proportion of births attended by skilled health personnel (myanmar)
DESCRIPTION
Proportion of births attended by skilled health personnel (Myanmar). W orkshop on MDG Monitoring: 2015 and beyond, Bangkok, 9-13 July 2012. Map of The Republic of the Union of Myanmar. Definition. The percentage of deliveries attended by skilled health personnel. Data sources. - PowerPoint PPT PresentationTRANSCRIPT
Proportion of births attended by skilled health personnel
(Myanmar)
Workshop on MDG Monitoring: 2015 and beyond, Bangkok, 9-13 July 2012
Map of The Republic of the Union of Myanmar
Definition
• The percentage of deliveries attended by skilled health personnel
Data sources
• Routine Health Management Information System
• Household surveys –FRHS, IHLCA,MICS
Data Items collect in HMIS
(Monthly report)• Home deliveries by basic health staff• Deliveries at RHC delivery room• Deliveries at public hospitals• Total livebirths• Total stillbirths
Department of Health Planning (HMIS),Department of Health
Department of Health Planning (HMIS),Department of Health
MCH/UHC/Station HU/RHCMCH/UHC/Station HU/RHC
District/Township Health DepartmentDistrict/Township Health Department
State/Regional Health DepartmentState/Regional Health Department
Sub Rural Health Center Sub Rural Health Center
Data FlowData Flow
Calculation method (HMIS)
• Numerator: Number of Births attended by skilled health personnel during one year
• Denominator: Total number of deliveries during same year
• Skilled health personnel : Doctors, nurses and midwives (Not include auxiliary midwife and traditional birth attendants)
Method of computation (Survey)
• Numerator - Number of women aged 15-49 years with a birth in a reference period preceding the survey that were attended during childbirth by skilled health personnel
• Denominator - Total number of women surveyed aged 15-49 years with a birth in the same reference period preceding the survey
Periodicity of Measurement
• HMIS – every year• Survey – every three or five years
10Source: Health Management Information System
Percentage of births attended by Percentage of births attended by skilled health personnelskilled health personnel
11
Source: HMIS Hospital Delivery(%)2000 12.9
2001 12.8
2002 13.2
2003 12.9
2004 12.9
Institutional Delivery(%)(Hospital+ RHC Delivery Room)
2005 15.4
2006 16.7
2007 17.0
2008 17.7
2009 17.2
2010 20.8
2011 23.2
12
SBA (%) Source:HMIS
Source: MICS
Source:IHLCA
Source:FRHS
2000 53.3
2001 50.1 57
2002 55.3
2003 52.6
2004 51.7 72.5 (2004-2005)
2005 57.9
2006 63.6
2007 64.1 64
2008 67
2009 64.4 77.9 (2009-2010)
2010 64.8 70.6
2011 67.1
Comments and limitations
• Standardization of the definition of skilled health personnel
• Calculation method – livebirths or total births• Completeness and coverage of routine data• Rely on answer by respondents• May not adequately capture women’s access to
good quality care