Basics of safe motherhood concept

1. ---Prashiddha Dhakal
MBBS, KUSMS

2. “SIX PILLARS” OF SAFE MOTHERHOOD
Safe Motherhood
FP ANC PNC
Obs.
Care
Post
Aborti
on
Care
Communication for behavior change
Equity & Education for women
STD/
HIV
Contr
ol
Primary health care

3. 1.Family Planning--- Information & services to
plan the timing, number & spacing of
pregnancies

4. 2.Antenatal Care--- For early detection &
treatment of complications of pregnancy

5. 3.Obstetric Care--- Provide proper knowledge &
equipments to the birth attendants & ensure
emergency care for high risk pregnancy

6. 4.Postnatal Care--- For both mother & her baby.
Includes lactation assistance, FP services &
management of complications of delivery

7. 5.Post abortion care--- Management of
complications & FP consultation

8. • 6.STD/HIV Control--- Voluntary Counseling &
Testing (VCT), Prevention of Mother to Child
Transmission (PMTCT)

9. National Safe Motherhood & Newborn
Health-Long Term Plan 2006-2017

10. • Developed by MoHP to fulfill the goals of
maternal health status in Nepal
• Goal---
To improve maternal & neonatal health & survival,
especially of poor & excluded people
• Key indicators of the goal---
1. Maternal Mortality Ratio- Reduction from 539
per 1 lakh life births to 134 per 1 lakh by 2017
2. Neonatal Mortality Ratio- Reduction from
39/1000 to 15/1000 by 2017

11. • Other indicators of safe motherhood---
1. Infant Mortality Rate
2. Total Fertility Rate
3. Contraceptive Prevalence Rate
4. ANC coverage rate
5. % delivery assisted by SBA
6. % of women who took iron during pregnancy
7. % of institutional delivery
8. % of caesarean section
9. Obstetric case fatality rate

12. • Strategies---
1. Promoting intersectorial collaboration for safe
motherhood at central, regional, district &
community level---- i.e. between sectors like
health, education, and social welfare ,legal and
local development
2. Promote research on safe motherhood to
contribute to improved planning , higher quality
services, and more cost-effective interventions
3. Supporting activities that raise the status of
women in society

13. 4. Expanding delivery by skilled birth attendant &
basic/comprehensive obstetric care services at
all levels---Interventions include :
 Developing the infrastructures for delivery and
emergency obstetric care.
 Establishing functional referral system and
advocating for emergency transport systems
and funds from communities to district
hospitals for obstetrics emergencies and high –
risk pregnancies.
 Strengthening community –based awareness on
birth preparedness and complication readiness
through FCHVs ,increasing acess of all relevant
maternal health information and service