Safe Motherhood Program
Safe Motherhood Program (According to Annual Report 2075/76, DoHS, Nepal)
Ø 1987 AD: Global safe motherhood is initiated.
Ø 1997 AD: Safe motherhood program initiated.
Ø 1998 AD: Safe motherhood policy was formulated.
Ø 26 September 2002: Abortion becomes legal in Nepal.
Ø March 8th 2003: SUMATA initiative as safe motherhood communication initiative.
Ø 2004 AD: Comprehensive abortion care (CAC) started to provide in public hospital.
Ø 2006 AD: The policyon skilled birth attendants (SBA) is endorsed.
Ø 2006 AD: The policy on blood transfusion is endorsed.
Ø 2065 BS (2008/09): Medical abortion legally started in 6 districts (Jhapa, Dhading, Kailali, Chitawan, Surkhet and Tanahu) with misoprostol and mifepristone.
Ø 2066/67: Matri Surakshya Chakki (MSC) contains Misoprostol started to distribute from FCHVs and completed in 75 districts in 2068/69.
Ø 2010 AD: National guideline on cervical cancer screening & prevention developed. It is done by Pap’s smear test. This screening is done by VIA (Visual Inspection using Acetic acid).
Ø National safe motherhood plan (2002-2017) has been revised to safe motherhood and neonatal health long term plan (2006-2017): key indicators
• To reduce MMR from current 231 /lakh live birth to 134/lakh by 2017
• To reduce NMR from current 33/1000 live births to 15/1000 by 2017
• To increase percentage of deliveries assisted by SBA to 60% by 2017
• To increase met need of cessarian section of 4% per year
• The percentage of deliveries taking place in a health facility increased to 40% by 2017
• To increase met need of emergency obstetric care of 3% per year
Ø Goal: to reduce maternal and neonatal morbidity and mortality and to improve the maternal and neonatal health through preventive and promotive activities as well as by addressing avoidable factors that causes death during pregnancy, child birth and puerperium.
Ø To reduce risk during pregnancy and child birth and address factors associated with mortality and morbidity 3 major strategies have been adopted
1. Promoting birth preparedness and complication readiness including awareness raising and improving the availability of funds, transport and blood supplies.
2. Aama Suraksha Program to promote antenatal check-ups and institutional delivery.
3. Expansion of 24-hour emergency obstetric care service (basic and comprehensive) at selected public health facilities in every hospital.
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