Professional Documents
Culture Documents
Province/National General (type A/ special) Hospital/ Private Province General (type B) Hospital/ Private District General (type C) Hospital/ Private District General (type D) Hospital/ Private Public Health Centers BEmONC/Non-BEmONC Private GP/Obgyn Specialist Village health post/ satellite comm health center Referral Referral Back Midwife Private Clinic/Practice
Hospital Public/Private
BEmONC
Village Midwife
Early Identification-StabilizationReferral
Community:
Trained volunteer community health worker:
Identification of danger signs in pregnancy
Challenges
Trained Volunteer Community Health Worker Limited number Knowledge, skill and attitude as cadre need to be improved Evolving policies regarding the village health post management Training package and funding available
Challenges-2
Midwife scope of practice/General Practitioner Limited authorization in emergencies condition
Giving medication, administering iv drug
Competent-Proficient-Mastered/confident
Front line in provision of health services
Continuing Education
In-service or on the job training Clinical Mentoring
Mentoring
WEB-BASED
TELE CONSULTATION
SMS
HOTLINE
INFORMATION EXCHANGE
Challenges-3
Prompt, adequate and proper referral Infrastructure, transportation Socio-economic-culture
Challenges- 4
Prompt and timely management and delivery National standards on management of PE/E Policy on decentralization of Health System High turnover of health providers Limited human resources with urban bias Non-functioning PONED certified health facilities
Strategies
Strengthening community engagement Develop and operationalize standard clinical guidelines on PE/E Update health providers knowledge and skills on PE/E Strengthening the role of midwives and GP Strengthening Health Care System
Commitment Clear Strategy and Action Plan
Thank You..