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There are significant barriers to access abortion and post-abortion care
|Belize Health Sector Strategic Plan||
At page 18 of the above document, it states
|Improving Maternal Care in Belize|
|Quality Improvement of Maternal and Neonatal Policy||
This document does not exist online. It was sent to my group by Dr. Natalia Beer (Minister of Health in Belize) via an e-mail correspondence with Ms. Joan Burke (Executive Director of the Belize Family Life Association).
There is no specific program aimed at reducing maternal mortality. This issue is addressed through other programs focused on pregnancy care, sexual and reproductive health, violence, HIV, etc.
Government publications on pregnancy, delivery, and postpartum standards of care and the treatment of possible complications.
Access to emergency obstetric care.
Provision of safe blood for pregnancy, delivery, and postpartum care.
Creation of networks to provide continuity of care between healthcare facilities (transfer from one unit to another)
|Methodological Guide to Develop and Strengthen the Ministry of Health’s Continuous Quality Improvement||
Access to emergency obstetric care - Under ‘To select and prioritize health care systems and/or health management” on page 7, it states “For example, those cases which require emergency obstetric care due to haemorrhaging, severe hypertension, or sepsis; care for newborns with respiratory, infectious or other critical complications, among others.” • Creation of networks to provide continuity of care between healthcare facilities (transfer from one unit to another) - At the bottom on page 15 states, “Transfer requests and undertake procedures at relevant levels and departments for critical and indispensable policies, norms, instruments, supplies, equipment, and resources to provide quality care and that are NOT available or cannot be resolved at the local level.” Page 16 - “Periodically promote and coordinate Collaboratives with the teams from the various levels of the service networks for which they are responsible, in order to facilitate quick learning and replication of these experiences to other services and units that also need them, among other important roles.”
|Maternal & Child Health Program Strategic Plan 2009 - 2011|
|Preconception Case and Obstetrics||
At page 80 states “Remind client to ensure one unit of blood by 32 weeks gestation” for malpresentation. At page 102 states “Have one unit of blood donated/ made available” for placenta previa.
The significant barriers to accessing abortion and post-abortion care must be removed to eliminate preventable causes of maternal morbidity and mortality.
The Ministry of Health should establish a specific program aimed at reducing maternal mortality, which builds on the success of the 2014 Revision of the Quality Improvement of Maternal and Neonatal Care Policy. This program should have a specific budget for maternal mortality reduction.
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Formulate plans for strengthening mechanisms to detect problems during pregnancy, including the preconception stage, improve the quality of prenatal care and include an intercultural perspective, ensure the provision of safe blood for pregnancy, labor, and postpartum care, and enhance humane care during labor and birth and comprehensive perinatal care, bearing in mind the needs of women, boys, girls, and families
Eliminate preventable causes of maternal morbidity and mortality, incorporating into the set of integrated sexual health and reproductive health services measures to prevent and avoid unsafe abortion, including sexual health and reproductive health education, access to modern and effective contraceptive methods, counseling and comprehensive care in cases of unwanted and unaccepted pregnancy, as well as comprehensive post-abortion care when required, on the basis of a risk and harm reduction strategy