Rawalpindi Medical University, Pakistan
Posters & Accepted Abstracts: J Women's Health Care
Objective: Globally, 2.4 million children died in the first month of life in 2020 – approximately 6,500 neonatal deaths every day 1. National mortality rate in Pakistan in 2020 is still 40.4 deaths per 1000 live births2. Pakistan also has a quite high maternal mortality rate of 140 per 100,000 live births3. The ratio is also 26pc higher in rural areas - 199 deaths, than urban areas - 158 deaths. 4 Community health workers, especially in rural areas, can play a significant role in decreasing neonatal and maternal mortality567, by educating the people about the causation, as well as ensuring safe birth practices. The objectives of our study are to analyse the level of knowledge, and practices of mothers about neonatal care and to assess the contribution of community health workers in promoting the knowledge and care for neonates. Methodology: It is an on-going research .A cross-sectional study is being conducted among the mothers of neonates (a child below the age of 28 days) of District Headquarters Hospital, Rawalpindi also among the health workers of tribal districts of Waziristan. We have used USAID Questionnaire Assessment of Community Health Workers to Prevent Neonatal Mortality as the data collection tool Results and Conclusions: After literature review we came to know that in developing countries like Pakistan, where there are an estimated 0.82 physicians, 0.57 nurses and midwives, and 0.06 community health workers per 1000 population, the health care system can be improved and neonatal mortality decreased by training and supervising the community health workers. Brazil improved its public health system by focusing on community awareness. The bottom line in all of this is that the world of global health is moving rapidly towards a new framework of health systems. In which the real foundation of a health system is what takes place in the community. The results of this study have yet to be finalized According to our research, 70-80% mothers responded that community health workers do not conduct workshops in their districts about breastfeeding practices, about maternal diet and health, about family planning, about basic neonatal care etc. When we will break the taboo to talk openly about maternal health, maternal mortality rate and neonatal mortality rate will decrease significantly. Women’s health has been neglected over the years with the uterus being called from the word “hysteria”, with the woman labelled witches and neglected medical opportunities. It has gone a long way from myths to awareness. But still there is a long way to go to overcome the burdens of the deaths of our mothers and neonates.