in obtaining treatment.

7. Q) Enlist the major causes of child mortality globally, in the sequence of their frequency 1. 2. 3. 4.

8. Child health Q) What is IMCI? Q) What are the four basic concepts on this strategy?

9. Define the following terms Still birth Neonatal death Perinatal mortality Infant mortality Post- natal mortality

10. Thanks to Dr Afnan

11. THANKYOU & Qs????