Escolar Documentos
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April 2013
Introduction
ChildFund is a global child development & protection agency
Country Context
Honduras one of the highest MMR in the western hemisphere 100/100,000 LB, NMR 18/1000, and SBA of 56% Access to reproductive health services in rural communities is limited. Women and newborns die from pregnancyPOPULATION related causes, childbirth, 8,296,693 and postpartum MILLION complications.
65%
poverty line
BELOW
Population
Problem Description
Despite evidence on the interventions that can save lives at low cost, the pathways to delivering health services in low and middle income countries are still not well known. Many studies on delivery strategies ignore the overall effect these would have on the poor.
Community Based(CB) Health Innovations 1. Define & standardize role of communities to increase institutional deliveries within a national decentralization strategy 2. Create self-sustaining CB health units (UCOS) which integrate Ministry of Health programs 3. Adapt & implement CB continuous quality improvement for UCOS
Results
41.780 Women and children < 5 yrs
Results
UCOS have proven to be an efficient model that seeks to become Governmental extension for delivery of care for hard to reach communities In 4 year of project implementation institutional deliveries increased by 52%.
IMR reduction from 20/1000 lb to 16/1000 and NMR from 10.8 to 2.1
361
# of Deliveries
2006
2007
2008
2009 Years
2010
2011
2012