joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

Build capacity for recognition of pregnancy

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Build capacity for recognition of pregnancy complications at community level, including abortion complications, and make arrangements for early referral. Create mechanisms such as redesigning health facilities, establishing mobile service outlets and outreach services to make services accessible to vulnerable and marginalized groups (disabled, displaced, out of school youth etc.) Establish a mechanism for midwives, along with the HEWs, to be engaged in educating the community on pregnancy/birth and its complications, including birth preparedness and estimated date of delivery by creating forums at kebele level. Provide in-service training for service providers to enable them acquire appropriate competencies/skills, and proper attitudes and ethics. Strengthen pre-service training institutions to equip graduates with the necessary skills and competencies by o updating pre-service curricula to address current changes in MNH including FP and Nutrition o developing and providing an orientation package and other educational materials to tutors and clinical instructors o updating and standardizing knowledge, clinical and teaching skills of tutors and instructors. o providing schools and clinical practice sites with necessary teaching and clinical practice and equipment Link health posts with health centers and health centers with hospitals with a functional referral system 63 Core Package of maternal and neonatal health services includes antenatal care, skilled attendance at birth, clean and safe delivery, postnatal care and neonatal care. 64 HEW’s MNH functions include health education, antenatal care, family planning, clean and safe delivery and postnatal care, diagnosis and treatment of malaria, Vit A supplementation, and referral of obstetric complications. AusAID Health Resource Facility 64 Managed by HLSP in association with IDSS
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AID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Draft report Establish mechanisms for communications and feedback among different levels of health institutions. Train resource persons (HDAs , ambulance drivers) in emergency response and preparedness Ensure Provision of FANC including PMTCTto all pregnant women Introduce performance improvement system Promote early initiation of breastfeeding through media messages, group education and training of maternity staff Ensure provision of comprehensive PNC including treatment of post natal complications Ascertain essential newborn care services are routinely provided at all levels Make sure that women with all forms of puerperal problems including infections, psychosis & fistula are appropriately cared for. Expand the fistula treatment outlets to include all CEmoNC facilities Revise the current policy on the fee structure of MNH services to come up with a uniform policy on waiving fees and payment Strategy 2: Strengthen human resources to provide quality skilled care for maternal and newborn health Targets
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