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Maternal Mortality in Chitral, Pakistan

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Amanda Sarrazin

on 3 April 2014

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Transcript of Maternal Mortality in Chitral, Pakistan

Maternal Mortality in Chitral, Pakistan
Background on the Issue
Problem Tree
Objective tree
Project Planning Matrix
Background on the issue
Problem tree
Objective tree
Project planning matrix
Maternal Mortality in Pakistan (Cont'd)
Pakistan has a maternal mortality ratio of 297 per 100,000 live births (Mumtaz et al, 2014)
Childbirth and pregnancy complications remain the leading cause of death for women in Pakistan (Mahmud et al, 2011; Mumtaz et al, 2014)
Important Indicators (Mahmud et al, 2011):
Fertility rate: 4.1
Contraceptive prevalence rate: 30%
Unmet need for contraception standing at 25%

Millennium Development Goal 5 in Pakistan
Maternal Mortality in Pakistan
Pakistan: Inequities in Accessing Health Care
Some Barriers to Seeking Skilled Care
Long travel distances
21.5% of women who had never received antenatal care mentioned the long travel distances as their main challenge (Noorani et al, 2013)
The average distance from a primary healthcare facility to a secondary-level health facility is 45 km (Noorani et al, 2013)
Lack of transportation
Even when it is available, travel costs constitute half of the average cost of a visit to a health facility (Noorani et al, 2013)
Cost of care
41% of Chitral's population is classified as poor while 18% is considered ultra-poor (Noorani et al, 2013).

Chitral District, KP, Pakistan
Largest district in the province of KP.
“Difficult mountainous terrain, harsh weather, and poor road infrastructure” (Noorani et al, 2013)
Low density and dispersed population (Noorani et al, 2013).
73.4% of deliveries occurring at home, of which only 20% are assisted by a skilled birth attendant (Noorani et al, 2013).

Maternal Mortality in the Khyber-Pukhtunkhwa (KP) Province, Pakistan
Within Pakistan, the province of Khyber-Pukhtunkhwa (KP) (formerly called North-West Frontier Province) suffers from the highest levels of maternal mortality (Noorani et al, 2013).
Eighty-five percent of all deliveries in this province take place at home as opposed to a national average of 65% (Noorani et al, 2013).

The strategies used by the government to reduce maternal mortality failed to address the most crucial elements that restrict access to healthcare for marginalized women (Mumtaz et al, 2014).

Highest Quintile Lowest Quintile
% of women using
antenatal care
92% 37%
% of women
delivering in health
74% 12%

Through this presentation, a well-designed and well-thought out project addressing the issue of maternal mortality in Chitral, Pakistan has been put forward.

With all the results, activities, indicators, and assumptions identified, we think that this project is worth your attention as a funder because we are confident that it will help reduce the level of maternal mortality in Chitral.

Narrowed Down Problem Tree
Full transcript