In 2006, MNCH Program was launched in Gilgit Baltistan. Government of Pakistan is a signatory to the millennium declaration and this effort is aimed to achieve the health related goals. Government of Pakistan has prepared many strategies for the uplift of the poor and marginalized segments of the population. One of the most important areas identified in social sector is “poverty reduction. The recognition that improving the health of women and children can achieve social sector goals for poverty reduction. The Government prepared a five years program called Maternal Neonatal and child Health Care (MNCH) at National level to cover SDG 3.
Goals
- The program goal is to improve Maternal, Newborn and Child Health of the population, particularly among its poor, marginalized and disadvantaged segments.
- To improve the accessibility of quality and effective MNCH services for all, through development and implementation of an integrated and sustainable MNCH program at all levels of the Health Care delivery system.
Objectives
The Program objective are:
- To reduce the Under Five Mortality Rate from 104 in 2013 to 80 per 1000 live births by the year 2025.
- To reduce the Newborn Mortality Rate from 39 in 2013 to 30 per 1000 live births by the year 2025.
- To reduce the Infant Mortality Rate from 86 in 2013 to 70 per 1000 live births by the year 2025.
- To reduce Maternal Mortality ratio from 290 in 2013 to 200 per 100,000 live births by the year 2025.
- To increase the proportion of deliveries attended by skilled birth attendants at home or in health facilities from 55% in 2013 to 75% by the year 2025.
- To increase Contraceptive Prevalence Rate from 27 % in 2013 to 40 % in 2025.
Implementation Strategies
MNCH Program is a comprehensive program aiming at strengthening, upgrading and integrating ongoing interventions and introducing new strategies. The program will:
- Strengthen district health systems through improvement in technical and managerial capacity at all levels and upgrading institutions and facilities.
- Streamline and strengthen services for provision of basic and comprehensive emergency obstetric and newborn care (EmONC).
- Integrate all services related with MNCH at the district level.
- Introduce a cadre of community-based skilled birth attendants.
- Increase demand for health services through targeted, socially acceptable communication strategies.
The program is focusing on five main components for achieving targets. These are:
- Comprehensive and integrated MNCH services at the district level
- Community-based Skilled Birth Attendants
- Comprehensive Family Planning Services at health facilities
- Advocacy and Demand Creation
- Operational Arrangements