Mentorship program for Ugandan midwives on safe motherhood and maternal/child health practices

By Maggie Sullivan Moderator | 02 Aug, 2012

Cross-posting courtesy of Gotto Danny () of GANM (Global Alliance for Nursing and Midwifery)

Hello Colleagues,

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.

Kind regards

--
Gotto Danny

Replies

 

Emmanuel Byaruhanga Replied at 6:36 AM, 3 Aug 2012

Thank you Maggie for this innovative program which is going to benefit many
service providers in Maternal and Child Health. I am Byaruhanga Emmanuel,
I have worked at Mbarara University of Science and Technology, Nursing
Department and majored in teaching Midwifery (Obstetrics & Gynecology) to
BNSc and BNC (Completion program) students.

Much as I will appreciate this Mentorship program, we need to target the
Midwifery training institutions. I have also actively participated in
Community Midwifery (Domiciliary) with promising results. As a resource
limited setting with hard to reach areas as stated above, innovative
methods to cater for the rich socio-cultural and socio-economic diversity
would be an answer to Maternal and Child Health.

For Further information about the Manual, Contact the Head of Department of
Nursing, Mbarara University of Science and Technology (
) or the Coordinator for Obs/Gyn (Midwifery) @
MUST ()

I Look forward to working with you.


Emma Byaruhanga
MUST Research Collaboration
Mob: +256-775428710
E-mail:

Kirsty Bourret Replied at 8:49 AM, 3 Aug 2012

Hello Maggie;

It looks as though you made a great connection as by the first reply to your posting - but I thought I would send my reply regardless!
My name is Kirsty Bourret and I am an expat Canadian midwife and educator living in Haiti - a lot of my focus and work has been training nurses and auxiliary nurses in reproductive health and ob/gyn. These women and men are already practicing in their communities and due to a lack of nurses midwives are often attending women in labour and birth. I find myself completely supporting the institutions or National nursing school of midwifery and nursing, however, how to help those in the field already working? Organizing or teaching continued education and professional development for all levels of health care professionals has become the current major focus of my work - I find that a good starting point are the WHO IMPAC manuals below - they can be adapted to any educational level and to many if not all contexts in the regions I have worked in Haiti.
Increasing the capacity of rural health centres is complex and has many contributing factors - but education is a powerful tool and every health care professional needs continuing education and encouragement in their work.

good luck,
Kirsty

Pregnancy, Childbirth, Postpartum, and Newborn Care: http://www.who.int/maternal_child_adolescent/documents/924159084x/en/index.html

Managing Complications in Pregnancy and Childbirth: http://www.who.int/maternal_child_adolescent/documents/9241545879/en/index.html

Managing Newborn Problems: http://www.who.int/maternal_child_adolescent/documents/9241546220/en/index.html

Emmanuel Byaruhanga Replied at 9:03 AM, 3 Aug 2012

Thanks Kirsty, you are so resourceful.!

deborah van dyke Replied at 10:05 AM, 3 Aug 2012

Dear Kirsty,

Please excuse me if I am cross-posting but i just wanted to make people in the "gdhonline" community aware of our video project. We are producing teaching videos tailored to the learning needs of nurses, midwives and other frontline providers in developing countries. They are meant as a complementary training tool that can be used flexibly for pre-servive, in-service and then kept by health workers as a refresher job aide once back in their clinics. Of course, we know that not all health workers can access videos at this time, but the time is coming. Even now, they can be embedded on a chip inside a mobile phone, eliminating the need for internet connectivity.

We are a young, and dedicated organization; our pilot video project is a newborn care series of 35+ brief vignettes that follow international clinical guidelines. We use the resources you have listed below, for example. We also have content experts from all over the world and field test our videos with front-line providers. Our first 10 videos are now available free-of-charge through a Creative Commons License. http://globalhealthmedia.org/newborn/videos/

The films take substantial effort and, as a small group, we cannot do it alone. We welcome collaboration opportunities with institutions and NGO's to, for example, offer clinical sites, narrate the films in local languages, field test the videos -- and provide funding. We are filming in India in a month and hope to finish our newborn care series this year. We look forward to moving on to other important topics including maternal health, infection prevention, minor surgery… Do check out our cholera animation as well. Kirsty -- it's narrated in Creole. http://globalhealthmedia.org/story-of-cholera/videos/

Please get in touch if you would like to know more or join our Facebook page (as Gotto Danny has!)

kind regards,

Deb

Deborah Van Dyke, Director

Global Health Media Project
802-496-7556

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