Investor Presentaiton
The failure to achieve the result is partly linked to strong customs and beliefs according to
which women hide their pregnancy for a long time and only start antenatal consultations at a
late stage of the pregnancy, which does not allow them to complete the four recommended
consultations before delivery.
The health information system continued to develop with the introduction and gradual scale-
up of the District Health Information System online platform (DHIS-2) to align with national and
international priorities. The Demographic and Health Survey (DHS) is a key source for
statistics on health indicators and was conducted in 2018, however it was not published due
to severe quality constraints. This situation led to a lack of data on several outcome indicators.
Output 1.1: By 2018, targeted health facilities offer a comprehensive evidence-based
package of high impact quality preventive, promotional and curative interventions for
maternal, neonatal, child and adolescent health and support improved demand for
services
Progress was recorded on maternal and neonatal health. The coverage of basic emergency
obstetric and neonatal care facilities (basic emergency obstetric care) increased from 21% in
2014 to 44% in 2017. Among the facilities, 66% provided essential newborn care and
resuscitation in 2018, compared with 19% in 2014 (United Nations Population Fund - UNFPA
Emergency Obstetric Care Survey 2014 and 2018).
In 2018, emphasis continued to be on newborn care with increased availability of newborn
care practices such as kangaroo mother care and the management of potential severe
bacterial infections in young infants aged less than two months.
In Maradi and Zinder regions, UNICEF built the capacity of 120 health workers on newborn
resuscitation, through low dose high-frequency training approach, and supported the
kangaroo mother care method.
Table.2: Kangaroo mother care
Indicators
From January to
September 2018 in
TOTAL
From January to
September 2018 in
Maradi neonatology
Zinder neonatology
Total live births
Newborn admission in neonatal
unit
unit
3, 336
unit
2,533
5,869
2,375
2,006
4,381
Preterm newborn or newborn
452
424
876
with low weight at birth
Preterm newborn or newborn
211
75
286
with low weight at birth treated
through the kangaroo mother
care method
Death
243
283
526
In 2018, following the evaluation of the former Reproductive Health Road Map, the Ministry of
Health, supported by UNICEF and other partners, developed a new Reproductive, Maternal,
Neonatal, Child and Adolescent Health Strategic Plan. This document, which adopts an
integrated, life-cycle approach, was being budgeted at the end of 2018. When completed, this
strategic plan will be a key tool for future resource mobilization initiatives for the sector.
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