perinatal situation in kosovo for years 2000 â 2004 - UNFPA
perinatal situation in kosovo for years 2000 â 2004 - UNFPA perinatal situation in kosovo for years 2000 â 2004 - UNFPA
poverty has increased from 12 per cent in 2000 to 15 per cent in 2003. Unemployment is very high, with 57 per cent of the available workforce out of work. It is particularly concentrated among women and young people who have levels of close to 70 per cent. Perinatal mortality records deaths occurring during late pregnancy (after 22 weeks gestation), at birth and during the first week of life (0-6 days). The poor reporting of vital events by the health institutions renders it difficult to estimate the perinatal mortality reliably. WHO, UNICEF and UNFPA have tried to solve the problem by collecting and analyzing data on perinatal indicators since 2000. The report does not cover deliveries at home or in the private clinics. The recorded perinatal rate was 29.2 in 2000 while for year 2004 is 25.6 per 1.000 births. Although there is a decline trend the figures are far too high from the Western Europe countries and this need to be explained and addressed properly by specific studies and one of the possible causes may be inadequate level of the antenatal care. The development of perinatal mortality over the past four years is characterized by a steady stillbirth rate and a slightly decreasing perinatal and early neonatal mortality rates suggesting that the further educational and clinical efforts and support in needed to improve the quality of obstetric and neonatal care in Kosovo. In year 2004 Ministry of Health in row of previous organized conferences by the WHO and UNICEF in collaboration with Kosovo Mother and Child Health Council, Kosovo Gynaecology Association and Kosovo Paediatric Association and supported by UNICEF Kosovo Office has organised a Perinatal Conference. In year 2005 Ministry of Health supported by Swiss Red Cross/UNFAP in collaboration with other relevant institutions and organization have created a working group for development and completed the Reproductive Health Strategy and currently is in the final stage for finalizing the Reproductive Healthy Law. World Health Day 2005 was focused on maternal and child health with motto “Make Every Mother and Child account”. For this purpose was organized in Kosovo a campaign and conference leaded by the Ministry of Health - Mother and Child Health Office in collaboration with different relevant institutions and very actively supported by WHO, UNICEF and UNFPA. This conference gathered government stakeholders, organizations, professionals and local society and enabled presentation of the Perinatal situation in year 2004, launching of the different publications and final draft of Pregnancy and Child Health booklets. The conference was successful and Mr. Sadik Idrizi, Minister of Health declared year 2005 the Mother and Child Year in Kosovo. 3
Perinatal data for years 2000 – 2004 Methodology In order to evaluate the perinatal situation in Kosovo in year 2000 the WHO Mother and Child Health unit in Kosovo has created a monthly report on maternal and neonatal activity recording form for collection of the data. These recording forms were distributed prior to the relevant staff in all maternities. The information where extracted and reported from the delivery room and neonatal unit logbooks. The data were collected also from the health facilities were deliveries occurred even they are not endorsed as maternities. The data were collected also from the Neonatal Unit of Pediatric Clinic in Prishtina for the number of newborns refereed and early neonatal deaths. There were no data collected on home deliveries or deliveries in private clinics. With aim to obtain overall and accurate perinatal mortality data, neonatal deaths occurred in Prishtina Neonatal Unit are attributed to the refered maternities. In year 2001 UNICEF Kosovo Office has joined and during these years leaded and supported collection and analysing process of the perinatal indicators. The process of data collection and analysis process continued actively supported by the health professionals, Kosovo Mother and Child Health Council, Kosovo Gynecology Association and Kosovo Pediatric Association. The collected data has filled the lack of vital indicators and data collection process has followed the same methodology since year 2000. Definitions and Indicators are based on the Family Planning, Maternal & Child Health & Reproductive Health, used in the WHO Regional Office for Europe. The results and interpretation of data for the year 2000 – 2004 were as below: • Reported number of deliveries • Reported mode of delivery • Reported number of live births • Reported number of low birth weight babies • Reported number of stillbirths • Reported number of early neonatal deaths, and • Reported number of maternal deaths The following indicators were calculated using the reported data: • Perinatal Mortality Rate • Early Neonatal Mortality Rate • Stillbirths Rate • Maternal mortality ratio, and • Caesarean section Rate 4
- Page 1 and 2: PERINATAL SITUATION IN KOSOVO FOR Y
- Page 3 and 4: Table of Contents Acknowledgment...
- Page 5 and 6: Acknowledgment The Perinatal report
- Page 7: Introduction In 1999, Kosovo came u
- Page 11 and 12: Human Resources During year 2003 an
- Page 13 and 14: Graph 1: Kosovo - Reported number o
- Page 15 and 16: Graph 2: Kosovo - Perinatal Mortali
- Page 17 and 18: Stillbirth Rate for years 2000 - 20
- Page 19 and 20: Early Neonatal Mortality Rates for
- Page 21 and 22: Graph 6: Kosovo - Main Causes of Ea
- Page 23 and 24: Graph 6: Kosovo - Perinatal Mortali
- Page 25 and 26: 19. To organize regularly professio
- Page 27 and 28: Annex 2. KOSOVO MATERNITY ACTIVITY,
- Page 29: MAKE EVERY MOTHER AND CHILD COUNT U
Per<strong>in</strong>atal data <strong>for</strong> <strong>years</strong> <strong>2000</strong> – <strong>2004</strong><br />
Methodology<br />
In order to evaluate the <strong>per<strong>in</strong>atal</strong> <strong>situation</strong> <strong>in</strong> Kosovo <strong>in</strong> year <strong>2000</strong> the WHO Mother and<br />
Child Health unit <strong>in</strong> Kosovo has created a monthly report on maternal and neonatal<br />
activity record<strong>in</strong>g <strong>for</strong>m <strong>for</strong> collection of the data. These record<strong>in</strong>g <strong>for</strong>ms were<br />
distributed prior to the relevant staff <strong>in</strong> all maternities. The <strong>in</strong><strong>for</strong>mation where extracted<br />
and reported from the delivery room and neonatal unit logbooks. The data were<br />
collected also from the health facilities were deliveries occurred even they are not<br />
endorsed as maternities. The data were collected also from the Neonatal Unit of<br />
Pediatric Cl<strong>in</strong>ic <strong>in</strong> Prisht<strong>in</strong>a <strong>for</strong> the number of newborns refereed and early neonatal<br />
deaths. There were no data collected on home deliveries or deliveries <strong>in</strong> private cl<strong>in</strong>ics.<br />
With aim to obta<strong>in</strong> overall and accurate <strong>per<strong>in</strong>atal</strong> mortality data, neonatal deaths<br />
occurred <strong>in</strong> Prisht<strong>in</strong>a Neonatal Unit are attributed to the refered maternities.<br />
In year 2001 UNICEF Kosovo Office has jo<strong>in</strong>ed and dur<strong>in</strong>g these <strong>years</strong> leaded and<br />
supported collection and analys<strong>in</strong>g process of the <strong>per<strong>in</strong>atal</strong> <strong>in</strong>dicators. The process of<br />
data collection and analysis process cont<strong>in</strong>ued actively supported by the health<br />
professionals, Kosovo Mother and Child Health Council, Kosovo Gynecology<br />
Association and Kosovo Pediatric Association. The collected data has filled the lack of<br />
vital <strong>in</strong>dicators and data collection process has followed the same methodology s<strong>in</strong>ce<br />
year <strong>2000</strong>.<br />
Def<strong>in</strong>itions and Indicators are based on the Family Plann<strong>in</strong>g, Maternal & Child Health &<br />
Reproductive Health, used <strong>in</strong> the WHO Regional Office <strong>for</strong> Europe.<br />
The results and <strong>in</strong>terpretation of data <strong>for</strong> the year <strong>2000</strong> – <strong>2004</strong> were as below:<br />
• Reported number of deliveries<br />
• Reported mode of delivery<br />
• Reported number of live births<br />
• Reported number of low birth weight babies<br />
• Reported number of stillbirths<br />
• Reported number of early neonatal deaths, and<br />
• Reported number of maternal deaths<br />
The follow<strong>in</strong>g <strong>in</strong>dicators were calculated us<strong>in</strong>g the reported data:<br />
• Per<strong>in</strong>atal Mortality Rate<br />
• Early Neonatal Mortality Rate<br />
• Stillbirths Rate<br />
• Maternal mortality ratio, and<br />
• Caesarean section Rate<br />
4
Change language