Annual Report of the Department of Health 2010 - Unrwa

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PRECONCEPTION CARE PRECONCEPTION CARE PRECONCEPTION CARE Prenatal care, which usually begins at week 11 or 12 of a pregnancy, comes too late to prevent a number of serious material and child health problems in the U.S. The fetus is most susceptible to developing certain problems in the first4-10 weeks after conception; before parental care is normally initiated. Because many women are not aware that they are pregnant until after this critical period of time, they are unable to reduce the risks to their own and to their baby’s health unless intervention begins before conception. US National Centre on Birth Defects and Developmental Disabilities Preconception care is widely recognized as a critical component of the maternal and child health. It comprises a set of prevention and management interventions that aim to identify and modify risks to a woman’s health or pregnancy outcome by emphasizing factors that must be acted on before, or early in, pregnancy in order to have maximal impact. It can be broadly defined as the provision of biomedical and behavioural interventions prior to conception in order to optimize women's wellbeing and subsequent pregnancy outcomes. Couples receive counselling in UNRWA when planning a pregnancy and are advised to avoid too many, too early, too late and too close pregnancies through modern family planning methods. PROGRESS IN 2010 Preconception care services became an integral component of the UNRWA health offer and services in 2010 and were operational and fully implemented in all Fields. The preconception care program is now part of the maternal health care and fully integrated within the primary health care system. ACTIVITIES OF THE PRECONCEPTION CARE SERVICE Couples with conception intentions are counselled and provided with the necessary medical care in addition to folic acid supplementation to achieve the following objectives: - Manage and control factors which contribute to poor birth outcomes before pregnancy; - Ensure that all women of reproductive age enter pregnancy in optimal health; - Encourage early registration for antenatal care; - Achieve further reduction in infant, child and maternal morbidity and mortality by preventing or minimizing health problems for the mother and her foetus; - Avoid unwanted pregnancies by helping couples understand their reproductive health options and adjust their lifestyle accordingly; - Control hereditary diseases among new-borns through identification and counselling of parents with increased genetic risks, providing them with sufficient knowledge to make informed decisions about their reproductive options; - Prevent and treat infections, in particular genital tract infections; - Prevent and control of hereditary anaemia; - Identify and assist, whenever feasible, couples who may have infertility problems; and - Improve the overall knowledge, attitudes and behaviours of men and women regarding reproductive health in general, and preconception care in particular. 25
MAIN COMPONENTS OF THE AGENCY'S PRECONCEPTION CARE SERVICE - Health promotion - Counselling - Screening - Periodic risk assessments - Intervention and follow-up - Folic acid supplemenation ACTIVITIES OF THE FAMILY PLANNING SERVICE A total of 23,931 new family planning acceptors were enrolled in the family planning programme during 2010. The total number of continuing users of modern contraceptive methods Agency-wide increased by 3.9% from 134,729 in 2009 to 139,965 in 2010. Table 3 - Family planning services, 2010 Jordan Lebanon Syria Gaza Strip West Bank Agency No. of new Family Planning acceptors 8,115 1,734 2,399 9,256 2,427 23,931 Total No. of con nuing users at end year 37,307 13,269 18,778 49,797 20,814 139,965 Distribution of FP users according to method IUD 40.0% 42.5% 43.8% 52.5% 58.3% 48.1% Pills 30.9% 25.0% 26.6% 22.8% 23.0% 25.7% Condoms 25.6% 31.5% 25.8% 20.4% 15.6% 22.7% Spermicides 1.0% 0.3% 1.0% 0.7% 0.8% 0.8% Injectables 2.5% 0.7% 2.9% 3.6% 2.3% 2.7% 26
Page 1 and 2: The Annual Report of the Department
Page 4: © UNRWA, 2011 This document is a f
Page 7 and 8: Oral health services Physiotherapy
Page 9 and 10: MESSAGE OF THE UNRWA COMMISSIONER G
Page 11 and 12: PRECONCEPTION CARE The comprehensiv
Page 13 and 14: THE UNRWA HEALTH PROGRAMME: IMPLEME
Page 15 and 16: Strategic Partnerships and Cooperat
Page 17 and 18: GROWING MORBIDITY DUE TO NON COMMUN
Page 19 and 20: SUCCESS STORIES FROM THE FIELDS SCR
Page 21 and 22: NEW-BORN SCREENING FOR HEARING IMPA
Page 23 and 24: Cooperation between UNRWA and the S
Page 25 and 26: UNRWA’s integration efforts over
Page 27 and 28: The developed integrated modules in
Page 29 and 30: 60+ 50 - 54 40 - 44 30 - 34 20 - 24
Page 31 and 32: POPULATION SERVED IN 2010 By the en
Page 33: . The support of the international
Page 37 and 38: The success of the family planning
Page 39 and 40: The maternal health modules of the
Page 41 and 42: Table 5 - Family health training ac
Page 43 and 44: In 2010, the percentage of pregnant
Page 45 and 46: 100 95.7 95.8 96.8 % of hospital de
Page 47 and 48: ecovered after delivery, 8.2% were
Page 49 and 50: PRECONCEPTION CARE Children represe
Page 51 and 52: No. of infant and children in thous
Page 53 and 54: 40 35 30 25 20 15 10 5 0 35 36 31.2
Page 55 and 56: Table 19 - Coverage of the expanded
Page 57 and 58: new knowledge and skills into the r
Page 59 and 60: THE 2010 UNRWA - SYRIA GLOBAL SCHOO
Page 61 and 62: - Protective Factors: 36.5% of stud
Page 63 and 64: ACCESS TO HEALTH CARE One of the st
Page 65 and 66: 5 4.4 4.7 4.5 4.7 No. of lab tests
Page 67 and 68: - UNRWA laboratories in the West Ba
Page 69 and 70: An assessment of workloads, product
Page 71 and 72: The outcome of the treatment sessio
Page 73 and 74: The programme in Gaza Field relies
Page 75 and 76: PROFESSIONAL SUPERVISION CMHP profe
Page 77 and 78: VIRAL HEPATITIS Figure 27, shows th
Page 79 and 80: The total amount spent from the UNR
Page 81 and 82: Drugs 86% Equipment and Supplies 14
Page 83 and 84: mainly due to the different resourc
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Distribution of patients by sex Alm
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PREVALENCE OF HYPERTENSION As shown
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RISK SCORING A modified scoring sys
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ADDRESSING THE DETERMINANTS OF HEAL
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THE SCHOOL FEEDING PROGRAMME (SFP)I
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THE WEST BANK The programme’s eme
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OTHER ENVIRONMENTAL HEALTH ACTIVITI
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UNRWA’S INTEGRATED COMMUNITY BASE
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Table 50 - Percentage of women empl
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THE WEST BANK In the West Bank, UNR
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with mental health case files activ
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Figure 43, shows the proposed funct
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FINANCIAL RESOURCES The total Healt
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THE HEALTH INFORMATION SYSTEM The c
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West Bank Praccal Nurse 2 Master De
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The Health Department established a
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Contents Annexes The annexes to the
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Annex 1 - Health Fact Sheets 2010 J
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Annex 1 - Health Fact Sheets 2010 -
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Number of doctors per 100,000 regis
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Annex 3 - Contacts TECHNICAL STAFF
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Contents MDG Millennium Development
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Annual Report of the Department of Health 2010 - Unrwa

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