Safe Motherhood

Guinea Country Study

Guinea - DHS, 1999 5.5 fertility rate 4.2% CPR Age of first marriage – 16 for women; 26 for men 72% of men and 87% of women in rural areas have

no formal education 71% of pregnant women benefited from prenatal

consultations; 33% during 1st trimester 35% of deliveries assisted by trained health

personnel

Safe MotherhoodSafe Motherhood

528/100,000 maternal mortality

48/1000 neonatal deaths

1989: Guinea subscribed to the Safe Motherhood

initiative

1992: National Safe Motherhood Program

established in MOH under DNSP

Mandiana Prefecture

USAID-Funded Activities Save the Children CS grant MSH/JHU PRISM PRIME II JHPIEGO

STC/PRIME IIDeveloped and pretested curriculum for training TBAs, trainer’s guide, evaluation guide

Serving as model for ADRA/Siguiri

PRISM Training in pre-natal care and

partogramme, infection prevention and contraceptive technology

Introduction of COPE and assessment of needs for introduction of PAC

Provided MCH equipment to hospital and HC Training of prefectoral health department in facilitative

supervision Discussing with HKI addition of nutrition component to TBA

training

Results -Results -BirthBirthPreparednessPreparedness

44% (75%) of women of reproductive age received at least 2 doses of tetanus toxoid

Improved knowledge through training of village health committees and outreach

Creation by village health committees of emergency referral systems including transport plans with revolving funds (MURIGA)

Results-Safe Delivery

In 2001, slight increase in number of births attended by trained TBAs; slight decrease in number of births at health center

83% (70%) of births attended by trained personnel

Results - Antenatal and Postnatal Care

40% (70%) of pregnant women will receive at least 2 prenatal contacts

50% (60%) of pregnant women receive malaria prophylaxis during pregnancy

45% (60%) of postpartum women receive Vitamin A capsule