The initiative centers on providing a holistic primary care for pregnant mothers (pre-natal and post natal care) at all medical centers and towards birth at the tertiary hospital. Their records are made available throughout their pregnancy from primary healthcare center to the hospital through the Healthcare system. It records the birth history, prenatal care for mother and child special care and need and then transfer to the Primary care system which will then be extend to the child under the IMCI system.
At the same time, an electronic appointment system was also implemented in which appointment can be scheduled at appropriate time, reducing the waiting time to 30 minutes. Reminder is also sent within 48 hours before the appointment. With a pro-active approach to healthcare, the entire vaccination list and activities related to pre-natal and post natal care are incorporated to the patients’ record. The system will also verify if the vaccination is valid, medication history and ultrasound scan is also captured and stored in the patient record as well as the entire history of her pregnancies. These records are accessible at tertiary care medical institutions for patients referred for specialized treatment. Special care can be administered and recorded in the patients’ primary records should any complication is detected and special treatment is required. All information during pregnancy will be sent to the hospital for delivery, the tertiary care specialized. With a checklist embedded within the system, healthcare givers are able to provide better pre-natal and post natal care including advice on birth control or fertility programme if required.
Once the baby is born, the child record is created in the system and a holistic approach to treatment and management of child illnesses in the age group 0 to 5, IMCI is introduced. This programme targets the age group of 0-5 years of both genders, and also the mothers of these children, as it includes counseling services and educational services as well. IMCI (Integrated Management Childhood Illnesses) is a global strategy recommended by WHO and UNICEF, and was adopted and adapted by Oman. The main of the programme is to reduce childhood deaths, illnesses, and disabilities, and to contribute to the improved growth and development of children in Oman.
The system was developed in-house for use by the stakeholders in the health centers as a module in the Al Shifa System, easily accessible by all government hospitals and medical centers. From 2005 onwards, almost stem. If there were missing information, the doctor will be alerted on missing activities and follow-up actions will be taken. With a mandatory process along with a structured tests and immunization programme, the development of the child can be carefully monitored and assessed.
MoH have set the goal of reducing child mortality: infants and children less than five years of age. This goal was achieved as a result of many programmes developed for child care such as Immunization Programme (coverage has exceeded 99.9%), Integrated Management of Childhood illness (launched in 2001) and Baby Friendly Hospital Initiative. In addition to that, special programme designed for pregnant mother care (follow up, immunizations) and the specialized staffs were trained such as doctors, nurses, technicians, etc.
Oman has achieved the 4th MDG and managed to reduce Childhood mortality rate for under 5 years of age from 181 per 1000 live births in 1970 to 12 in 2009. Infants mortality rate reached 9.6 per 1000 live births in 2009 compared to 118 in 1970.
This project was recognized by UNICEF in the middle of 1990’s for continual reduction of child mortality.