Reduction of Maternal Mortality by 12% and Infant Mortality by 11%: Government Reviews Implementation of the Head of State’s Instructions

At a Government session, Minister of Healthcare Akmaral Alnazarova reported that in the National Development Plan until 2029, the adoption of comprehensive measures to reduce maternal and infant mortality has been defined as a priority. In this regard, the Ministry has approved a plan for the development of maternal and child health services until 2030.

According to her, the Sustainable Development Goal indicators for maternal and child healthcare have been achieved. Thanks to the implementation of WHO and UNICEF recommendations on the regionalization of perinatal care and effective safe motherhood technologies, the measures taken made it possible in 2024 to reduce maternal mortality by 12% and infant mortality by 11%. Based on the results of the first six months of the current year, the decrease was 10% and 26%, respectively.

The achieved indicators became possible thanks to the Ministry’s systemic measures. New approaches to providing medical care for mothers and children are being introduced in the country in line with international requirements, and standards and clinical protocols are being updated — 25 in obstetrics and 20 in pediatrics. New approaches to the management of postpartum hemorrhage have been introduced: the number of organ-preserving surgeries has increased by 20% this year. Timely assistance measures using medical aviation have saved 96% of women and children. The equipment rate of maternity and child healthcare facilities has reached 87%, and the wear of medical equipment has decreased from 40% to 37%.

For the first time this year, the “Analar Saulygy” program, aimed at preparing women for pregnancy, was launched — 5.1 billion tenge were allocated for 12 types of examinations. Last year, Fetal Protection Centers and one-day clinics were established at 22 regional perinatal centers. As a result, more than 100,000 pregnant women underwent about 500,000 examinations, and the detection of congenital anomalies increased by 13%.

Fetal medicine technology has also been introduced for the first time — 71 intrauterine surgeries were performed, which saved the lives of 96 newborns. From this year, pediatric departments are opening within the PHC system, as well as 100 early development and intervention centers.

“‘Salauatty Ana’ boarding houses are opening for the early hospitalization of high-risk pregnant women and for the rehabilitation of women after complicated deliveries from remote rural settlements. As of today, boarding houses providing services to pregnant women have been opened in Turkistan, East Kazakhstan, and Akmola regions. We ask akims of other regions to resolve the issue of opening boarding houses in regional centers by the end of the year,” the Minister noted.

In addition, 20 situational centers have been organized in the regions to monitor the health of pregnant women and women of reproductive age and ensure timely hospitalization.

Akmaral Alnazarova noted that renovation of 18 regional perinatal centers and 15 children’s hospitals has begun. The goal is to standardize the structure, implement new technologies, improve qualifications, and strengthen the material and technical base. It is also planned to restore 302 specialized beds. Centers of competence and training centers will be opened within these facilities.

She added that last year 162 pediatricians graduated, and this year another 159 are completing their residency. Starting September 1, training will begin in 14 in-demand pediatric specialties. Doctors sent to rural areas can receive payments of up to 8.5 million tenge.

By order of the President, 12 projects for the construction of modern perinatal centers in major cities and in the village of Temirlanovka have been determined. All akimats have allocated land plots. Shymkent and Karaganda have been designated as pilot projects, where design and estimate documentation is being developed for subsequent replication.

The Ministry reported that work is underway to implement a digital child profile up to 18 years old. An electronic health passport has been introduced for kindergarten and school admission, along with an electronic card for pregnant and postpartum women and a proactive pregnancy support service. To date, 348,000 notifications about upcoming appointments and screenings have been sent. Integration of the registry of pregnant women and women of reproductive age with medical information systems has been implemented, and its modernization is ongoing.

#Government session #Healthcare #President's instruction #Protection of Children's Rights

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