Coverage Estimates. Coverage estimates for maternal and child health are very good for the most part. According to the baseline survey 76% of women received prenatal care during the first trimester of pregnancy, as per the above, an equal number received advice, all women delivered at the maternity house or rural hospital. 58% of mothers received post-natal care home visits. Unfortunately of the thousands of women who were pregnant in 2002, only 1 woman in the project rayons is recorded as having been tested for syphilis (Oblast statistics). The Sanitation and Epidemiology Station at the Aksy Rayon show that of the total deliveries (2,292) in 2002, 98.9% received DPT3, 97.9% OPV3, and 99.9% are recorded as having received the measles vaccine or the MMR vaccine at age 1. Bazarkorgon also reports 98.8% coverage for DPT3, 99.3% OPV3, but only 79% coverage for measles due to the fact that the vaccine was not available at one point. Xxxxxxx toxoid vaccine for pregnant women is not part of the national policy. Growth monitoring is done every month by nurses working in the FAPs and FGPs. Child weights and heights are taken and mothers are told whether or not their child is growing well. Mothers are more disciplined about attendance during the first year of the infant’s life, not understanding the importance of continuing with this much beyond this period. As per the above, only 52% of 151 mothers who answered this question had been weighed in the 4 months prior to the survey. FP coverage is fairly good, with 43% using modern methods. Only 24 sterilizations were performed in Bazarkorgon in 2002; 2 with the mini-lap kit, and the rest after C-Sections. Six have been done so far in 2003, only one of which was with the mini-lap kit. Thirteen sterilizations were done in Aksy in 2002, and 2 in 2003; all after C-Sections. Coverage in terms of insurance for drugs, is minimal, with hardly more than 553 prescriptions in the Bazarkorgon Rayon filled through the National Insurance Fund during the year 2002. For a total population of approximately 126,523, this seems grossly inadequate. Over 40 prescriptions were reportedly not even filled because there was an error in the prescription itself.
