Prepared By

Dr. Osama Refaat International Consultant

Resource Person of Egypt & Representative of

Population Communication & Gillespie Foundation

California, USA

1

ROBERT W. GILLESPIE

BOB

2

On behalf of Population Communication & Gillespie Foundation I would like to forward the greetings of BOB to all PPD members

and esteemed attendees and his hope for the success of the 14th International Inter-Ministerial Conference .

27 Governorates

283 Districts

5146 PHC Units

Egypt’s Concept

• 287 thousands women globally die every year as maternal deaths.

• 99% of maternal deaths in the developing countries

• No woman should die while she is giving life.

• Maternal mortality is one of the main indicator of socioeconomic, health status and welfare of the country.

• There should be Better information, Better decisions, Better health.

Despite of

BUT

Definition of ICD

A maternal death is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.

The International Classification of Diseases (ICD-10th )

96 Million

6

1 Newborn each 15 Second

4 Newborn / Minute

240 Newborn / Hour

5760 Newborn / Day

Egypt Has

7

8

The Curve of Total Fertility Rate 1980 - 2017

9

5.34.9

4.44.1

3.63.3 3.4 3.5

3.2 3.1 3

3.53.5

0

1

2

3

4

5

6

1980 1984 1988 1991 1995 1997 1998 2000 2003 2005 2008 2014 2017

Current Contraceptive Use in Egypt During 1980-2014 (DHS)

10

24.2

30.3

37.8

47.6 47.147.9

54.5 51.8 56.160 59.2 60.3 58.5

0

10

20

30

40

50

60

70

1980 1984 1988 1991 1992 1995 1997 1998 2000 2003 2005 2008 2014

Maternal Mortality Ratio per 100,000 live

births in Egypt 1992-2016

174

84

6054 58 55 50 52 51.8 49 45.9

0

20

40

60

80

100

120

140

160

180

ratio

92-

93

2000 2005 2007 2009 2011 2012 2013 2014 2015 2016

years

* Maternal mortality ratio not including accidental and incidental

Women and Family Factors

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30%

19%

2%

0%

5%

10%

15%

20%

25%

30%

Delay in

seeking care

Difficult

Acessability

Unwanted

Pregnancy

Delay in Seeking Care

Difficult Acessability

Unwanted Pregnancy

Neonatal, Infant and Under- Five Mortality

Curve During 1965-2015

13

44

3021 19 20

146

124

82

63

4133

25

238

203

157

139

110

81

1414

454853

6763

16

23

97108

141

3322

28

243

5439 41

28

280

100

200

300

1965 1970 1974 1978 1981 1986 1991 1994 1999 2004 2008 2014 2015

Neonatal

Infant

Under-5

Marital Status of Early Married Girls Less than 18 Years and Females

More than 18 Years (CAPMAS 2017)

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Early Married

Girls, 0.60%

Femals more than

18 years, 60%

Femals less than

18 Years, 40%

Find Root Causes of the Obstacles

&

Launch Challenges to Promotion 15

What Egypt Does

To Promote Maternal and Child Health As well as Adolescent and Youth Health

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Conduct maternal mortality surveillance system and survey studies utilizing its potentials. Expand and facilitate the access to quality services through mobile teams Enhance antenatal care & vaccination programs. Pay attention to adolescent & youth. Issuing a law criminalizing early marriage before 18 years

Objectives

Identification of maternal deaths.

Determination of maternal mortality ratio at the national and governorate level.

Determination of causes and avoidable factors of maternal deaths.

Development of improvement Plans and taking action to avoid future maternal deaths.

Maternal Mortality Surveillance System

Hospital Home

Health Offices Health Officer/Clerk

District Health Offices District Assistant Director for MCH

Governorate Health Directorate Safe Motherhood Committee

Central MCH Department Safe Motherhood Committee

Interview DNF

MMSQ

Interview

Avoidable factors And causes of death Improvement Plan

DNF MMSQ

Flow of data in MMSS

Field visits to 5000 health offices to monitor & supervise

the program implementation

Development of health information centers to assure

the accurate registration of births and deaths.

Review all investigated case reports and feed back

comments to the governorates.

Reinvestigate 5 % of all maternal mortality cases.

Follow up actions taken by safe-motherhood committee

to prevent future deaths.

Quality Control

Conducting youth monthly conference in the presence of the president Al Sisi, prim minister , ministers, authority persons to hear, discuss and respond to youth problems, needs and their created nontraditional solutions.

Conducting the world forum for youth to enable them exchanging general and technical knowledge and countries’ culture.

Upgrading the capabilities of the youth for leadership positions.

Raising health awareness of young peoples by youth volunteers through peer to peer education.

Encouraging married couples to have small family (Two Children)

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The Interest of Egypt’s Political Leadership in

Empowering Youth in all Executive Fields in Egypt

Youth Friendly Clinics Services

The youth volunteers participate in providing comprehensive services package which tackles the health needs of young people through 108 full integration of youth friendly clinics services in primary healthcare centers of Urban areas.

Youth-Friendly Health Services offered are based on an understanding of what young peoples

(10-24 years) in a given community want and need, and must have respect for the realities of young people’s diverse backgrounds.

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Orientation Services Provide in

Youth Friendly Clinics at PHC Level

Adolescent period and related physiological changes

Nutrition during Adolescent period

Healthy life style and Oral health

Mental health most common problems

Infectious and sexually transmitted diseases prevention

Non communicable diseases

Reproductive health, sexual health and family planning benefits including specific counseling of contraceptives

Violence and gender based violence

Harmful practices and behaviors

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Thank You

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