Maternal Child Health and Nutrition (MCHN)
Programme
Maternal, Child Health and Nutrition (MCHN) services have received substantial
international attention and are high on global health and development agendas.
Investing in MCHN is thus recognized as contributing to poverty reduction, economic
growth and productivity, and more stable societies. In this project, CMC therefore aims
at improving access to quality Maternal, Child Health and Nutrition (MCHN) services;
reduce neonatal and maternal mortality rates, which also include disability rates; and to
reduce the incidence, impact and severity of malnutrition amongst children domiciled
in South Sudan.
More than 50% of the South Sudanese population lives below the poverty line, with
particularly high levels of poverty in rural areas (South Sudan National Bureau of
Statistics, 2012). This is comparable with the SSA average of 47% of people living on less
than $1.25 a day (UN, 2012). The adult literacy rate in South Sudan is also low at just
27% (53% urban areas and 22% rural areas) with the rate among females half that of
males (South Sudan National Bureau of Statistics, 2012). Minimal progress has been
made toward meeting the SDG targets. The government of South Sudan is working
toward achieving these goals. Maternal, newborn, and child mortality indicators used
for monitoring progress toward the achievement of SDG-3.8 remain high.
In South Sudan, nearly 7% of women aged 15 to 49 marry before their 15th birthday, a
substantial reduction from 16.7% in 2006. However, 45% still married before the age of
18 in 2010, which is an increase from the 2006 average of 41% (MoH & National Bureau
of Statistics, 2013). Young women experiences exacerbated problems during pregnancy
and delivery due to incomplete body growth, and are particularly at risk of obstetric
fistulae and obstructed labor.
In 2010, the average rate of contraception use for women married or in union in South
Sudan was 4%, only 0.5% higher than in 2006 (MoH & National Bureau of Statistics,
2013). This can be compared with 8% in Sudan as a whole (including Southern Sudan at
that time; MoH & Southern Sudan Commission for Census, 2007) and 25% in SSA (UN,
2012). Access to family planning is strongly linked to gender equity, empowerment of
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women, education, and employment, and is a vital component to saving lives and
preserving health through preventing untimely and unwanted pregnancies (United
Nations Children’s Fund, 2012). Polygamy and polygyny are common in South Sudan,
with 41% of all unions in 2010 being polygynous. Fewer than 10% of those in
polygamous unions use safe sex practices (MoH & National Bureau of Statistics, 2013).
In Sudan (including Southern Sudan) in 2006, 36.4% of women received antenatal care
(ANC) from a medical doctor, 12.7% from a nurse or midwife, and 14.5% from a
traditional birth attendant. This contrasted with Southern Sudan at the same time,
where only 9.8% of women received ANC from a medical doctor, 16.4% from a nurse or
midwife, and 28.6% from a traditional birth attendant (MoH & Southern Sudan
Commission for Census, 2007). Thus, only 26.2% of women in Southern Sudan received
ANC by skilled health personnel in 2006; this increased to 40.3% in 2010; however, only
17% of women had the recommended 4 or more ANC visits (MoH & National Bureau
of Statistics, 2013). Pregnancy outcomes in LMICs can be greatly improved through
ANC (WHO, 2005).
(WHO, 2005).
The majority of maternal deaths occur during labor, delivery, and the immediate postpartum period, and as most are preventable, it is essential that a skilled health
professional be available during childbirth. In Sudan as a whole, 49% of births were
delivered by skilled personnel in 2006: doctors (6%), nurses or midwives (17%), and