Transcript Document

CARMMA STRATEGY
Millennium Development Goal (MDG)
By 2015 Africa should have achieved:
 MMR ratio in Africa to be reduced from between 500
and 1 500 to 228 per 100 000 live births (the target
of reducing by three quarters)
 MDG 5 calls for universal access to reproductive
health.
 MDG 4 requires Member States “to reduce by two
thirds the under-five mortality rate
Major causes of maternal deaths
 Non-pregnancy related infections mainly AIDS
(50%)
 Obstetric haemorrhage (14%)
 Complications of hypertension (14%)
 Pregnancy related infections (5%)
 Complications of pre-existing medical conditions
such as cardiac conditions, diabetes etc. (9%)
 Forty (40%) percent of all maternal deaths are
avoidable.
Commonest causes of under-five
deaths
 AIDS related deaths including TB (40%)
 Diarrhoea diseases (11%)
 Pneumonia (6%)
 Severe malnutrition (5%)
Deaths during neonatal period
 ˆLow Birth Weight (12%),
 ˆInfections (3%) and
 ˆBirth Asphyxia (3%).
Four key focus areas of CARMMA
• Building on-going efforts particularly best practices;
• Generating and providing (accurate) data on maternal
and newborn deaths;
• Mobilizing political commitment and support of key
stakeholders including national authorities and
communities to mobilize additional domestic resources in
support of maternal and newborn health and mobilizing
communities to let them know that everyone has role in
improving maternal and child health and reduction of
maternal and child deaths (Re-engineering PHC)
• Accelerating actions aimed at the reduction of maternal,
infant and child mortality in Africa.
Key components of CARMMA in SA
 Strengthen and promote access to comprehensive
SRHR services (family planning services)
 Early antenatal care and attendance/ booking.
 Improve access to Skilled Birth Attendants by allocating
dedicated obstetric ambulances to every sub-district,
maternity waiting homes, strengthening HR for MCH,
ESMOE training and intensifying midwifery education
and training.
 Intensifying management of HIV positive mothers and
children.
Key components of CARMMA in
SA (2)
 Improve child survival by promoting exclusive
breastfeeding for at least 6 months, providing facilities for
lactating mothers (boarder mothers) in health facilities,
promoting KMC, improving immunization/vitamin A
coverage, management of severe malnutrition in health
facilities.
 Intensifying case management of sick children through
improving implementation of key family practices such as
diarrhoea, IMCI, the management of severe diseases in
referral facilities