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Initiatives for Social Inclusion Programme - PeruCountry
Peru
Regions
Global, Africa, Latin America
Programme SummaryCommunication StrategiesInterventions are carried out by health care workers from public health facilities with the participation of community-based organisations, local governments, promoters and birth attendants, schools, and youth groups. These interventions are based on developing institutional and community mechanisms that permit women and their families to make appropriate decisions about women's health, reducing women's dependence on their husbands. For the promotion of a new culture in favour of maternal health, a widespread process of social mobilisation that includes local authorities and the family, especially the parents, has been developed through advocacy and community participation. The project also promotes the participation of traditional birth attendants so that their actions complement those of the health establishment. Project activities include the following:
Development IssuesChildren, Rights, Women, Health. Key PointsThis project complements the National Maternal-Child Insurance Programme initiated in 1999, which aims to eliminate economic barriers to access to health services in rural areas, especially in the economically poorest areas of the country. The intervention addresses people in parts of Peru where the population is mainly indigenous. The Third Demographic and Family Health Survey (ENDES III) carried out in 2000 registered a maternal mortality rate of 185 women for every 100,000 live births. In poor communities with limited access to health care, organisers say, the rate is more than double. Despite the fact that in Peru, during the last decade, the number of public health services has increased by 60%, almost half of the deliveries take place at home attended by traditional birth attendants or family members in poor sanitary conditions. In areas with the greatest concentration of indigenous people, only 10% to 20% of births take place in health centres. Ministry of Health (MoH) authorities say that the death of a mother (from haemorrhaging, infection, or toxemia), which is in some cases due to the lack of proper care, is often related to gender inequality in society and in the family. The death of a mother means greater impoverishment for the family. When the mother dies, mortality rises among small children, the children's school attendance declines, and life conditions in general deteriorate. Despite these problems, cultural, economic, geographic, and other factors mean a limited demand for maternity care services. PartnersUNICEF-Peru, Ministry of Health, Ministry of Education, municipalities, NGOs, community-based organisations, community agents, and United Nations agencies including PAHO/WHO and UNFPA. ContactMarilu Wiegold
UNICEF - Area de Información UNICEF-Peru, Ministry of Health, Ministry of Education, municipalities, NGOs, community-based organisations, community agents, a
SourceUNICEF-Peru website; and email from Libertad de Rios to The Communication Initiative on July 22 2005. Placed on the Communication Initiative site December 19 2002 Last Updated July 22 2005 How useful did you find the knowledge and contacts on this page to your work? Post your comments (review comments from others below):COMMENTS POSTED |
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