a428f3c661c6c4ff4d093bca3c409c82.ppt
- Количество слайдов: 14
Proportion of births attended by skilled health personnel (Myanmar) Workshop on MDG Monitoring: 2015 and beyond, Bangkok, 9 -13 July 2012
Map of The Republic of the Union of Myanmar
Definition • The percentage of deliveries attended by skilled health personnel
Data sources • Routine Health Management Information System • Household surveys –FRHS, IHLCA, MICS
Data Items collect in HMIS (Monthly report) • Home deliveries by basic health staff • Deliveries at RHC delivery room • Deliveries at public hospitals • Total livebirths • Total stillbirths
Data Flow Department of Health Planning (HMIS), Department of Health State/Regional Health Department District/Township Health Department MCH/UHC/Station HU/RHC Sub Rural Health Center
Calculation method (HMIS) • Numerator: Number of Births attended by skilled health personnel during one year • Denominator: Total number of deliveries during same year • Skilled health personnel : Doctors, nurses and midwives (Not include auxiliary midwife and traditional birth attendants)
Method of computation (Survey) • Numerator - Number of women aged 15 -49 years with a birth in a reference period preceding the survey that were attended during childbirth by skilled health personnel • Denominator - Total number of women surveyed aged 15 -49 years with a birth in the same reference period preceding the survey
Periodicity of Measurement • HMIS – every year • Survey – every three or five years
Percent 80. 0 67. 1 64. 8 64. 4 67. 0 64. 1 57. 9 51. 7 52. 6 50. 1 60 53. 3 70 55. 3 80 63. 6 Percentage of births attended by skilled health personnel 50 40 30 20 10 Source: Health Management Information System 2015 2011 2010 2009 2008 Year 2007 2006 2005 2004 2003 2002 2001 2000 0 10
Source: HMIS Hospital Delivery(%) 2000 12. 9 2001 12. 8 2002 13. 2 2003 12. 9 2004 12. 9 Institutional Delivery(%) (Hospital+ RHC Delivery Room) 2005 15. 4 2006 16. 7 2007 17. 0 2008 17. 7 2009 17. 2 2010 20. 8 2011 23. 2 11
SBA (%) Source: HMIS 2000 53. 3 2001 50. 1 2002 55. 3 2003 52. 6 2004 51. 7 2005 57. 9 2006 63. 6 2007 64. 1 2008 67 2009 64. 4 2010 64. 8 2011 67. 1 Source: MICS Source: IHLCA Source: FRHS 57 72. 5 (2004 -2005) 64 77. 9 (2009 -2010) 70. 6 12
Comments and limitations • Standardization of the definition of skilled health personnel • Calculation method – livebirths or total births • Completeness and coverage of routine data • Rely on answer by respondents • May not adequately capture women’s access to good quality care
a428f3c661c6c4ff4d093bca3c409c82.ppt