EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY AND MORTALITY IN KISARAWE DR' M'O' KISANGA KISARAW

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EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY
AND MORTALITY IN KISARAWEDR. M.O. KISANGA
KISARAWE

• INTRODUCTION
• Kisarawe District is among the seven District of
  Coast Region. It boulders Dar Es Slam City to
  the East while to the North it boulders with
  Kibaha District and Rufiji in the South. The
  total population is 102,783. Children under 5
  year is 13,156 children under one year 2,878,
  women of bearing age mothers 21,584 it consists
  of 4 Division, 15 Wards and 74 Villages.

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• SITUATION ANALKYSIS
• The District has one Hospital 3 Health Centers
  and 17 Dispensaries. Among those facilities 17
  Health facilities provides Reproductive and child
  health service 3 which is antenatal Care,
  Delivery and Post Partum care services. How ever
  health Deliveries of community level is mostly
  facilitated by community based actors (CORPS)
  such as traditional birth attendants, etc. About
  69.5 of pregnant mothers in Kisarawe District
  deliver their babys under the supervision of
  clinician Nurses with Midwifery skills in
  ensuring survival of both mother and baby,
  pregnancy and child birth complications are the
  leading cause of death for women of bearing age.

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• PROBLEMS STTEMENT
• 30.5 of home deliveries conducted t home by
  TRDITIONAL BIRTH attendants
• Low attendance of pregnant mothers to
  reproductive child health clinic before 20 weeks
  of gestation, pregnant mothers miss opportunity
  of getting early provision of care e.g.
  intermittent presumptive treatment, vaccination
  Iron tabs and mabendazol etc.
• Lack of knowledge on family planning which
  results in high risk pregnancies e.g.
• Too early pregnancy before 20 years of age
  contributes to criminal abortion
• Too soon pregnancy before 2 years after the last
  pregnancy, this affects the health of mother and
  contributes to infant death due to early weaning
  and luck of exclusive breast feeding

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• Too many-more than 4 pregnancies which increases
  post partum
• Hemorrhaged
• Too late getting pregnancy after 35 years of
  age leading to complicated delivery.
• 4. Poor referral system due to Luck of Transport
  (Ambulance) and communication from the District
  level to other health facilities

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• Lack of birth preparedness from the family
  members e.g. funds for transport ect.
• Shortage of Trained personnel especially at ruler
  area sometimes deliveries are conducted by
  entrained health workers leading to delay in
  decision making

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• CAUSES OF MATERNAL DEATH.
• Direct causes
• Indirect causes
• Major contributing factors to high maternal
  mortality.
• CAUSES OF
• PERINATAL MORTALITY

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• STRATEGIES.
• Employment of skilled service providers
• Training of health workers on focused Antenatal
  care
• Strengthening community pregnancy monitoring
  system at village level and follow up of pregnant
  mothers.
• Regular supportive supervision at the health
  facilities.

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• To purchase an ambulance of improve referral
  system
• To procure and supply of essential obstetrical
  emergency care
• To up grade Health centers for Emergency
  obstetrical care
• On job training on how to fill maternal and
  perinatal death review forms and to take action
  of the problem Identified.

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• EFFORTS DONE TO PREVENT MATERNAL AND PERINATAL
  MORTALITY
• Employed 6o skilled staffs 39 Nurses and 21
  clinical officers
• 35 service providers trained on Focused
  Antenatal care.
• Process of Purchasing an ambulance done
• Maternal and perinatal death review forms are
  discussed and action taken on the problems
  Identifies when the death occur

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• Community pregnancy monitoring forms distribute
  at village level
• Process of procurement of essential obstetrical
  Emergency care is proceeding.
• Thank you for listening.