IMPROVING THE QUALITY OF LIFEOF YOUTH AND CHILDREN IN SA
Dr SA Amos
Cluster Manager: MCWH & Nutrition
14 September 2007
Presentation Outline
•Organogram
•Identifying causes of maternal, infants and under-5morbidity and mortality
•Enquiry findings
•Coverage of child survival interventions
•Key interventions, programmes and/or strategies:- Neonates infants
- Children1-5 years
- Youth and adolescents
•MCWH & N Budget
•Conclusion
ORGANOGRAM
Cluster: MCWH and Nutrition
Three directorates
–Child, Youth and Adolescent
–Women’s Health and Human Genetics
–Nutrition
Identifying causes of maternal,infants and under-5 morbidityand mortality
•In order to provide appropriate and relevantintervention strategies, we need to understand thecauses and underlying factors of maternal and childmortality in South Africa.
•The Department of Health has introducedprogrammes to analyze causes and factors leading tomaternal and child deaths
–Maternal Death Inquiry Programme,
–Child Problem Identification Program (CHIP)
–Perinatal Problem Identification Program (PPIP).
Some of the Enquiry findings
•Administrative Problems
•Health Professional Related
•Patient Orientated Problems – (social andcultural issues)
Coverage of child survivalinterventions
•ANTENATAL CARE
•94% of pregnant women attend ANC and at least73% attend 4 visits or more (DHS)- (Missedopportunities)
•84% of deliveries attended by a skilled healthworkers (nurses and doctors, DHS)
Skills and human resource shortages- pre-service, in-service, more financial resources
Coverage of child survivalinterventions
FEEDING:
•40% of newborns are breastfed within a hour of birth
•12% of children are exclusively breastfed at 0-3 monthsand 1.5% at 6 months
•Vitamin A: Coverage above 90% for children 6-12mnths
25% for children 13-60mnths
Solution:
•Expansion of BFHI
•Building capacity of CHW on Infant feeding
Coverage of child survivalinterventions
IMMUNISATION
-94% of children <1 year are fully immunizedagainst DPT, Hib and Polio (2005)
- 82% of children <1 year are immunized againstmeasles
A high national immunisation coverage
Still have pockets of low coverage
Key Interventions, programmes and/or strategies
NEONATES AND INFANTS
Quality antenatal, intra-partum and immediatepost-partum care
Basic Antenatal Care (BANC)
Basic Intra-partum Care (BIC)
Baby Friendly Hospital Initiative (BFHI)
Key Interventions, programmesand /or strategies
CHILDREN 1-5yrs
•EPI
•IMCI
•Paediatric CCMT
•ECD
•Vitamin A
•Growth Monitoring
•CHIP
•Management of Severe Malnutrition (facility based)
•School Health Services
Key Interventions, programmesand /or strategies
YOUTH AND ADOLESCENTS
•Youth Friendly Services- (Training of HCP, TOT, and Facility Accreditation)
–sexual and reproductive health management
–Mental health- substance abuse, suicide, eating disorders etc
Great Concern: Teenage pregnancy
Actions: Expansion of youth friendly services
Increase number of trained health care providers
Increase the number of Peer Educators
Emphasis on Emotional Quotient
Key Interventions, programmersand /or strategies
Life skills training
–Youth Indaba (annual, week long event)
– Youth as active participants
–Presentations on youth health risks, social issuesimpacting on health
–Shared experiences by survivors
–Career opportunities and guidance presented by variousexperts and other governmental departments
–Promotion of patriotism and community involvement
MCWH AND N BUDGET
•The total MCWH and N budget 28,819,000
•Cluster Manager’s office: 2,497,000
•Child and Youth Health: R11,132,000
•Nutrition; 4,795,000
• Women’s Health & Genetics: 10,395,000
•Additional funding of: R2,752,000-CCMT
conclusion
•In order to step up efforts at improving childsurvival we need;
–an increased resource allocation,
–integrated approach to programming,
–community involvement and participation,
–translating knowledge into action as well as,
–strengthening monitoring and evaluation ofprogrammes.
“IN Service there is no Them and US, there isonly We” David R Patient
ThankyouThankyou