REPUBLIC OF RWANDA

Impact of delivering an integrated maternal and newborn package MoH RWANDA Dr Mivumbi Victor

Plan
Situation Trend in Maternal and neonatal mortality High impact intervention Challenge Future activities

Situation
Population : 10 million Superficial: 26,345 km2 MMR: 476/100.000 NMR: 27/1000 SBA: 69% ANC1:98%, ANC: 35% Source: DHS 2010

Neonatal mortality in Rwanda has reduced by almost half in the past ten years

MATERNAL MORTALITY

Percent of institutional deliveries and deliveries by SBAs

Coverage (%) of Maternal and Newborn Interventions, 2005 and 2010

Roadmap 2008-2012 Goal 1: Maternal Mortality 2005: 750 2010: 600 DHS: 476 Goal 2: Neonatal and perinatal mortality to 50%

Key MNH interventions implemented at all levels

Training health providers( EmONC, ENC,HBB,KMC..)

Post training follow up and quarterly formative supervision

A full package of maternal and newborn health services at the community

Cont.
Tracking information related to health by Rapid-sms
Maternal, infanty and neonatal mortality audits at the health facilities( 2008) PBF in facilities with neonatal indicators

Challenges
Deliveries at home 31% Early neonatal death is the main cause of neonatal death:
95% neonatal deaths are at 0-7 days; 62% of these at birth Stillbirth: 43 % of perinatal death

Belivisies of traditionals hills Poor of 4 ANC Not enough staff

Future activities
Integration of training manual in Medical schools. Scale up verbal autopsy in the community More training of CHW to follow PW More sensitisation to population Accessibility of maternity near the population FANC KMC

Skin to skin after delivery