Presenter: Ei Ei Tin, Marie Stopes International Myanmar
Myanmar is one of the countries with high maternal mortality (200/100,000 LB), and neonatal mortality (30/1000 live births) in 2010. Seventy percent of the populations resided in rural areas where the main service providers for maternal health are midwives. But, the midwife to population ratio is about 1:1195 showing gaps in coverage of maternal and child health in rural settings. This study is a review of case stories collected during 3 years of project implemented by Marie Stopes International (MSI), international non-government organization in Myanmar. MSI provides antenatal, postnatal and newborn care, different methods for family planning and treatment for childhood illness through mobile clinics in rural areas of 8 townships to fill the gap in availability, accessibility and affordability of maternal and child health services. A total of 60 clients were involved in face-to-face interview regarding the services received and the impact on their lives. 42% of respondents (25clients) received antenatal care and accessed postpartum family planning services in mobile clinics. Among them, 6 cases previously planned to deliver at home were detected as high risk pregnancies and referred to hospital. 38% of respondents received family planning services according to their choices on short term or long term methods and unmet need can be diminished. Some of them were first time user of contraception in their lives. 20% of cases were under 5 children receiving treatment for diarrhea and referred for pneumonia and neonatal jaundice. In conclusion, mobile clinics approach in rural settings facilitates early detection of danger signs and timely referral to reduce the maternal and child morbidity and mortality.