President’s December 10
Appeal 2011
Overview
• Educate – rolling out 4 levels of
education for birth attendants in Papua
New Guinea
• Empower – giving skills and
confidence to birth attendants and new
mothers
• Enable – improving facilities to ensure
the highest attainable standard of
maternal care available
Maternal mortality: The Facts
Complications in pregnancy are generally
not preventable, but they are treatable.
But without access to skilled birth
attendants to recognise problems or
facilities with the equipment needed to
provide treatment, nearly half a million
women die every year – just because they
were pregnant.
Maternal Mortality – The
Facts
• Every year, approximately 350,000 girls and women
die from pregnancy-related causes.
• Almost all of these deaths (99%) occur in the
developing world.
• Ten million women are lost in every generation.
• Four million newborn babies die every year, also from
causes that are mainly preventable and typically linked
to the mother's health.
• Huge disparities exist between rich and poor
countries, and between the rich and poor in all
countries.
Source: Women Deliver
Maternal Mortality – The
Facts
Eclampsia &
Hypertensive
disorders, 12%
Sepsis, 15%
Other, 28%
Haemorrhage,
24%
Unsafe
abortion, 13%
Obstructed
Labour, 8%
Maternal Mortality – The
Facts
Cost-effective and proven solutions:
1. Access to family planning – counselling,
services, and supplies
2. Access to quality care for pregnancy
and childbirth
- antenatal care
- skilled attendance at birth, including emergency
obstetric and neonatal care
- immediate postnatal care for mothers and newborns
Source: see e.g. Women
Deliver, AMDD
Papua New Guinea
• 6.3 million people
• Life expectancy at birth (years): 56.7
• Median age of total population (years):
19.5
• Human Development Index: 139 out of
177 – the bottom quartile
• Gender inequality index133 out of 177
– also the worst quartile for women
Papua New Guinea
• 62 out of every 1,000 teenage girls is
already a mother
• Women have on average almost 4
children – that’s twice the ideal number
• Only 36% of women use ANY form of
contraception
Papua New Guinea
• Maternal mortality ratio (per 100,000
births): 733
• 3 women die each day
• More than 1500 each year
• Mortality rate of children under 5 years
old (per 1,000 live births): 73
Source: PNG DOH Report
Birthing in the Pacific
This project takes international best
practice and evidence and applies it to the
local situation in PNG – increasing access
to both skilled birth attendants and
functioning health care services.
Working within the community to affect
change – and save lives.
Project Impact
To decrease maternal morbidity and
mortality in Papua New Guinea
Measured by:
• Maternal mortality rate
• Proportion of all births attended by a skilled birth
attendant
• Number of facilities meeting international standards
• Midwifery density
Desired Effect
To increase the knowledge and resources
for midwives in Papua New Guinea
Measured by:
• Number of trained midwives in targeted areas
• Case fatalities in targeted areas
• Percentage of facilities fulfilling checklist for providing
basic obstetric care
• Improvement in the experience of women delivering in
targeted facilities
Outputs
1. Provide education programmes for birth
attendants at four levels of skills
2. Ensure that midwives have access to
resources to enable them to practice
efficiently in their daily clinical care
3. In association with hospital management, audit
facilities for emergency obstetric care
4. Support the PNG Midwives Society to
ensure that registered midwives have an
avenue to be seen as a professional body of
nurses.
Outputs
Measured by:
• Variety of project
logs
• Qualitative studies
• Evaluation tools to
assess learning
outcomes
• Audit tools for
facilities
Activities
• Work with relevant partners to support
the roll-out of four levels of educational
programmes for birth attendants
– PEmOC courses for trained clinicians
– Learning exchange programmes for midwives
– Maternal health competency programme for
Community Health Workers
– Literacy and reproductive health education for
Village Birth Attendants
Activities
• Provide Karim work bilum
(kit)to skilled attendants
• Provide buckets and goggles to VBAs
• Provide SI-branded obstetric wheels
• Report on facilities to help them to meet
international standards
• Provide support to PNG Midwives
Society