EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY
AND MORTALITY IN KISARAWE
DR. M.O. KISANGA
KISARAWE
INTRODUCTION
Kisarawe District is among the seven District of
Coast Region. It boulders Dar Es Slam City to the
East while to the North it boulders with Kibaha
District and Rufiji in the South. The total
population is 102,783. Children under 5 year is
13,156 children under one year 2,878, women of
bearing age mothers 21,584 it consists of 4
Division, 15 Wards and 74 Villages.
SITUATION ANALKYSIS
The District has one Hospital 3 Health Centers and 17
Dispensaries. Among those facilities 17 Health facilities
provides Reproductive and child health service 3 which
is antenatal Care, Delivery and Post Partum care
services. How ever health Deliveries of community level
is mostly facilitated by community based actors
(CORPS) such as traditional birth attendants, etc. About
69.5% of pregnant mothers in Kisarawe District deliver
their baby’s under the supervision of clinician Nurses
with Midwifery skills in ensuring survival of both mother
and baby, pregnancy and child birth complications are
the leading cause of death for women of bearing age.
PROBLEMS STTEMENT
1. 30.5% of home deliveries conducted t home by
TRDITIONAL BIRTH attendants;
2. Low attendance of pregnant mothers to reproductive
child health clinic before 20 weeks of gestation,
pregnant mothers miss opportunity of getting early
provision of care e.g. intermittent presumptive
treatment, vaccination Iron tabs and mabendazol etc.
3. Lack of knowledge on family planning which results in
high risk pregnancies e.g.:
–
–
Too early pregnancy before 20 years of age contributes to
criminal abortion;
Too soon pregnancy before 2 years after the last pregnancy,
this affects the health of mother and contributes to infant death
due to early weaning and luck of exclusive breast feeding;
•
Too many-more than 4 pregnancies
which increases post partum
• Hemorrhaged
• Too late – getting pregnancy after 35
years of age leading to complicated
delivery.
4. Poor referral system due to Luck of
Transport (Ambulance) and
communication from the District level to
other health facilities
5. Lack of birth preparedness from the
family members e.g. funds for transport
ect.
6. Shortage of Trained personnel especially
at ruler area sometimes deliveries are
conducted by entrained health workers
leading to delay in decision making
CAUSES OF MATERNAL DEATH.
(a) Direct causes
(b) Indirect causes
Major contributing factors to high maternal
mortality.
CAUSES OF
PERINATAL MORTALITY
STRATEGIES.
• Employment of skilled service providers
• Training of health workers on focused
Antenatal care
• Strengthening community pregnancy
monitoring system at village level and
follow up of pregnant mothers.
• Regular supportive supervision at the
health facilities.
• To purchase an ambulance of improve
referral system
• To procure and supply of essential
obstetrical emergency care
• To up grade Health centers for Emergency
obstetrical care
• On job training on how to fill maternal and
perinatal death review forms and to take
action of the problem Identified.
EFFORTS DONE TO PREVENT MATERNAL AND
PERINATAL MORTALITY
• Employed 6o skilled staffs 39 Nurses and 21
clinical officers
• 35 service providers trained on Focused
Antenatal care.
• Process of Purchasing an ambulance done
• Maternal and perinatal death review forms are
discussed and action taken on the problems
Identifies when the death occur
• Community pregnancy monitoring forms
distribute at village level
• Process of procurement of essential obstetrical
Emergency care is proceeding.
Thank you for listening.