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Presented by H.E. Yim Chhay Ly Deputy Prime Minister, Chairman of council for Agricultural and Rural Development, Cambodia
24 Provinces about13.4million
Cambodia background
located in the SEA, members of ASEAN Land of 181035 square kilometer Population 13.4 millions In 2005: MMR 472/100000LB Infant Mortality: 89/1000LB Low ANC rate 42% one visit Home delivery high 85% 56% assist by TBA( traditional Birth attendant) Caesarian section rate very low 0.5%
Cambodia background
Main causes of maternal deaths are: ante natal and post natal bleeding, bleeding during childbirth, obstructed labor, eclampsia, infection, abortion and anemia due to malnutrition.
Political commitment
Suggestions of the First National Midwifery forum 13-14 December 2005
1)Increase the number of midwife with appropriate civil servant carder for better staff distribution. 2) have the special constitution for midwife to motivate the midwife recruitment 3) Revise the midwifes motivation especially who work at the rural and remote area 4)continue to support for the opportunity to the midwife skill through scholarship improving the teaching environment, incentive, and accommodation
The main purposes of the FTIRM are: 1. To outline major areas and evidence-based interventions which, if provided at scale, have a potential to dramatically reduce maternal and newborn mortality 2. To identify resources needed for rapidly expanding recommended interventions and to highlight funding gaps which could inform resource mobilisation strategy 3. To suggest specific maternal health activities to be included in the annual operational plans of various implementing units at the national and sub-national level
7 Source: Fast Track Initiative Road Map for Reducing Maternal & Newborn Mortality, 2010-2015
Core Components
1) Emergency Obstetric and Newborn Care 2) Skilled Birth Attendance 3) Family Planning 4) Safe Abortion
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MMR development in Cambodia 1990-2010. Estimates for 1990 and 1995 from WHO, the remainder from CDHS For 2005 and 2010 with 95% confidence intervals
Challenge