2023-11-08 01:39:25
Director of NHSO Region 12 revealed that he joined local communities in using the PDRC budget to work proactively in joining forces with ‘Tho Bi Dae’, an ancient midwife – leaders of each community in the three southern border provinces. Educate pregnant women to take care of themselves properly and support additional budget for hospitals. If the number of mothers who die following giving birth is reduced according to the target
Dr. Weeraphan Leethanakul Director of the National Health Security Office, Region 12, Songkhla (NHSO Region 12, Songkhla) revealed to “The Coverage” in an episode that he has joined with the Subdistrict Administrative Organization, Health Region 12, and service units. Hospitals in the area of responsibility, which includes 7 provinces, including Trang, Phatthalung, Satun, Songkhla, Pattani, Narathiwat and Yala, work together to take care of the health of pregnant women. and reduce the risk of pregnancy The successful result was to effectively reduce the maternal death rate in the overall area of the district.
However, in the overall picture, the three southern border provinces Currently, there is still the problem of pregnant women being at greater risk. And there is still a relatively high rate of maternal death. This is mainly due to the health risks of the population in the area. It was found that most especially in the three southern border provinces. have had multiple pregnancies make the stomach later When the age is past the appropriate age This increases the risk to the health of the mother and fetus.
In addition, there are factors of cultural beliefs in the area. that adheres to the individual or community leaders Especially the Bi Dae table or the ancient midwives in the area More than modern medical personnel This makes it difficult to arrange for prenatal care. And as a result, pregnant women at risk of health are delayed in accessing the service system, although NHSO District 12 Songkhla is ready to support the budget for health services to take care of pregnant women from prenatal care. Pregnancy health check Check the health of mothers and babies until giving birth and follow up on postpartum symptoms Which is a right in the national health insurance system (30 baht gold card) that is already covered.
Dr. Weeraphan said that when he saw the cause, NHSO District 12 joined with Health District 12, service units in the area. Both subdistrict health promotion hospitals (subdistrict health promotion hospitals) and community hospitals and the local sector, especially community leaders in the area, including kamnans, village headmen, and important forces, namely Village health volunteers (VHVs) have joined together to proactively drive the provision of health knowledge for pregnant women. together with the Bidair tables that the locals in the area respect and obey Participate in giving advice to pregnant women on proper health care according to public health guidelines. which was piloted in Narathiwat Province and has been well received Before expanding the results and guidelines to Pattani and Yala provinces.
Dr. Weeraphan said that this drive is a drive that NHSO District 12 Songkhla has joined with the local government. It is the use of the budget from the Local Health Security Fund (NHCO) that is jointly supported by the NHSO and the local government as a budget for promoting the health of people in the area. which many PAOs This budget has been used for pregnant women as well. Especially the support of consumer products that are beneficial to health. This is another important support and promotion that allows pregnant women in each community to have access to quality food for themselves. and fetus including assistance in other areas from the local area
Dr. Weeraphan said that at the same time, in the hospitals in the three southern border provinces Coordinate that registration to verify identity is difficult for entering information into the system to make disbursements. You must identify yourself every time you provide that service. NHSO Region 12 has changed guidelines to reduce the work process of service units. By allowing one time registration for pregnant women, then NHSO will support the budget for care from prenatal care to delivery.
At the same time, if we reduce the maternal death rate following live birth Giving an overall picture of the three southern border provinces remaining at 19 people but 100,000 live births, NHSO District 12 Songkhla will have additional budget to support the service units. Hospitals that have achieved their goals
“It will be another incentive that is a reward for service units in the three southern border provinces. In addition to supporting all aspects of health services from NHSO. District 12, where if we work together to make the overall number of deaths decrease will receive additional budget But the results may be different, for example, some provinces do better. received a larger budget, etc.,” said Dr. Weeraphan.
Dr. Weeraphan also discussed the overall picture of health service support for pregnant mothers in Health District 12, saying that previously in Health District 12 there was a high death rate for pregnant women. That is quite high. Moreover, during the COVID-19 outbreak, it was found that there was a high death rate of infected pregnant women as well. The cause was found to be access to vaccines at that time. and the medicine has problems This causes the at-risk group of pregnant women to receive the medicine late.
However, the process of reinforcing each other makes management more efficient. This causes groups at risk to receive the COVID-19 vaccine and treatment when they become infected more quickly. This has caused the number of pregnant women in infected areas to survive progressively higher.
“From that point on, the networks that had worked together in the past continued their work to systematically care for pregnant women. Especially creating mechanisms and work processes from upstream, namely pregnant women and their families, communities, village health volunteers, to downstream, namely obstetricians and gynecologists. and expert medical teachers and reinforce local forces that come to support the health of people in the area As a result, the overall maternal death rate in Health Zone 12 has dropped significantly and is no longer ranked among the areas with the highest death tolls in the country at present,” said the Director of NHSO, Zone 12, Songkhla, at the end.
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