Decree No. 07-204 of 30 June 2007. These Specialized establishments institutions (EHS) which are statutorily and financially independent, are exclusively for the care of these vulnerable groups of the population 193.As part of the development plan 2005-2009 there are: - Seven (07) other "Mother and Child" institutions are in progress; - 72 general hospitals are also under construction. - Five (05) services and 185 neonatal units1 194.All other health facilities: EPH, CHU, EHS, EHU, EH have a maternity ward and services or neonatal units 195.The characteristics of the neonatal unit and the maternity ward are part of the characteristics given on the specifications for new achievements. 196.The national perinatal programme was launched in 2005 and is backed by political will at the highest level which has resulted in the publication of the executive order standardizing the organization and functioning of neonatal and perinatal services. 197.This is a three-year programme (2006-2009), which aims to provide support for the mother and the child in order to reduce neonatal risk. The objectives are to reduce by 30% perinatal mortality and 50% maternal mortality in particular through the: - Prevention, detection and effective management of diabetes and high blood pressure during pregnancy, and prevalent diseases. In this context, 246 referral centres were set up for monitoring high-risk pregnancies integrating multidisciplinary specialist medical teams working in coordination with the basic mother-and-child health centres (MCH) with a basic system of screening and guidance towards maternities adapted to any risk; - Standardization of obstetric surveillance to reduce by 30% of maternal deaths due to complications of postpartum haemorrhage which is the leading cause of maternal mortality; - Standardization of births rooms and prioritization of neonatal care levels (general basic care, neonatal resuscitation, intensive care) in accordance with the above mentioned decree. 198.Reduction of infant and maternal mortality: The Protection of maternal and child health enshrined in Chapter V of Act No. 85-05 health of 16 February 1985 as amended and supplemented, remains a national priority. 199.Thus, a national perinatal program 2006-2009 was implemented and it reaffirmed the political will from the highest level, which was institutionalized through the promulgation of an Executive Order standardizing the organization and operation of neonatal and perinatal services (Executive Decree No. 05-435 of 10 November 2005). 200.The three-year program (2006-2009), which was extended, is part of the aim for achieving the Millennium Development Goals, it seeks to ensure and improve the care of the mother- and- child pair by a 30% reduction in perinatal mortality and 50% in maternal mortality. These efforts have resulted in the improvement of the following indicators: 1 Executive Decree exécutif n°05 - 435 of 10 November 2005 31

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