ATTACHMENT 14b_ MCH strategy.doc

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RFP HE176-09-005, QUALITY HEALTH CARE PROJECT FOR CENTRAL ASIA
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HE176-09-005
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ATTACHMENT 14b

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Ministry of Health and Medical Industry of Turkmenistan.

Mother and Child Health Institute

Mother and Child Health Improvement Strategy 2008-2010

1. Within 2-3 years maternal mortality rate should be decreased to minimum, except accident cases.

2. Morbity rate should be decreased to 50%, focusing on women of fertile age health promotion and health improvement issues

3. Ensure the link of Reproductive Centers, narrow specialists' and family physicians’ work while conducting the activities related to women of fertile age health improvment

4. Decrease child mortality rate in 2 times mainly decreasing the rate of postnatal mortality.

5. To decrease child mortality rate to 50% due to appropriate programs implementation.

Program:

Name and objectives of the strategy
Terms of implement-tion
Responsible agencies

1. To upgrade professional skills and knowledge of health workers on the base of EBM principles introduction:

1.1
100% of neonatologists, pediatricians, child resuscitation specialists, reproductologists, adolescents and family physicians should be trained in 2008-2009. M&E should follow in 2010
2008-2009.
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals).

2. To ensure an appropriate use of contraceptives up to 30-40%:

2.1
To ensure improvement of maternity health through the usage of contraceptives for intergenetic 2-3 years’ interval control.
2008-2009
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals).
2.2
100% of reproductologists, pediatricians and family practitioners should be trained in 2008-2009 .
2008-2009
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals).
2.3
To increase educational work on contraceptives use (healthy life style, support of large families, reasonable usage of contraceptives)
2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals),Houses of Health.
2.4
To ensure maximum possible rate of safe pregnacy and delivery to reduce the number of artificial abortions and ensure thier rate to mini abortion as follows: 1:10, 1:20.
2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals),Houses of Health.
2.5.
Due to various programs implementation reduce morbity rate among adolescent on 50% , and increase eduational activiteis realated to usage of contraceptives among teenagers (lectures, pamflets, booklets)
2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals),Houses of Health.
2.6.
National clinical protocols on examination and treatment of maternity, child and adolescent diseases should be developed and approved
2008-2009
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals),Houses of Health.

3. Conduct research work on ferrum deficit anemia. Improve control for quality of food. Reports on a reagular base.

3.1.
Research work targeting on the confirmation of the certificate that Turkmenistan got as the country free of diseases causes by iodin deficit should be conducted. Report to the MOHMIT should be submitted.
2008-2009
MCH Institute of Gurbansoltan-eje.
3.2.
Blood examinations should be made (on hemoglobin, color indicator, erythroсytes) all over hte country.Results reported to the MOHMIT
2008
MCH Institute of Gurbansoltan-eje.

4. To continue National Safe Motherhood Program implementaion for the purpose of prevention of complications during perinatal period, pregnancy, delivery, postpartum period and for improvement of antenatal care :

4.1.

To continue training of family practitioners within the frameworks of the National Safe Motherhood Program:

- 2008- 161 (21,7%) ob-gyns and 225 (21,0%) midwifes;

-2009- 156 (21,0%) ob-gyns and 221 (20,7%) midwifes;

-2010- 156 (21,0%) ob-gyns and 219 (20,5%) midwifes;

-2011- 150 (20,2%) Ob-gyns and 160 (15,0%) midwifes.

2008-2010

MCH Institute of Gurbansoltan-eje.

4.2.

To provide all roddoms with an appropriate equipment, to manage deliveries in accordance with the standards approved in the program

2008-2009
MCH Institute of Gurbansoltan-eje, velayat MCH centers.
4.3.
To develop and introduce a perinatal card for

Pregnant women for home patronage.

2008-2009
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals)

Cnters,Houses of Health

4.4.
Number of visits to ginecologists in HOH should be reduced for pregnant women (from 12-14 visits to 6-8)
2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals)

Cnters,Houses of Health

4.5.
Partogramma should be filled in while deliveries’s management
2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals)
4.6.
Reduce the rate of children that were born with a weight lower than 2 500 g.
2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers (Hospitals)

5. Reducing child morbidity and mortality rates using technologies trained during programs implemented in the country.

5.1.
Within the frameworks of Breastfeeding Program ensure getting Friendly Hospital status to 100% roddoms .

- to provide Breasfeeding Training courses for family practitioners

- to provide Nutrition for Babies and Sick Children Training courses for pediatricians and family practitioners

- to conduct monitoring of hte Implementaion of hte program in 2009.

2008-2009
MCH Institute of Gurbansoltan-eje, velayat MCH Centers, etrap hospitals, Houses of Health.
5.2.
To continue implementing Hospital IMCI , Newborn Resuscitaion and Care programs

- conduct monitoring activities ( quarterly);

- organize 12 Keeping Children Healthy campaigns;

-Ensure increase in population’s knowledge on such topics as nutrician, care and prevention of childhood diseases within the framework of Keeping Children Healthy Campaigns, Healthy Life Style program;

-2010 – monitoring activities

2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers, etrap hospitals, Houses of Health.
5.3.
-2008 – to conduct 20 trainings on Newborn Resuscitaion and Care Program ( train 62% of specialists)

-2009-to conduct 18 trainings and train 38% of specialists;

-2010- monitoring activities

2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers, etrap hospitals.
5.4.
To continue training on Life and Still-birth Definitions;

-2008- conduct 10 trainings on Baby’s Matrix;

-2009- All the specialists should be trained and involved in monitoring activities.

2008-2010
MCH Institute of Gurbansoltan-eje, velayat MCH Centers, etrap hospitals, Houses of Health.

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