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0
Poorest Second Middle Fourth Richest Average
Skilled Birth Attendance Rate (%)
by Wealth Quintile
(%)
100 97
91
90 87
2011/12
80
72
70 2017 64 64
60
51
50 45
42
40
33
30 24
20
11
10
0
Poorest Second Middle Fourth Richest Average
Skilled Birth Attendance Rate (%)
by Mother’s Education
(%)
100
90 91 93 98
90 86 87
80 2011/12 75
70 64 64
60 2017 57
50
42
40 36 35
30
20 16
10
0
None Primary Lower Upper Post Higher Average
secondary secondary secondary
non tertiary
Skilled Birth Attendance Rate (%)
by Ethnicity
(%)
100
90
2011/12
80
78
2017
70
59
60 53
50
48 46 43
40
30
21 18 18
20
10
0
Lao-Thai Mon-Khmer Hmong-Mien Chinese-Tibetan Other, DK, Missing
Skilled Birth Attendance Rate (%)
by Residence
(%)
100
90
90 2011/12
80 Breakdown
80
2017 with/without road
70
59
60 55
50
40 34
31 33
30
20
12
10
0
Urban Rural Rural with road Rural without
road
Challenges/Problems, Innovative Strategy in Health to
Achieve Gender Equality & Empower all Women & Girls
1. Health network is covered but high MCH mortality and malnutrition are
linked to quality of services, poverty, culture, parents or mother
education, etc.
2. Health accessibility and affordability are still facing especially in
remote and ethnic group areas
3. Culture barrier including gender inequality, behavior, adolescent
married and languages (IEC)
4. Free delivery and <5 treatment policy implementation to increase
health accessibility and affordability (HSR)
5. National Strategy and Action Plan for Integrated Services on
Reproductive, Maternal, Newborn and Child Health (2016-2025) to
reduce MMR/IMR and malnutrition
6. Gender Equality on Mother and Child Health Services Strategy (2019-
2025) to increase opportunity for empowerment and promotion with at
least 1 female at health center (GAP)
Fewer Female on high Qualification & Positions
Qualificati Position
No. Total Female % No. Total Female %
on levels levels
Master
2 1012 415 41%
level
Departmen
2 90 17 19.5%
t level
Diploma
3 3.754 2.138 57%
level
Mid &
5 Basic 12.427 8.747 70%
4 Unit level 2.734 1.624 59%
levels
MCH Services At Facility Levels
Neo-Natal Mortality in ASEAN
1 Brunei 4.4
2 Cambodia 16.2
3 Indonesia 13.7
4 Lao PDR 28.7
5 Malaysia 4.4
6 Myanmar 24.5
7 Philippines 12.6
8 Singapore 1.1
9 Thailand 7.3
10 Timor-Leste 21.6
11 Vietnam 11.5
Source: WHO, World Health Statistics 2018, Monitoring Health For the SDGs
Maternal Mortality Ratio
1200
Cambodia
China
1000 1020
Lao PDR
905
Papua New Guinea
800
730 Philippines
695 Solomon Islands
600 546 Viet Nam
470 484
400 418
364 377
342 315
273 277 294 215 206*
214 238
200 197
139
152 122 164 136 161
124 127 129
107 81 114
97 61 58
72 58 48 35 27
0
Data source: Trends in Maternal Mortality: 1990 to 2015 Estimates by WHO, UNICEF, UNFPA,
The World Bank and the UN Population Division, WHO 2015 *Census 2015: MMR 206 as the baseline for the future
Main Causes & Factors to Maternal Mortality
Haemorrage,
Other 25%
Indirect, 20%
ANC?
Other Direct,
8% Sepsis,
14%
Abortion,
13%
Eclampsia,
Obstructed
13%
Labor, 7%
Females on Health Programs
Health is wealth, no gender maybe no health and sustainability!