(精选)Quality Standards in Obstetric Care-The right approach to reduce maternal mortality- Kerala experience.教学课件.pptVIP

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(精选)Quality Standards in Obstetric Care-The right approach to reduce maternal mortality- Kerala experience.教学课件.ppt

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Quality Standards in Obstetric Care-The right approach to reduce maternal mortality- Kerala experience. Transmitted to South Africa on 6th April 2016 vppaily@ MMR Best index of health care of a society. MMR reflects Not just obstetric care, but Socio economic status of women Women’s educational standard The respect women get Government’s willingness to spend on women’s health. To ensure low MMR and safe maternity care several players are required. Woman herself Her family Medical team – Doctors Nurses Administrators Politicians To ensure low MMR The most critical step - the care during delivery We are convinced of this because of our experience in Kerala Kerala Kerala India Total population 33.4 Million 1.237 Billion Infant Mortality rate (2012) 12 42 Maternal Mortality Ratio(2010-12)* 66 178 Female Literacy 91.98 65.4 *Sample Registration Survey Kerala_the maternity landscape Institutional deliveries: 98.4% (28% public, 72% private) No insurance cover (most pay out of pocket ) Maternal Mortality in Kerala We conduct Confidential Review of Maternal Deaths - 2004 Realised that many avoidable maternal deaths still occur. In 2012, Govt of Kerala consulted NICE International To identify the issues and suggest steps to reduce MMR. NICE relied heavily on the findings of CRMD published as “Why Mothers Die-Kerala”. Q S- Collaborative work Kerala Government Health Services National Health Mission ( Central government) Kerala Federation of Obstetrics and Gynecology (KFOG) NICE International Rajeev Sadanandan (Principal Secretary) Beena Mahadevan (NRHM Director) Dr Paily (KFOG) Dr Kalipso Chalkidou Dr Francoise Cluzeau (NICE Intrenational) How the QS was developed Convened multidisciplinary* group Selected areas of priority for the QS Based on NICE’s Quality Standard methods KFOG with NICE International support drafted statements These were discussed by multidisciplinary group Went through several iterations Developed