Today a new national five-year strategy and a policy for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) was launched in Sierra Leone, which aims to help reduce maternal and child deaths in the country.
Sierra Leone currently has among the highest rates of maternal and child mortality globally, as well as high incidence of teenage pregnancy. Current estimates suggest that up to 6 percent of women in Sierra Leone will die from maternal causes during their reproductive life. Based on the latest UN figures released, the country has an estimated under-5 mortality rate of 114/1000 live births which means that 1 in 9 children lose their life before their fifth birthday.
“Each year too many of our women and children are dying from causes which are largely preventable and treatable, and the Government has committed to doing everything in its power to overturn this tragic situation,” said Dr Abu Bakarr Fofanah, Minister of Health and Sanitation, speaking at the launch event in Freetown. “Our new RMNCH strategy outlines practical interventions to save lives, improve the quality of care offered at our health facilities, address underlying causes of ill health and help ensure women, children and youth not only survive but also thrive and transform their communities.”
ambitious agenda will not be realized without the active support and engagement of our community champions, health workers at all levels, District Health Management Teams, the media, other Ministries, NGOs, the private sector, and our development partners and communities themselves,” he added.
Sierra Leone has registered good progress in some key areas of reproductive, maternal and child health. Lifesaving vaccines are reaching children and pregnant women across Sierra Leone, to prevent and tackle some of the leading infectious diseases. Attendance of at least four checkups during pregnancy increased from 56 to 76 percent over the previous strategy period; malaria treatment increased from 30 to 48 percent, and recent surveys show that levels of stunting among children under 5 years reduced from 37 to 29 percent.
The new Strategy outlines a number of critical areas for further action including: strengthening the quality of care offered at all levels of the health system, and improving access to services such as family planning; emergency obstetric and neonatal care; management of newborn and childhood illnesses at hospital and primary care levels; nutrition; prevention of teenage pregnancy; and water, hygiene and sanitation (WASH).
“WHO is proud to have supported the country in developing this strategy together with our partners, but we are also aware that this is just the beginning,” said Alexander Chimbaru, Officer-in-Charge of WHO Sierra Leone. “Everyone from communities to health workers, policy makers and the international community, has a role to play now in implementing the strategy, and ensuring women, children and youths are accessing quality health services that save lives.”
The Strategy, which has been developed with technical and financial support of the H6 Global Health Partnership including WHO, UNICEF, UNFPA and the World Bank Group; UKAid, and other health partners, aims to reduce the rate of maternal and child deaths by 45 and 55 percent respectively by 2021. These ambitious targets are needed to bring the country in line towards meeting the targets of the UN Sustainable Development Goals (SDGs).
Published on Reliefweb on November 6, 2017
About sexual and reproductive health
"Women’s sexual and reproductive health is related to multiple human rights, including the right to life, the right to be free from torture, the right to health, the right to privacy, the right to education, and the prohibition of discrimination. The Committee on Economic, Social and Cultural Rights and the Committee on the Elimination of Discrimination against Women (CEDAW) have both clearly indicated that women’s right to health includes their sexual and reproductive health. This means that States have obligations to respect, protect and fulfill rights related to women’s sexual and reproductive health. The Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health maintains that women are entitled to reproductive health care services, goods and facilities that are: (a) available in adequate numbers; (b) accessible physically and economically; (c) accessible without discrimination; and (d) of good quality [see report A/61/338]."