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Prime Foundation Pakistan

Improving Quality of Maternal Care through Midwifery Refresher Courses A project experience in two districts of KP. Prime Foundation Pakistan. Dr. Aysha Masood Dr. Usman Ahmad Raza Dr. Saeed Anwar Dr. Farhat Rehana Malik Dr. Faisal Ali Shah. BACKGROUND.

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Prime Foundation Pakistan

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  1. Improving Quality of Maternal Care through Midwifery Refresher CoursesA project experience in two districts of KP Prime Foundation Pakistan Dr. Aysha Masood Dr. Usman Ahmad Raza Dr. Saeed Anwar Dr. Farhat Rehana Malik Dr. Faisal Ali Shah

  2. BACKGROUND • Devastation caused by the floods of 2010 in Nowshera and Charsaada • 1 million females affected • Shortage of skilled birth attendants (SBAs) and low antenatal coverage in Nowshera and Charsaada • Further rise in maternal mortality due to floods and inadequate maternal services • Project planned to contribute towards improvement of quality of care being provided by the midwives practicing in the community • Refresher training designed to fill gaps in knowledge and practices of SBAs

  3. OBJECTIVE To contribute towards the improvement of maternal health through capacity building of midwives practising in the districts of Charsaada and Nowshera, by improving their midwifery skills and knowledge

  4. PROJECT ACTIVITY TIMELINE Coordination with District Health Officers Enrolment Criteria Established Needs Assessment Conducted Location and Trainers for Training Selected Pre and Post Test Assessments of the trainees Short listing of Received Applications Analysis of Results

  5. PROJECT DESIGN • Location: Ob-Gyn Dept of Kuwait Teaching Hospital, Peshawar equipped with OTs and labour rooms • Resource persons included experienced obstetricians, nurses • Trainees provided full boarding and lodging and stipend • AV aids and Mannequins used for interactive sessions • Rotations in ward including day and night shifts • Weekly feedback sessions on training quality from trainees • Weekly assessments of log books to tailor the practical component of curriculum according to needs of midwives • Pre/Post tests conducted to track effectiveness of training

  6. CURRICULUM Practicum Antenatal Care Practical Eclampsia Health Education Labour and its management Practical Review of Pelvic Anatomy & Physiology Basic Nursing Skills Partogram Practical Puerperium & its complications Early Recognition of Danger Signs & Referral Recognition of signs of Birth Asphyxia + Practical Essential Care of New Born

  7. RESULTS

  8. CONCLUSION • Marked increase in the knowledge and skills of the trainees • Results signify the need for improvement in midwifery skills • A focused, need based curriculum delivered in a hands-on manner can almost double the knowledge and skill levels of midwives • Trained midwives are practicing in the community and contributing to improved maternal care in their localities • Sustainability of the training hampered dependent on continued funding

  9. REFERENCES • UNICEF. Pakistan Statistics. http://www.unicef.org/infobycountry/pakistan_pakistan_statistics.html (Accessed 10 October 2013) • National Institute of Population Studies (NIPS) [Pakistan] and Macro International. 2008. Pakistan Demographic and Health Survey 2006-07: Key Findings. Calverton, Maryland, USA: NIPS and Macro International. • Trends in maternal mortality: 1990 to 2010. WHO, UNICEF, UNFPA and The World Bank estimates. World Health Organization 2012. • Fikhree FF. Reproductive Health In Pakistan: Evidence and future directions. JPMA. 2000. • Provincial Bureau Of statistics- KPK. • Early Recovery Priorities for Flood 2010 in Khyber Pakhtunkhwa. 2010. Provincial Disaster Management Authority Khyber Pakhtunkhwa. • Shadoul AF, Akhtar F, Bile KM. Maternal, neonatal and child health in Pakistan: towards the MDGs by moving from desire to reality. EMHJ 16 2010.

  10. Thank You

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