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Laos

Pilot programme for safe motherhood


MdM intervient dans la province de Champassak, dans le sud du Laos, dans les districts de Soukhouma et Mounlapamok. Le programme vise à réduire la mortalité maternelle et infantile liée à la grossesse et à l’accou­chement et des enfants de moins de 5 ans.

Avec 4,1 % des dépenses publiques consacrées à la santé, la situation sanitaire en République démocratique populaire du Laos est extrêmement préoccupante, notamment dans le domaine de la périnatalité. Le taux de mortalité maternelle reste l’un des plus élevés d’Asie du Sud-Est. Dans les districts concernés, plus de 90 % des femmes accouchent chez elles, sans assistance médicale.


Pilot programme for safe motherhood

» Champassak province, Soukhouma and Mounlapamok districts

  LIFE EXPECTANCY 67.5 YRS HDI 0.524; RANK 138
  Source: UNDP 2011
  POPULATION
  » Beneficiary: 21,280
  » Target: 101,354
  PERSONNEL
  » National: 17
  » International: 3
  COORDINATORS
  » Programme: Stéphane Saint Léger
  » Field: Isabelle Decout
  » HQ: Valérie Pardessus
  FUNDING
  » AFD, MdM
  BUDGET
  » 2011: €339,980
 » ACTIVITIES

MdM is working in Champassak province in the south of Laos, in Soukhouma and Mounlapamok districts. The programme aims to reduce maternal and infant mortality linked to pregnancy and childbirth and mortality in children under five years old. MdM has renovated health centres and is training midwives (in pregnancy, delivery, neonatal care, spacing of births) and volunteers in the villages, to promote maternal healthcare.

MdM is also actively involved with focus groups on the new national strategy for maternal and child healthcare, which includes, among others, the implementation of a system of free healthcare throughout the country. Despite being launched in autumn 2010, the programme only really got underway after signing the agreement with the Laotian government in May 2011.

» RESULTS

Eight community midwives trained over 10 months. 144 promoters of maternal and child health trained in the villages.

» OUTLOOK

Current activities are consolidated. At the district and provincial level, MdM is lobbying for the removal of user fees.

Testimony obtained in a village in Mounlapamok district, during the evaluation process

I never went to the health centre to have my pregnancy monitored, I didn’t know it was important. I gave birth just with my husband, as with my first children. I was afraid that giving birth in the health centre would be too expensive. One woman died during childbirth in another village.”

August 2012