Maternal Health Training


Introduction

Government of India adopted the Reproductive, Maternal, New-born, Child and Adolescent Health (RMNCH+A) framework in 2013, It essentially aims to address the major causes of mortality and morbidity among women and children. This framework also helps to understand the delays in accessing and utilizing health care services Based on the framework, comprehensive care is provided to women and children through five pillars or thematic areas of reproductive, maternal, neonatal, child, and adolescent health. The programmes and strategies developed by various divisions are guided by central tenets of equity, universal care, entitlement, and accountability to provide ‘continuum of care’ ensuring equal focus on various life stages. Ministry of l-lealth & Family Welfare, Government of lndia has launched a new iniiiative namely- SUMAlV- Surakshit Matritva Aashwasan" with an aim to provide assured, dignified, respectful and Quality healthcare at no cost and zero tolerance for denial of services for every woman and newborn visiting the public health facility in order to end all preventable maternal and newborn deaths and morbidities and provide,a positive birthing experience.The expected outcome of this new initiative is "Zero Prevenlable Maternal and Newborn Deaths and high qualily of maternity care delivered with dignity and respect" Following this strategy, the Maternal Health Division strives to provide quality services to pregnant women and their newborns through various interventions and programmes, building capacity of health personnel and routine health systems strengthening activities

SBA (Skilled Birth Attendant) Training

Ensuring skilled attendance at every birth and access to quality emergency obstetric care for timely management of complications are critical interventions to achieve programme goals. Keeping this in view, skill based training programme of SBA training for Staff Nurses, ANMs/LHVs was designed.

The training equips the Staff Nurses & Auxiliary Nurse Midwives (SNs/ANMs posted in the District Hospitals/CHC/PHC/SC) with the necessary skills to conduct delivery in a safe & hygienic manner, use certain drugs like misoprostol and magnesium sulphate and simple clinical judgement tools like partograph in obstetrical cases ensuring a favorable outcome for the mother & newborn.

Reproductive Tract Infections/Sexually Transmitted Infections (RTI/STI) Training

The trainings refer both to what is to be implemented for prevention and management of STIs/RTIs in various health care settings and also refer to actions/activities that must be organized at different levels of service delivery with special reference to STIs/RTIs,

Medical Officers to:

>  Understand about the magnitude of STI/RTI problem in the community and country.

>  Understand about the seriousness of complications of common STI/RTI, if left untreated and its long term implications on health, including reproductive health.

>  Perform history taking and clinical examination of clients for STI/RTI.

>  Diagnose and treat common STI/RTI by using given flowcharts based on the infrastructure, facilities and availability of drugs at PHC.

>  Educate and counsel STI/RTI clients about prevention and complete treatment of STI/RTI.

Nursing personnel to be:

>  More knowledgeable and aware about the magnitude of STI/RTI problem in the country.

>  Able to understand the seriousness of complications of common STI/RTI, if left untreated and its long term implications on health including reproductive health.

>  Aware about the approaches to STI/RTI management.

Laboratory technicians to be:

>  More knowledgeable on STI/RTI, their causative agents and complications.

>  Able to understand the seriousness of complications of common STI/RTI, if left untreated and its long term implications on reproductive health.

>  Able to perform minimal laboratory tests for STI/RTI for diagnosis of common STI/RTI based on the infrastructure and facilities available at PHC.

Basic Emergency Obstetric Care (B-EmOC) Training

The purpose of this training is to equip the Medical Officers with appropriate knowledge and skills to handle basic and comprehensive obstetric care, respectively. The Medical Officers are trained to become proficient in providing quality antenatal care, intra-partum care, including monitoring of labor with partograph, active management of third stage of labor and postpartum care and manage common obstetric problems such as anaemia, hypertensive disorders of pregnancy including eclampsia, haemorrhage, abortion, puerperal sepsis, prolonged labor, preterm labor, foetal distress, prolapsed cord, twins etc. and stabilize women before and during referral to the appropriate health facility. They are equipped enough to handle the common obstetric emergencies and provide the requisite care such as administration of parenteral oxytocics, antibiotics and anti-convulsant drugs, manual removal of placenta, the conduct assisted vaginal deliveries etc. In Haryana this training is integrated with PPIUCD Training.