Child health Program in Child health Program in DPRKDPRK

Mr. Pak Yong Nam MoPHMr. Pak Yong Nam MoPH

DPR of Korea in NepalDPR of Korea in Nepal

Nov 15. 2011Nov 15. 2011

1.Background data1.Background data

• PopulationPopulation -Total: 24,05milion-Total: 24,05milion -Women:12,33million-Women:12,33million -1,369million under age five-1,369million under age five -under age five mortality rate: 26.7/1 000 -under age five mortality rate: 26.7/1 000 -Infant mortality rate: 19.3/1 000-Infant mortality rate: 19.3/1 000 -IMCI has been introduced in 97 counties at 8 -IMCI has been introduced in 97 counties at 8

provinceprovince -IMCI survey has been conducted by central and -IMCI survey has been conducted by central and provincial IMCI team provincial IMCI team -22 500 health care providers trained and IMCI pre--22 500 health care providers trained and IMCI pre- service developed service developed

2.Goal of child health in 2.Goal of child health in DPRKDPRK2.1 Goal 2.1 Goal

-Improvement of child health and case -Improvement of child health and case

management in PHCmanagement in PHC

-To reduce the mortality rate and prevalence of -To reduce the mortality rate and prevalence of

major disease such as diarrhea, pneumonia, major disease such as diarrhea, pneumonia,

malnutrition, feverish disease, anemiamalnutrition, feverish disease, anemia

-To propel children’s healthy growing and -To propel children’s healthy growing and

development development

2.2 Specific Objective2.2 Specific Objective

• To increase the understanding IMCI To increase the understanding IMCI plays an important role in decreasing plays an important role in decreasing the prevalence and mortality rate of the prevalence and mortality rate of childrenchildren

• Improvement of health care system Improvement of health care system

3.Ordinary health indicators3.Ordinary health indicators

• Mortality rate under 1year of age: 19.3/1 000 live Mortality rate under 1year of age: 19.3/1 000 live birth(2008)birth(2008)

• Rate of low birth weight: 5.7%Rate of low birth weight: 5.7%• Malnutrition/ 1 000 persons: low weight;18.8, Malnutrition/ 1 000 persons: low weight;18.8,

weakness; 5.2%weakness; 5.2%• EPI coverage: EPI coverage: Malaria: proportion of children have gotten 7 kind Malaria: proportion of children have gotten 7 kind

of vaccine: 82.5%of vaccine: 82.5%• Removal of sources of major disease that cause of Removal of sources of major disease that cause of

incidence and prevalence of childhood illnessincidence and prevalence of childhood illness• Increasing immunization rate and decreasing Increasing immunization rate and decreasing

incidence and prevalence by CDs and parasitic incidence and prevalence by CDs and parasitic disease. disease.

4. Integrated Management of 4. Integrated Management of Child IllnessChild Illness• MCH Project implemented : USD 1 500 million each MCH Project implemented : USD 1 500 million each

year 2006-2010year 2006-2010• UNCERF , Italy-fund support carried out 2008-2011UNCERF , Italy-fund support carried out 2008-2011• County & Ri kit provided for first level of health care; County & Ri kit provided for first level of health care;

distributed to 100 out of 208 county hospitals 1 200 distributed to 100 out of 208 county hospitals 1 200 Ri clinic Ri clinic

• Critical mass of trainer trained; 22 500 health care Critical mass of trainer trained; 22 500 health care provider trained through TOT traings and Cascade provider trained through TOT traings and Cascade trainigs in 8 province 2006-2010 trainigs in 8 province 2006-2010

• Hundreds of undergraduates trained through pre-Hundreds of undergraduates trained through pre-service training in 8 provincial medical universities service training in 8 provincial medical universities 2001-2010 2001-2010

5. Key Results5. Key Results

BreastfeedingBreastfeeding -8 county hospitals are being prepared -8 county hospitals are being prepared for for BFHI, 805 health and non-health staff BFHI, 805 health and non-health staff were trained were trained-100,000 pregnant women and 12 000 -100,000 pregnant women and 12 000 postnatal women are aware on on postnatal women are aware on on promotion of BF and CF through promotion of BF and CF through dissemination of 12 000 booklets & dissemination of 12 000 booklets &

100 000 leaflets. 100 000 leaflets.

Complementary feeding Complementary feeding

-32 health staff were trained on -32 health staff were trained on complementary feeding through complementary feeding through support from HQsupport from HQ

-10 guiding principles of -10 guiding principles of complementary feeding adapted to complementary feeding adapted to local context for wide dissemination in local context for wide dissemination in 14 baby homes and focus county 14 baby homes and focus county nurseries. nurseries.

Multi-micronutrients: Multi-micronutrients: Vitamin A Vitamin A

• 1.5million children 6-59 months 1.5million children 6-59 months were supplemented with vitamin A were supplemented with vitamin A through CHDs which was jointly through CHDs which was jointly observed with MoPH, Embassies observed with MoPH, Embassies and UN agencies and UN agencies

CMAMCMAM

• Participation in the Joint FAO/WFP/UNICEF Participation in the Joint FAO/WFP/UNICEF food and nutrition assessment & report food and nutrition assessment & report

• Three proposals prepared CERF, AUSID, Three proposals prepared CERF, AUSID, HACHAC

• Response of an integrated package Response of an integrated package targeting underlying causes of targeting underlying causes of malnutrition prepared targeting the most malnutrition prepared targeting the most 25 vulnerable food insecure counties. 25 vulnerable food insecure counties.

ThankThank youyou! !