Wchd presentation gavi 8

Ministry of Health

Department of Health Women and Child Health Development

Section

WCHD has been implemented

• To integrate and compliment related activities for more effective use of resources for women, children and newborn health development activities

• To strengthen the Maternal Newborn and Child health services

Objectives

General Objective

To provide quality health care service for women, children including newborn in order to reduce U5MR and MMR according to MDGs and to promote health development of women, children and newborn

Specific Objectives

To reduce Under Five Mortality Rate and Maternal Mortality Rate according to MDGs for Health

To ensure quality health services for children including newborn and women

Targets

Impact targets

• Reduce the Under-five Mortality Rate to

43/1,000 live births

• Reduce Infant Mortality Rate to 35/1,000 live

births

• Reduce Neonatal Mortality Rate to 16/1,000

live births

Coverage targets

(a)80% of all newborns receive the community

based Essential Newborn Care package

(b) 80% of all low birth weight infants receive

extra care during the newborn period

(c) 60% of the families practice hand washing

and provide appropriate feeding for children

0-23 months of age

(d) 60% of infants 0-6 months are exclusively

breastfed

(e) 50% of the acutely malnourished children

(uncomplicated moderate and severe

malnutrition) are treated adequately

(f) 90% of children with acute diarrhoea are

treated with Oral Rehydration Therapy (ORT),

including Oral Rehydration Solution (ORS) and

continued feeding

(g) At least 70% of suspected pneumonia is

treated with antibiotics recommended by the

program

Indicators 1990

2009-2010

2015

Under Five Mortality Rate(per 1,000LB)

130 46.1 43.3

Infant Mortality Rate(per 1,000LB)

98 37.5 32.7

Proportion of 1 year old children immunized against measles (%)

72 90.7 100

Trends of indicators related to MDG4

Implementing Components & levels

Three Components

1.Women health development

2.Child health development

3.Newborn health development

At Three levels

1.Household level

2.Primary health care level

3.Secondary and tertiary care level

1. Capacity building 2. Awareness Raising Activity3. Logistic Supply4. Research and Survey5. Community based activity6. Other activities

Activities undertaken by WCHD

Logistic supply• Child survival Kit A, Kit B• Tube and mask device, Bag and mask

device• Mucous extractor• RHC kits and sub-RHC kits• Thermometer • Respiratory timber• Weighing scale (spring type)• AMW kit• Clean delivery kit• EOC equipment

Research and survey• Nation Wide Causes Specific Under Five

Mortality Survey(2002-03)

• Study on KFP and Local Terminology for

Selected Ethic Groups (2004,WHO,UNICEF)

• Study on performance of AMW (2005)

• Nation Wide Causes Specific Maternal Mortality

Survey(2004-05)

• Health facility assessment (2008)

• Emergency Obstetric Care study (2008-2009)

• Cause of under five deaths (on going)

Community based interventions

• Community based health activities (CBHA)

• Community case management of pneumonia and diarrhoea

• Community based newborn care

Other activities

• Cooperation within the department, with UN agencies, INGOs , Local NGOs and related departmentschild survival forumchild health lead working group meeting

national child health committee

• Supervision and Monitoring

• Evaluation

Implementation status of WCHDYear Area covered

2001

2003

2004

2005

2006

19

21

21

20

20

2002

12

200 UNICEF

Total

2007 12

2008 12

2009 12

2010 35

2011 16

5

4

4

5

18 WHO 218

Kachin - 6

Sagaing - 31 Magway – 25 (whole)

Shan - 20

Chin- 9(whole)

Rhakhine - 17(whole)

Mandalay-

28

Bago - 8

Ayeyarwaddy - 21

Yangon- 8

Kayah- 4

Kayin- 7(whole)

Mon- 10 (whole)

Tanintharyi- 4

Area Coverage in State & Region

Child health services in HSS townships

Sr No Township WCHD MCH Others

1 Bamaw WCHD PSI( SQH (MxP’neu),SPH(CCM P’)

2 Shweku PSI(SQH Mx P’neu)

3 Moekaung PSI(SQH Mx P’neu)

4 Moenyin PSI(SQH Mx P’neu)

5 Demauso WCHD

6 Shartaw

7 Baulakhae WCHD

8 Maesae

9 Fruso WCHD

10 Paann WCHD, CBNBC, CCM pneu diarr

PSI (SQH(Mx of P’neu)

11 Myawaddy WCHD PSI (SQH(Mx of P’neu)

12 Kaukarrait WCHD SQH,SPH(Mx of P’neu, CCM P’neu)

13 Hakah WCHD Merlin(CBNBC,CCM P’, CBHA)

14 Htantalan WCHD Merlin(CBNBC,CCM P’, CBHA)

15 Tonzan WCHD Merlin(CBNBC,CBHA)

16 Yayoo WCHD PSI (SQH,SPH(Mx of P’neu, CCM P’neu)

17 Wattlat WCHD ENC PSI (SQH,SPH(Mx of P’neu, CCM P’neu)

18 Minnkin WCHD CDA(NR training)

19 Kalaywa WCHD CDA(NR training)

20 Meik PSI (SQH(Mx of P’neu)

21 Tanintharyi WCHD

22 Pulaw PSI (SQH(Mx of P’neu)

23 Yayphyu

24 Yaytarshae WCHD, CBHA

25 Thanutpin IMCI  PSI (SQH(Mx of P’neu)

26 Kawa IMCI  ENC PSI (SQH(Mx of P’neu)

27 Thayawaddy IMCI PSI (SQH,SPH Mx of P’neu, CCM P’neu)

28 Paukaung IMCI 

29 Moenyo IMCI

30 Hteelin WCHD CDA(NR training)

31 Saetoattra WCHD Save the children

32 Saw WCHD Save the childrenCDA(NR training)

33 Pyintphyu WCHD PSI (SQH Mx of P’neu, SPH for CCM P’neu)CDA(NR training)

34 Tatkone WCHD, CBNBC, CBHA

PSI (SQH Mx of P’neu)CDA(NR training)

35 Laewae WCHD, CBNBC, CBHA

PSI (SQH Mx of P’neu)CDA(NR training)

36 Thapatekyin

WCHD ENC PSI (SQH Mx of P’neu, SPH for CCM P’neu)CDA(NR training)

37 Tharze WCHD, CBHA, CBNBC

PSI (SQH Mx of P’neu)CDA(NR training)

38 Mudone WCHD PSI (SQH,SPH Mx of P’neu, CCM P’neu)

39 Thahtone WCHD,CBHA PSI (SQH,SPH Mx of P’neu, CCM P’neu)

40 Kyaikhto WCHD,CBHA PSI (SQH,SPH Mx of P’neu, CCM P’neu)

41 Beelin WCHD PSI (SQH,SPH Mx of P’neu, CCM P’neu)

42 Mauntaw WCHD

43 Ann WCHD, CBHA

44 Gwa WCHD PSI (SQH Mx of Pneu)

45 Kyaington WCHD, CBNBC, CCM Pneu diarr

PSI (SQH Mx of Pneu)

Sr No Township WCHD MCH Others

46 Maipyat Merlin (CBNBC,CBHA)

47 Maipyin WCHD

48 Nyaunshwe IMNCI PSI (SQH Mx of Pneu)

49 Hopone WCHD PSI (SQH Mx of Pneu)

50 Loilin PSI (SQH Mx of Pneu)

51 Pinlaung

52 Hsipaw

53 Larshio WCHD, CBNBC, CCM pneu diarr

PSI (SQH Mx of Pneu)

54 Kyaukme WCHD

Sr No Township WCHD MCH Others

55 Kauhmu WCHD, CBNBC

PSI (SQH Mx of P’neu, SPH for CCM P’neu),CDA(NR training)

56 Hmawbe WCHD PSI(SQH,SPH Mx of P’neu,CCM P’neu)

57 Titekyi WCHD PSI(SQH,SPH Mx of P’neu,CCM P’neu)

58 Ngaputaw WCHD ENC

59 Kangyidaunt ENC PSI (SQH Mx of Pneu)

60 Laymyatnar

Minimal essential package of interventions

Intervention Township

Station

RHC SRHC Community

Newborn interventions

Immediate essential newborn care ( at the time of birth)

Immediate thermal care

√ √ √ √ √

Initiation of EBF

√ √ √ √ √

Hygienic cord and skin care

√ √ √ √ √

Neonatal resuscitation

√ √ √ √ -

Intervention Township

Station

RHC SRHC Community

Newborn infection management

Case Mx of neonatal sepsis, and pneumonia

√ √ √ √ -

Presumptive antibiotics therapy for NB at risk of bacterial infections

√ √ - - -

Management of NB with jaundice

√ √ √ √ -

Intervention Township

Station

RHC SRHC Community

Newborn infection management

Initiation of ART in babies born to HIV infected mother

√ √ - - -

Intervention Township

Station

RHC SRHC Community

Interventions for small and ill babies

Kangaroo

mother care

for preterm

and LBW

√ √ √ √√

Extra support for feeding small and preterm babies

√ √√ √ -

CPAP to Mx babies with RDS

√ - - - -

Intervention Township

Station

RHC SRHC Community

Child health interventions

Infancy and childhood

EBF √ √ √ √ √

Continued BF and CF

√ √ √ √ √

Prevention and case Mx of malaria

√ √ √ √ √

Comprehensive care of children infected with or exposed to HIV

√ √ - - -

Intervention Township

Station

RHC SRHC Community

Immunization √ √ √ √ √

Vitamin A supplementation

√ √ √ √ √

Mx of severe acute malnutrition(without complications)

√ √ √ √ √

Mx of severe acute malnutrition(with complications)

√ √ - - -

Intervention Township

Station

RHC SRHC Community

Case Mx of pneumonia

√ √ √ √ ??

Case Mx of diarrhoeaa)Acute diarrhoeab) Dysentry

√ √ √ √ √

Case Mx of meningitis

√ √ - - -

Home visit for children across the continuum of care

√