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Maternal and child health in Ghana: progress, challenges and prospects

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Ayaga A. Bawah's presentation to Annual Health Forum of Civil Society Organizations in Health, October 16, 2008, Alisa Hotel, Accra

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Maternal and child health in Ghana: progress, challenges and prospects Ayaga A. Bawah, PhD Principal Research Associate INDEPTH Network Accra, Ghana Presented at the maiden Annual Health Forum of Civil Society Organizations in Health, October 16, 2008, Alisa Hotel, Accra
[object Object]
Background ,[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object]
Critical Issues… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Progress is possible China
Measurement is critical ,[object Object],[object Object]
Equity is critical… ,[object Object]
What options exists for measuring outcomes? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the current situation in Ghana? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Process Indicators for Measuring Progress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Process indicators ,[object Object],[object Object],[object Object],[object Object]
Less controversial estimates for childhood mortality… ,[object Object],[object Object],[object Object]
But represent erosion in gains… *If we add results of Multiple Indicator Cluster Survey (77 per 1000), infant mortality even goes much higher
Reanalysis of the 2003 DHS data showed that neonatal mortality is the key driver for the increases in childhood mortality – infant and U5
Estimates vary for maternal mortality…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Estimates…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other indicators ,[object Object],[object Object],[object Object],[object Object]
What are major causes of maternal deaths?
What is driving the worsening conditions? ,[object Object],[object Object],[object Object],[object Object]
Equity is critical… ,[object Object],[object Object]
Equity is critical…. Region Poverty quintile Place
Supervised deliveries
Progress is possible…
 
We know what to do… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
0.00 0.25 0.50 0.75 1.00 Survival 0 2 4 6 Analysis time in years None Partial Full Kaplan-Meier Cumulative Probabilities of Survival, by immunization status of under five children Source: Bawah et al. 2008
[object Object],[object Object],[object Object],Combined with: 1. More health professionals 2. Greater financial resources 3. Robust tracking of progress & accountability 4. Sustained political commitment 5. Target poor and vulnerable communities 6 . Focus on policies to r educe the disparities in health status What needs to be done is clear
Lots of policy documents, pronouncements, but… ,[object Object],[object Object],[object Object],[object Object]
Policies… ,[object Object],[object Object]
Have Civil Society Organizations played a role? Yes, but could they do more… ,[object Object],[object Object],[object Object]
CSOs and Health delivery… ,[object Object],[object Object]
Can do more… ,[object Object],[object Object],[object Object],[object Object]
Can do more… ,[object Object],[object Object],[object Object],[object Object]
Thank you!

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Maternal and child health in Ghana: progress, challenges and prospects

  • 1. Maternal and child health in Ghana: progress, challenges and prospects Ayaga A. Bawah, PhD Principal Research Associate INDEPTH Network Accra, Ghana Presented at the maiden Annual Health Forum of Civil Society Organizations in Health, October 16, 2008, Alisa Hotel, Accra
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  • 14. But represent erosion in gains… *If we add results of Multiple Indicator Cluster Survey (77 per 1000), infant mortality even goes much higher
  • 15. Reanalysis of the 2003 DHS data showed that neonatal mortality is the key driver for the increases in childhood mortality – infant and U5
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  • 19. What are major causes of maternal deaths?
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  • 22. Equity is critical…. Region Poverty quintile Place
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  • 27. 0.00 0.25 0.50 0.75 1.00 Survival 0 2 4 6 Analysis time in years None Partial Full Kaplan-Meier Cumulative Probabilities of Survival, by immunization status of under five children Source: Bawah et al. 2008
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