Muhammad Ihatsham Akram
Country Coordinator
WRA-P Contact

Ph: +92-51-2150216
Fax: +92-51-2150217

Email: IAkram@whiteribbonalliance.org
Although the annual number of maternal deaths in Pakistan dropped from 18,000 in 1990 to 7,900 in 2013, not enough progress was made to achieve Millennium Development Goal 5 - a reduction in the maternal mortality ratio by three quarters.

HIGHLIGHTS @ WRAP

For many years, White Ribbon Alliance Pakistan (WRAP) has sought to influence the government and advance improvements in maternal and newborn health and been part of several important developments on the policy landscape in Pakistan. WRAP advocated and provided active contribution for the formulation of National MNCH Program. The Alliance has worked with all fourteen provincial and federal ministries of health and population welfare to scale up best practices around maternal health; advocating for the inclusion of magnesium sulphate (to reduce risk of eclampsia) in the provincial drug lists and the standardization of protocols for administering the drug.

In 2014, WRA Pakistan recognized that the disrespect and abuse experienced by pregnant women was not recognized by the government as a barrier to improving maternal care. This was a critical challenge, as maternal healthcare strategies, protocols and education curricula did not mention respectful maternity care (RMC). Citizens were not aware of their right to RMC and there was no accountability for disrespect and abuse. Therefore, WRA Pakistan brought together community members, health workers, government representatives, and the research community to generate evidence on RMC and use it to drive a campaign that persuades policymakers to include RMC in the legislation and training curricula for health workers.
In 2015, WRAP organised a strategy development workshop at Islamabad, in lieu of three-years campaign on improving MNCH indicators. It was a national consultation to identify and prioritize maternal health issues and ascertain possible solutions. The consensus was built around maternal malnutrition as one of the core safe motherhood area that required immediate attention. It was also decided that project should be implemented in the Province of Sindh. Further to it WRAP also conducted Political Economy Analysis (PEA) focusing maternal anemia in Sindh to build understanding around the overall nutrition policy environment in Sindh, exploring   the various institutional arrangements; mapping the stakeholders in the context of their power and influence on decision makers; horizontal and vertical coordination; and over all funding. Interviews were conducted at national and provincial level with key stake holders.

RESOURCES

#Respectful Maternity Care

Formative Research: Respectful Maternity Care in Pakistan
Information Brief: Respectful Maternity Care in Pakistan

#Barriers to Magnesium Sulphate (MGSo4)

Policy Brief - MGSo4
Policy Brief for Organisation - MGSo4
Resource Pack
TEAM @ WRAP
Capital City
Islamabad1
Population
1850442861
Life time risk of maternal death
1 in 1402
Maternal Mortality Ratio
1703
Birth Attendants by Skilled Person
52%3
Antenatal Care Coverage (atleast 4-births)
36.6%3
Contraceptive Prevelance
35.4%3
Unmet need for family planning
20.1%3
Sources:

Statistics World Bank.

World Health Statistics 2015, WHO.

Pakistan Demographic Health
Survey (PDHS) 2012-2013.
PAKISTAN IN THE MEDIA


MATERNAL NUTRITION - ITS ALL ABOUT PROCESS RE-ENGINEERING
MARCH 28, 2016

POLITICAL ECONOMY ANALYSIS - MATERNAL NUTRITION: SINDH
MARCH 1, 2016

WHITE RIBBON ALLIANCE PAKISTAN @ SIXTH ANNUAL PUBLIC HEALTH CONFERENCE
JANUARY 10, 2016

MATERNAL MALNUTRITION UNDERLYING FACTOR BEHIND MATERNAL AND CHILD MORTALITY IN PAKISTAN
JANUARY 10, 2016