Nguyen: Newborn Care in Vietnam

7/28/2019 Nguyen: Newborn Care in Vietnam

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Newborn Care in Vietnam

Presented at A Global Conference on NB CareJ ohanesburg April 14- 19, 2013

Vinh Nguyen Duc MD; MPHMCH Dept., MOH

Government of Vietnam


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MOH

MCH Department

2ndMed. SchoolProvincial Hos.Provincial RHC

Center

NIN

Central Ob/Gyn Hos.

chc

Dist. hospital

Poly clinic

Midwifery unitRHC Unit

Ped. Dept Ob/Gyn Dept. Ob/Gyn FacultyPed. faculty

Ped. unit Ob/gyn unit

Central Pediatrict Hos

Midwifery unit

Vilaage health worker


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MMR Trends in VN

(Inter-agencies estimations in 2012)

240

160

100

7459 59.3

0

50

100

150

200

250

300

1990 1995 2000 2005 2010 2015 Target

Year

MMR


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Child Mortality Trend in Viet Nam(Source: UN Inter-Agency Group for Child Mortality

Estimation 2011)

51

23

17

37

19

14.8

23

12

0

10

20

30

40

50

60

1990 2010 Target 2015

U5MR (%o)

IMR (%o)

NMR (%o)


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Inequity in NMR (MOH 2009)

NMR/ 1000 live births

95% CI

Lower Upper

National 7 5 9

Mountainous rural 10 8 13

Plain rural 5 3 8

Urban/city 4 2 7


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Causes of neonatal death national data Survey on

maternal and neonatal mortality 2006-2008, MOH


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Policy and Strategies

Law on health Insurence; Labor Law;Advertisement Code; GoV Decree 21

National Strategy on RH Care (including

Newborn Care) for the period 2011 2020. National RH Service Standard.

Child Survival Master Plan 2009- 2015.

National Plan for safe motherhood andnewborn care 2011-2015 (Safe motherhood

Master Plan in 2003).


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National Plan for Safe Motherhood &

Newborn Care 2011-2015

1. Increase investment in SM and newborn care.2. Improve accessibility and quality of MNCH services at

grassroot level, special attention to remote villages(village midwife network and community-based referralsystem).

3. Strengthen the referral network of the health system toensure complications be promptly managed andreferred.

4. Establish Neonatal Care Unit (NCU) at district

hospitals.5. Strengthen competencies of health providers.


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Challenges

Disparity in terms of health status and mortality ofmother and newborn across regions.

U5MR and IMR reduced strikingly, but NMR is still

high and accounted for 70% of IMR and 50% of

U5MR.

Government budget allocated for MNCH.

Capacity of health staff at district and grassroots

levels. KAP of mother and community people on MNCH

care are needed to improve.


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Activities in the years to come to reach MDG5

Approach: Life cycle interventions and HHCC.

IEC/BCC to increase political wills and community support.

Pregnancy and childbirth care to reduce premature births andstillbirths

Early Essential Newborn Care and care for sick newborn (atdistrict hospital) to reduce neonatal deaths, particularly in the 1stweek of life

Scaling up mother-newborn care interventions at birth including:

Active Management of the Third Stage of Labor (AMTSL);

Delay cord clamping;

Skin to skin contact; and

Early initiation of breastfeedingStrengthening Newborn Resuscitation, routine Newborn Care,

including postnatal visits

Scaling up Kangaroo Mother Care to reduce death due to low birthweight and premature births

M& E


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Integrated MNCH services package

through womens life cycleProvincialhospitals

Child care

HouseholdsCommune

health

stations

Districthospital

sPre-

pregnancy

Newborn

care

Postnatal

care

Pregnancy

Delivery

care

Mother, her newborn, children receive

health services whenever they need

Family planning, ANC, delivery care,

Essential Newborn Care , EmONC, IYCF,

Maternal and Child nutrition, child

immunization, management of

childhood disease,

PMTCT

L

ifeCycle


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Lets bring

SMILES

to Mother and Newborn!

Special Tks to UNICEF,

WHO and all other IDPsto support MNCH in VN!

Nguyen: Newborn Care in Vietnam

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