Life-saving wards to cut infant mortality
AFTER SEVEN years in gestation, a partnership forged between the Ministry of Health and Wellness and the European Union gave birth on Tuesday to the second of four high-dependency units (HDU) that were promised to reduce infant and maternal mortality rates in Jamaica.
Health Minister Dr Christopher Tufton charged the medical team to use the recent acquisition to boost the hospital’s track record.
“We have had many close misses in terms of meeting deadlines, in terms of taking full advantage of the €22 million, but I think we have been able to do right by those who had the vision, and the Jamaican people will be better for it,”he said during a handover ceremony at the hospital.
As at 2018, Jamaica’s maternal death rate stood at 93.5 per every 100,000 with a child mortality rate of 16.6 per 1,000 live births.
HDUs are wards that offer standards of observation, treatment, and care higher than general wards but lower than intensive-care units.
The establishment of HDUs in select public hospitals was a target of the Programme for the Reduction of Maternal and Child Mortality, which benefited from the €22-million investment in 2013.
The Jamaican Government was initially given 48 months to improve newborn and emergency obstetrics by establishing 11 HDUs in five hospitals across the island. However, coordinator for the programme, Dr Simone Spence, said a number of factors resulted in them reducing this number.
An HDU was recently opened at the St Ann’s Bay Hospital, and units will be handed over to the Bustamante Hospital for Children and the Spanish Town Hospital in the coming weeks.
The facilities will allow women with high-risk pregnancies to have access to life-saving equipment and intervention.
Head of the EU Delegation to Jamaica, Malgorzata Wasilewska, said that it was crucial to provide highquality healthcare services.
“Health is the foundation on which all our hopes and aspirations are built, and everyone, from the poorest to the richest, from the newborn baby to the elderly, has the right to access preventive healthcare and to benefit from treatment to protect well-being and save lives,”Wasilewska said.
‘... From the poorest to the richest, from the newborn baby to the elderly, has the right to access preventive healthcare and to benefit from treatment to protect well-being and save lives.’
THE NATIONAL Family Planning Board (NFPB) has launched a campaign geared at promoting health-seeking behaviours among pregnant women. Globally, every one to two minutes, a woman dies in pregnancy or childbirth. Jamaica’s maternal death rate stands at 94 in every 100,000, and child mortality rates for the years 2011-2017 average 14.5 per 1,000 live births.
‘Healthy Baby, Healthy You: Healthy Body is a Mus’... Clinic is a Mus’ aims to increase the utilisation of clinical services, promote the importance of timely healthcare interventions, and improve health outcomes for women in high-risk pregnancies. The project is in partnership with the Programme for the Reduction of Maternal and Child Mortality. By extension, it will reduce maternal and child mortality before, during, and after pregnancy. NFPB executive director Lovette Byfield said that women tend to present late for antenatal care due to work and childcare obligations or because they are not first-time mothers.
“One of the very specific objectives of the campaign is that we want to increase by 30 per cent the number of women of childbearing age who can identify high blood pressure as the number-one killer of pregnant women in Jamaica,” she explained.
CAMPAIGN OBJECTIVES
A 20 per cent increase in the number of women between zero and eight weeks pregnant who seek prenatal care; and also a 20 per cent improvement in the number of females who know that becoming pregnant soon after giving birth is not ideal for their sexual and reproductive health, are among the other campaign objectives.
Programme development officer in the Family Health Unit of the Ministry of Health and Wellness Dr Carol Lord appealed to employers to allow their pregnant employees the time to attend antenatal appointments.
“We are not only for maternal health, so their partners must also be able to come to the clinic to support them because they need support throughout the pregnancy,” she appealed.
During the digital launch on Tuesday, head of the European Union (EU) Delegation to Jamaica Ambassador Malgorzata Wasilewska said that the EU is focused on providing training, equipment, and infrastructure.
A maternal and neonatal high-dependency unit was recently opened at the St Ann’s Bay Hospital, and similar units will be opened at the Victoria Jubilee Hospital, the Spanish Town Hospital,and the Bustamante Hospital for Children by the end of July.
In addition, through funding the campaign, the EU will assist with communicating the message to women, particularly those who are economically disadvantaged or live in rural areas.
“I’ve heard too often in my four years here that too many women meet a doctor for the first time when they are giving birth, which means that they do not go to the clinic, they do not look after their own bodies, they are not aware of the risks that their unborn babies are exposed to during pregnancy, and that just cannot happen,” the ambassador shared.