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July 18, 2019

[Technical Cooperation Projects] DSAP approach 3: Strengthening the MCH referral system in Lusaka

In many developing countries, many newborns are still losing precious lives. Zambia also has a high neonatal mortality rate, with 13,545 deaths out of 645,000 born in 2015. In other words, 21 people die for 1,000 newborns. The main causes of neonatal deaths are asphyxia at birth, premature delivery, and neonatal sepsis/infections. The difference in the situation is clear, considering that 1 out of 1,000 newborns is dying in Japan. In Zambia, delivery is done at health centres or primary level hospitals. If problems occur with the mother or baby, they will be referred to the secondary or tertiary hospitals. Before setting the standardised criteria, about 80% of cases that needed to be handled at lower level facilities were referred to tertiary hospitals during the labour period.


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