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GROUP PREVENTION AND CONSERVATIVE MANAGEMENT

GROUP PREVENTION AND CONSERVATIVE MANAGEMENT. GROUP CONSTITUTION. LEADER: Joseph Ruminjo PRESENTER: John Mulbah MEMBERS: Edward Stainford , Alicia, Maurice Bucagu Catarina Magaia. What has happened in your swg area of work during the year ?. Awareness creation

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GROUP PREVENTION AND CONSERVATIVE MANAGEMENT

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  1. GROUP PREVENTION AND CONSERVATIVE MANAGEMENT

  2. GROUP CONSTITUTION • LEADER: Joseph Ruminjo • PRESENTER: John Mulbah • MEMBERS: Edward Stainford, Alicia, Maurice Bucagu CatarinaMagaia

  3. Whathashappenedinyourswgareaofworkduringtheyear? • Awarenesscreation • Trainingofserviceprovidersoncathetermanagement • Preventionof fistula formationwithcatheter • Patientcounsellingafterprolongedlabourandafterdisharge

  4. What are thekeychallengesyou are able to identifyinyourareaofwork? • Lackofknowledgeof fistula symptomsbywomen • Lackofknowledgeofcareprovidersoneffectivenessofcathetermanagement • Difficultyingettingwomen to come withfresh fistula • Limitedadmissioncapacityofhealthinstitutions • Lackofevidenceontheeffectivenessofcathetermanagement • Availabiltyofcatheter

  5. Contribution to addresschallenges • Literaturereview • Data collectionandanalysis • Communityawarenessabout fistula • Standarizationofdefinitionoffresh fistula andwhen to use cathetermanagement

  6. BEST PRACTICES IDENTIFIED • Use ofpartograph • Fresh fistula managementwithcatheter

  7. RECOMMENDATION 1 SUB WORKING GROUP a. Leadersmeeting b. Communication c. AWP withsimpledeliverables d. Termofreference 2 PRIMARY PREVENTION Fistula notformed a. Use ofpartograph b.Capacity to undertake CS c.Capacity for assisted vaginal deliveries d.Useofundwellingcatheterafterprolongedlabour

  8. Contd. e. Postlabourcounsellingabout fistula symptomsandencourage to consult a skilledattendant 3. SECONDARY PREVENTION ( Recurrent a. Postoperativecounselling b. Conduct a study to identifyfactors c. Encouragefamilyplanning d. Educationonimportanceof ANC e. Conduct regular monitoring f. Establishandencourage use ofmaternitywaitinghome g. PromoteCaesariandelivery

  9. Contd. 4. CONSERVATIVE MANAGEMENT a. Define fresh fistula b. Developmanagementguideline c. Promoteearly use ofcatheter d. Improveknowledgeofserviceproviders e. Awarenesscreation for acceptance

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