Objectives of the 2014-2020 national multisector program to combat maternal, newborn and child mortality

General Objective

By 2020, reduce:

  • By 29% maternal deaths - from 782 toImprove demand for FP services 557 per 100000 live births;
  • By 27% under five deaths, - from 122 to 89 per 1000 live births;
  • By 23% newborn deaths - from 31 to 24 per 1000 live births..

Specific Objectives

To improve the national capacity for implementation of high impact interventions (IMCI, EmONC, FP,…) in at least 80% of health structures.

  • To correct the discrepancies in equipment, infrastructure and logistics (vehicles/motorcycles)
  • To develop district and regional operational plans of interventions that contribute to curbing maternal, newborn and under five mortality
  • To provide continuos training to service providers.
  • To ensure maternal and perinatal death surveillance and response
  • To strengthen RMNCH content in initial and continuous training curricula of health care professionals
  • To improve the performance of the national health information system
  • To ensure integrated supervision of high impact RMNCH interventions at all levels.

To organize collaboration/coordination of at least 80% of implementing structures for effective execution of activities related to high impact interventions.

To set up a platform of collaboration between all actors (MOH, partner administrations, civil society, private sector and Technical and Financial Partners)

To make sure that at least 80% of women of reproductive age pregnant women and children under five have access to continuous quality services and care.

  • Subsidize maternal and newborn care (Voucher system, obstetric kits)
  • Contribute to reinforcing integrated outreach strategy approach and include missing RMNCH activities
  • Contribute to reinforcing performance based financing in favour of MNCH high impact interventions
  • Implement the RMNCH integrated communication plan including advocacy
  • Ensure promotion of the essential family practices (antenatal consultation, exclusive breast-feeding, vaccination, deworming, making water potable , hand-washing with water and soap, environmental and individual hygiene, use of mosquito nets, screening for malnutrition, promotion of modern contraception methods, community surveillance and response of maternal and perinatal deaths and implementation of Community self-diagnoses…)

To ensure follow-up of interventionsfor reduction of maternal,, newborn and child mortality implemented by the vertical programs and other health interventions and those of other sectors.

 Family Planning:

  • Increase the CPR from 16.1% in 2014 to 30.56% by 2020,
  • Increase contraceptive prevalence from 16.1% to 30.56%,
  • Increase utilization rate of long acting methods from 4.3% to at least 20%,
  • Reduce the rate of unmet needs réduire from 16,6% to 10% at most,
  • Reduce the prevalence of early pregnancy in adolescents aged 15 to 19 from 25,2% to 12,5%,
  • Increase contraceptive prevalence within teenagers aged15 to 19 years from 12.1% to 29%.
  • To increase the contraceptive prevalence at the teenagers by 15 to 19 years from 12.1% to 29%.

To achieve the aforementioned objective it is necessary to:

  • Improve service delivery, both in quality and quantity of PF
  • Ender the environment entitling more favourable for PF (carry out advocacy for a favourable political, financial and legislative environment for FP)
  • Improve follow-up and coordination of FP services

Malaria:

At least 80% of pregnant women receive intermittent preventive treatment and LLITN s according to national guidelines
At least 80% of children from 3 to 59 months of the targeted zones receive preventive seasonal chemotherapy for malaria
At least 80% of suspected cases of malaria in children and pregnant women seen in health facilities or in the community are tested by TBF or or RDT;
100% of the cases of malaria confirmed in children and pregnant women, are treated in accordance with the national guidelines in health facilities and in the community

Prevention of Mother to Child Transmission of HIV (PMTCT) and Paediatric care Assumption HIV/AIDS VIH/SIDA (PC):

Aims at reducing to less than 5% the residual transmission rate of the HIV of the mother to child.

  • 90% of pregnant women received in health facilities are tested for VIH;
  • At least 90% of pregnant women tested HIV positive and exposed babies are put on prophylactic ARV
  • 90% of HIV positive pregnant women and exposed babies receive prophylactic Cotrimoxazole
  • 90% of the exposed babies are re-examined at 6 weeks
  • Coverage of babies on TARV increases to at least 60% by 2017 (the number of children on ARV increases from 4992 to 18707 in 2017)

The Newborn:

  • Contribute to reducing avoidable néonatal mortality by reaching a coverage of at least 80% with priority newborn health interventions
  • Increase by 70% the management of premature births (use of the corticosteroids, Kangaroo mother care) within all health care facilities in Cameroon
  • Implement essential newborn care in at least 80% of healthcare facilities
  • Reinforce implementation of Kangaroo Mother Care in at least 50% of healthcare facilities
  • Ensure correct newborn resucitation for babies with asphyxia in 80% of maternities
  • Ensure correct management n of 75% of new-born babies suffering from infections.

The Expanded Program on Immunization:

Reach a vaccination coverage of at least 90% at the national level and at least 80% in all the health districts and for all antigens by 2020 (move coverage of in Penta 3 from 77% to at least 80% in 100% of HDs).

Nutrition and Blood Transfusion (strategic plans are being developed):

Ensure the management of the Multisector National program to combat Maternal, Newborn and Child Mortality all the levels.

  • Ensure the follow-up of implementation of high impact interventions within the PLMI
  • Organize évaluation of the 2014-2020 PLMI strategic plan
  • Render account of the evolution of implementation of the 2014-2020 PLMI.