TAILIEUCHUNG - Thailand

Although there is no doubt that maternal mortality is reducing, questions continue to be raised about the exact figure for MMR, for example the Bureau of Health Promotion retrospective study of maternal mortality during 1995-1996 using RAMOS approach (Reproductive Age Mortality Survey) revealed a much higher figure than national figures obtained from routine data. Estimates using the RAMOS approach suggest the maternal mortality ratio in 1991 was per 100,000 live births and 43 per 100,000 live births in 1996. Recently however the health data systems have been strengthened and it is expected that future data will be more reliable. Approximately of all births in Thailand take place in a hospital or institution,. | DUDIDU MDG Goal 4 and 5 Indicators Under-five Mortality rate males 32 females 26 per 1 000 liv births Infant mortality rate per 1 000 live births Proportion of 1 year-old children immunized for measles 94 MMR per 100 000 live births Births by skilled attendant O. Data source Basic Indicators Health Situation in South-East Asia World Health Organization South-East Asia Region 2004. Thai population is around million of which million are women aged 15-49 years and are children under 5 years of age. Almost 25 of the population is under 15 years of age. Maternal and child health has been important and has continually been declared as a top priority since the 3rd National Health Development Plan NHDP 1972-1976 and continues to be so in the present plan 9th NHDP 2002-2006 which has set ambitious targets for maternal newborn and child health. The enormous social changes experienced recently has enormous potential for impacting on the sexual and reproductive life styles in Thailand over the coming years especially in the large urban areas. Thailand is often quoted as being one of the success stories for maternal mortality reductions in recent years. Contributing to but by no means the only reason for this achievement is that it has for many years adopted and successfully implemented a safe motherhood project aimed at developing quality maternal and child health services strengthening health personnel efficiency and at reducing maternal mortality and perinatal mortality. Under this project a number of specific initiatives have been implemented. These include WHO UNICEF Ten Steps for Breastfeeding Baby-friendly Hospital Initiative Action for Safe Motherhood Programme Thalassemia Prevention and Control project Reduction of birth asphyxia project Prevention of mother to child transmission of HIV AIDS the Nutrition and Development Corner and Healthy Daycare Center Project. Status of maternal health Maternal health indicators in Thailand

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