Fast Track Initiative for Reducing Maternal and Newborn Mortality
Country of Operation
- National HospitalsGovernment
- Referral Hospitals and Health CentersNot-for-profit
SummaryThis initiative is a road-map that was initiated by the Cambodian government through the Ministry of Health (MOH) in 2010 to promote greater access to women to key interventions that may contribute to the reduction of maternal and child death and achieving MDG 5 by 2015.
The core objectives of the FTIRM are the following: * To identify priority areas and interventions that needs to be scaled up for each of the key objectives and core areas. * To mobilize substantial financial support for expanding priority interventions aiming to reduce maternal mortality. * Identify policy issues that need to be strengthened in order to enable access for all women to appropriate reproductive and maternal care. * To guide the implementing units of the Ministry of Health at the national and provincial level in prioritizing interventions for reducing maternal mortality.
Key program components
The MOH selected 7 key interventions that are known to be highly-effective in contributing to a decrease in 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). Implementation of the 7 components is being coordinated by relevant principle institutions such as the 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 the delivery of the EmONC, SBA, SA and FP services, the NRHP ensures that there is proper technical support, well- equipped facilities, sufficient material, equipment and commodities, and relevant policies and guidelines in place at all levels of public facilities. Furthermore, the NRHP, in collaboration with NCHP, coordinates the work on BCC promotion by applying different forms of mass media. The DHRD primarily focuses on recruitment, capacity building, and proper deployment of human resources such as doctors, midwives and nurses. The BHEF and DPHI work to reduce financial barriers for users to access health care services and improve incentive packages for service providers by engaging government and development partners in aligning 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.