Cross-posting courtesy of Gotto Danny () of GANM (Global Alliance for Nursing and Midwifery)
An organization I am supporting (ACODEV at http://www.acodevuganda.org/index.html) is in the process of implementing a mentoring and coaching program for midwives and obstetric nurses in 30 health centers in Uganda. However currently we lack standardized mentoring and coaching manuals that focus on Safe motherhood, Maternal and Child health practices for midwives.
50% of the our targeted nurses and midwives are at the level of diploma (comprehensive nurses), and 40% a certificate holders (nursing assistants) all these nurses are in rural health facilities. There aren't degree holders at these levels. We have target 30 health centers at lower level two (that serves a parish) and three (referral center for level two, that serves a sub district) which a closer to the communities.
The experience they have varies from health center to health center and from individual to individual, but even those with diploma, we have noted the quality of service they give is still wanting based on the number of mothers who still prefer TBAs (40%). Those at certificate level simply cannot meet the quality standards required to reduce maternal deaths at health facility. You will note that mothers are not appreciating the difference of having their children at the health facility due to passive negligence and maternal/child deaths at the health facility. The situation is complex though, to tie to only health workers alone is to miss the point. These people work in a hell of conditions with less facilities and poor motivation and potential to upgrade.
The mentoring will basically promote safe-motherhood with major emphasis on ANC, emergency obstetrics for midwives, PNC [*1], neonatal/child care, HIV management in mothers/neonates, PMTCT/EMTCT [*2], FP/RH [*3], aspects of environmental health that promote safe motherhood.
We would like to provide an opportunity for these health workers in hard to reach areas to get refreshed on latest comprehensive practices that have demonstrated ability to reduce Maternal and child death.
Any information on how we could access training manuals we could customize for our situation will be highly appreciated. I am kindly looking forward for a positive response from team members.
I will be glad to provide more information if required.