1. High number of women dying before and after delivery due to pregnancy related conditions or causes , in OR Tambo Municipality

2. Problem
We as O R Tambo municipality failed to reach millennium developmental goal number 5(Improved health for pregnant women )

3. Issues of concern Medical causes: Cultural causes: Beliefs Practices
HIV/AIDS
Pregnancy Induced Hypertension
Bleeding During pregnancy, labour And After Delivery
Multiple Pregnancies
Socio-economic causes
Behaviour
Access to health services
Transport
Finance
Health systems
Cultural causes:
Beliefs
Practices

4. Policy
We have good policies that address primarily the biomedical issues to be dealt with at health facilities, however they fail to adequately address socio-economic and cultural issues to pregnant women.
there is poor implementation and enforcement of these existing policies such as the BANC ( basic Antenatal care)policy.

5. Recommendations
To improve accessibility by improving the delivery of primary health care in rural areas in OR Tambo , this can be achieved by inter-sectoral collaboration with:
Departments
NGO and CBO

6. Key Stakeholders Dept of Transportation Roads Agency
Social development
Infrastructure
Emergency services
Community Development
Dept of education
Traditional healers
NGO’S and CBO’S
Urban Planning
Health
Community structures

7. Health Argument Medical causes:
Failure for a pregnant to attend antenatal clinics may have impact to the mother and child
Socio-economic
Failure to reach the health facilities on time may result in death of the mother and child
Cultural
women belief in attending clinic in the later stage to prevent from be-witched
Taking traditional medicines to fasten labour process

8. Health to other-sector argument
All sectors involved with clear action plan and task allocation to address and give solutions to the problem

9. Health to societal goal argument
Health Education
Empowerment
Social relieve
ABET ( Advance Basic Education Training)

10. ECONOMIC EVIDENCE Economic Burden: -Gym( lifestyle) Bicycle lanes
Healthy eating
Family Planning ( youth clubs)

11. EVIDENCE
NDS
GDS
States that the death of pregnant women should be reduced to below 80/1000, currently the country is standing at 137/1000
Evidence is collected through manual data collection,
Trend analysis ( graph,charts)

12. Policy Strengths brief Point form National Concern
Require Multi-sectoral Collaboration
Clear targets
Weaknesses
Inadequate time
Too much literature
Information /topic broad
inadequate Skills
Inadequate Leadership

13. Final Decision
Since the country did not meet the target< the National requested to identify the gaps:
In terms of Existing policies
Inputs
Processes
outputs