RH in NorthWestern Tanzania Refugee Camps EmOC Herman Tirwosha Nadine Cornier

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RH in North-Western Tanzania Refugee Camps
EmOC Herman Tirwosha Nadine
Cornier
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Introduction

• The health interventions in the camps focus on
  both preventive and curative care. The
  multisectoral concept is the basis for delivery
  of all health services. Community health workers,
  TBAs, and community development workers are key
  human resources in the provision of community
  based outreach health programs including
  Reproductive health.

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Comprehensive RH Care

• Family planning
• Safe motherhood ANC, delivery, PNC
• Gynaecologic care and post abortal care
• STI/HIV/AIDS prevention and treatment
• GBV prevention and management
• IECs/Capacity building
• Adolescent RH programs

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Major Areas of Response in EmOC

• Surgical procedures including Caesarean section
• Control of hemorrhage, including safe blood
  transfusions
  
• Manual vacuum aspiration
• Assisted vaginal delivery
• Treatment of eclampsia
• Treatment of sepsis
• Management of diseases that impact on pregnancy
  and birth
  
• Management of complications in the newborn

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Maternal Mortality Ratio in the Refugee Camps
2004-2007
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of Births by Skilled Attendants in the Refugee
Camps 04 - 07
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Neonatal Mortality Rates 04 -07
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Achievements

• Increasing the availability of skilled attendants
  and implementing basic EmOC at the camp level
  
• Building a strong referral system for
  comprehensive EmOC
  
• Improved community based initiatives and
  participation
  
• Comprehensive integrated quality services
• Increased rate of male involvement in RH
  activities
  
• Strong collaboration, coordination, and
  information sharing among the stakeholders
  

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Challenges in EmOC Implementation

• High staff turnover (Skilled both national and
  refugees)
  
• Low FP acceptance
• Post abortal management lack of MVA
• Significant early marriages and pregnancies are
  still recorded

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Way Forward

• Strengthening multisectral committees
• Replacement of repatriated staff and training
• Continue capacity building to our midwives, CSWs,
  CHWs
  
• Improve FP acceptance rates Identification of
  family planning promoters in the community, train
  them
  
• Think of KAP study

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Regional EmOC DataEthiopia, Kenya, Tanzania
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Regional Maternal Mortality Data(January - June
2007)
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Thank you for your attention