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Fast Track Initiative for Reducing Maternal and Newborn Mortality

last updated Dec 6, 2011

Overview

Implementing organization: 
National Hospitals, Referral Hospitals and Health Centers
Implementation Partner(s): 
National Reproductive Health Program, Naitonal Maternal and Child Health Center, Department of Human Resource Development, National Center for Halth Promotion, Bureau of Health Economic and Financing, and Department of Planning and Helath Information
Legal Status: 
State/government
Year Launched: 
2010
Stage: 
Existing/expansion stage
Income Level of Target Population: 
All income levels

Funding

Primary Source of Funding: 
Government

Scale

Personnel Employed: 
100<
Summary: 

Fast Track Initiative for Reducing Maternal and Newborn Mortality (FTI) is a road-map that was initiated by Cambodian government through Ministry of Health in 2010 to improve chance of pregnancy-related survival of mothers and their child through the provision of guidance of key interventions to relevant state and non-state health actors in response to maternal and newborn conditions.

Program goals/rationale: 

In Cambodia, Maternal Mortality Ration (MMR) has remained stagnant at an unacceptable rate of 472 deaths per 100 000 live births (CDHS 2005), equivalent to an estimated figure of 1,600 pregnancy-related deaths a year. The state established the Health Strategic Plan as a guide to facilitate and coordinate the program activities to address these conditions. However, shortage of resources is a major constraint to scale up essential and life saving health interventions that would reduce maternal mortality. The purpose of establishing FTI is to promote the greater access by reproductive women to key interventions that potentially contribute to the reduction of maternal and child death through an allocation of sufficient resources and proper management to implement those key activities in an effective and efficient way.

Key program components: 

MOH selected 7 key interventions that are known as highly potential components to contribute to decrease maternal and newborn mortality. The 7 interventions include Emergency Obstetric and Newborn Care (EmONC), Skilled Birth Attendance (SBA), Family Planning (FP), Safe Abortion (SA), Behavior Change Communication (BCC), Removing Financial Barrier to Access (RFBA) and Maternal Death Surveillance and Response (MDSR).

The use of a single structure and mechanism is hardly possible to solve problems. There must be cooperative works from relevant stakeholders to address the issues in effective way. In implementation of the 7 components, coordinating works are respectively led by the relevant principle institutions such as National Reproductive Health Program (NRHP), National Maternal and Child Health Center (NMCHC), Department for Human Resource Development (DHRD), National Center for Health Promotion (NCHP), Bureau of Health Economic and Financing (BHEF), and Department of Planning and Health Information (DPHI).

For service delivery of EmONC, SBA, SA and FP, NRHP plays a role in coordinating to ensure the proper technical supports, well- equipped facilities, sufficient material, equipments and commodities, and relevant policies and guidelines in place at all levels of public facilities while DHRD primarily focuses on enough recruitment, capacity building and proper deployment of human resources such as doctors, midwives and nurses.

NRHP in collaboration with NCHP coordinates the work on BCC promotion by applying different forms of mass media. BHEF and DPHI work to reduce financial barriers for users to access health care services and improve incentive packages for service providers through engaging government and development partners to align financial resources to the key components of interventions. For MDSR, DPHI works closely with NRHP to implement the system to gather and identify causes, and respond to maternal deaths.

The relevant state and non-state providers at different levels of public health public facilities are coordinated and engaged to work toward the 7 components of interventions. Sub-technical Working Group for each component is used as a platform to update work progress, and discuss and address the challenges during the implementation of FTI.

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FTIRM Final_15062010 with stamp English _2_ received 21 June 2010 _2_.pdf3.78 MB
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