Progress for pregnant women, babies

Significant progress has been made to ensure that newborn babies are not infected with HIV from their mothers. The national mother-to-child HIV transmission rate is now about 2.5 percent. Picture: AP

Significant progress has been made to ensure that newborn babies are not infected with HIV from their mothers. The national mother-to-child HIV transmission rate is now about 2.5 percent. Picture: AP

Published Oct 29, 2013

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Johannesburg - South African health facilities are slowly improving their treatment of babies and pregnant women, but certain provinces and districts are holding back progress.

Mpumalanga is the only province where more mothers died in childbirth in 2012/13 than the previous year, while stillbirths have also increased in that province, Limpopo and the Northern Cape.

The worst district for stillbirths was the Western Cape’s Central Karoo district, where they have more than doubled in a year, although the number of cases is still small.

These are some of the findings of the District Health Barometer 2012/13, which was launched on Monday night in Pretoria.

“The stillbirth rate is a good indicator of care during the third trimester (of pregnancy) and intra-partum period (labour),” according to the Barometer.

Improving maternal and child health is one of the Health Department’s main priorities, particularly as research has shown that around four out of 10 maternal deaths are preventable if women are given proper care.

South Africa has cut maternal deaths from 189.5 per 100 000 births in 2009 to 132.9 per 100 000 in 2012/13. But we are still very far from meeting our international commitment to cut maternal mortality to 38 deaths per 100 000 births by 2015 as part of the Millennium Development Goals.

Mpumalanga’s maternal mortality rate is 175.8 per 100 000, while the Capricorn district in Limpopo reported a shocking maternal mortality of more than double the national average (292.2 deaths per 100 000 deliveries). KwaZulu-Natal’s uMgungundlovu (Pietermaritzburg) and Uthungula were also poor performers.

At the other end of the spectrum, only 6.4 women died per 100 000 births in Cape Town.

About half the women who die in childbirth succumb to Aids-related infections, so identifying HIV infection is critical.

About 27.3 percent of pregnant women are living with HIV, and KwaZulu-Natal continues to battle with huge HIV infection rates, with an infection rate that is 10 percent higher than the national average. Ugu was the worst in the country, with 44 percent of pregnant women living with HIV.

The national health department has been campaigning for pregnant women to visit their clinics for check-ups as soon as they know they are pregnant, so that any potential problems can be picked up early. But the Western Cape is the only province where the majority of pregnant women have had at least one check-up halfway through their pregnancies.

Only about one-third of pregnant women in OR Tambo and Alfred Nzo in the Eastern Cape and Joburg had check-ups by 20 weeks, the lowest rates in the country.

South Africa is also committed to reducing the deaths of children under the age of five to 20 deaths per 1 000 births (two percent) as part of the Millennium Development Goals.

Significant progress has been made to ensure that newborn babies are not infected with HIV from their mothers. The national mother-to-child HIV transmission rate is now around 2.5 percent, and in the Western Cape the rate is only 2 percent.

The country is also making slow but steady progress to reduce diarrhoea with dehydration in children under five, and there are now 12 cases per 1 000 children. Only the Free State and Northern Cape reported more cases than the previous year.

 

There was a slight increase in cases of severe malnutrition (4.4 cases per 1 000 children under five), with half the districts reporting increases. – Health-e News Service

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