1

A 5 POINT PROGRAMME

TO SAVE CHILDRENBy PDG Dr. Rekha

ShettyRID 3230

Vice Chair - RFPD

2

REDUCE CHILD

MORTALITY

3

5 Major Issues to save the lives of Children in the

developing world1. 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 70 000 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 2015. 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 100 000 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 330 000 midwives are needed to achieve universal coverage of mothers with skilled birth attendance.

10

Pre-natal Nutrition

andHealth of Mothers

11

Deaths to babies between birth and 28 daysSOURCE : 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 MothersHealthy 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