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Perinatal care in Pakistan: a situational analysis
1Department of Pediatrics, Aga Khan University, Karachi, Pakistan.
Summary
Pakistan faces high perinatal mortality, with nearly 60% of infant deaths occurring neonatally. Government programs aim to improve maternal and newborn care, but long-term solutions require empowering women and prioritizing healthcare resources.
Area of Science:
- Public Health
- Neonatal Medicine
- Maternal Health
Background:
- Pakistan experiences a high perinatal mortality rate (60-90/1000 births), with stillbirths comprising nearly half.
- Neonatal deaths account for approximately 60% of all infant mortality, showing little change over decades.
- Inadequate attention to maternal and newborn care programs is a primary contributing factor.
Purpose of the Study:
- To review the challenges and initiatives related to maternal and newborn care in Pakistan.
- To highlight the government's efforts in improving perinatal and neonatal outcomes.
- To discuss long-term strategies for reducing neonatal mortality.
Main Methods:
- Review of existing government programs and healthcare initiatives.
- Analysis of national mortality statistics and trends.
- Discussion of educational and policy-related interventions.
Main Results:
- Government programs like Social Action and Health Care Programs are being implemented for domiciliary maternal and newborn care.
- Revitalization of primary health care services aims to improve high-risk pregnancy recognition and referral.
- Emphasis is placed on incorporating neonatal care into medical training and continuing education.
Conclusions:
- Current initiatives focus on improving immediate care delivery and professional training.
- Long-term reduction in neonatal mortality necessitates enhancing women's educational and social status.
- Increased political support and resource allocation to primary and secondary healthcare are crucial for sustainable improvements.