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

Increase the operational capacity of existing fistula

Info icon This preview shows pages 65–66. Sign up to view the full content.

View Full Document Right Arrow Icon
Increase the operational capacity of existing fistula repair centres All partners addressing fistula in Ethiopia should collaborate with the MOH to develop a strategy for expanding access to fistula repair services Cover the “emerging regions” through “campaigns” in the first years 2. FUI is the calling symptom, with many causes, not to be neglected. Integrate the treatment of all causes of FUI (requires additional funding) without compromising OF. Operations could start with one day per week in fistula centres 3. Case detection remains the main bottleneck, associated with transport. IFHP (in 38% of districts countrywide) and IntraHealth (19% of districts in Amhara) cover around 40% of the country. Improve/increase/extend case detection in rural areas – exploit HEP and HDA– use ICTs, cellphones and SMS Expand IFHP to cover “emerging regions” and non- covered districts of the big regions Evaluate and redeploy the IntraHealth comprehensive model 4. Prevention remains the objective. GoE plays a key role in primary and secondary prevention and civil societies and partners support the government’s efforts in this regard . Support implementation of the Family Code Support HEW and HDA to promote institutional delivery when facilities are well staffed and well equipped for EmONC Promote the use of the partograph Involve the civil society in awareness and use of SBA, birth planning and transport systems Generalize the fight against GBV 5. Midwives are key to the whole chain. Their production and deployment have been accelerated in last three years. Institutional delivery depends on them. Invest in midwifery training in quantitative terms, but with a greater attention to the quality of education, particularly practical training at the bedside Invest further in retention mechanisms and improvement of quality of life and work in rural Health Centres Involve EMA in maintaining continuous education and motivation, and disseminating new practices. Use cellphones networks Use the opportunity of EMA annual congress, as well as International Midwives Day, May 5, to raise awareness on fistula and FUI HCM midwives have good standards of quality, but too limited in numbers for an effect at scale. Reconsider the role of HCM 6 . National coordination needs improvement and there is a need for stronger partnership by development partners with the Government to ensure ownership and leadership by the MOH. Create an FUI chapter of the Inter-agency TWG on RMNH, chaired by FMoH, and have more regular meetings Plan a National Seminar on FUI, involving all partners, chaired by GoE. Promote and facilitate contacts between MoH and partners at central and regional levels, and between partners.
Image of page 65

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 66
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern