SBA in Bhutan

1
SBA in Bhutan
24 deliveries attended by SBA (2002) 66 of
maternal deaths occur at home 50 of maternal
deaths due to PPH

• MMR
• NHS 2000 255/100,000 live births
• WHOs revised estimate for 2000 420/100,000
  live births

2
Skilled Birth Attendants in Bhutan
All OB/GYNs Doctors trained in EmOC Doctors
trained in CBT Nurses trained in CBT
3
Who has potential to be SBA?
All categories of nurses (GNMs, ANMs,
ANs) Assistant Clinical Officers Health
Assistants Basic Health Workers
4
Who attends deliveries?
5

• Strengths
• Policy
• Good referral system
• Facility Distribution
• Committed health workers at all levels

• Constraints
• Shortage of skilled staff
• Difficult Terrains
• Scattered Population
• Difficult communication and transport
• Socio-cultural factors
• Low female literacy