Innovative Tools and Strategies | Prevention and Clinical Management | Health Systems and Workforce | Strengthening Quality of Care | Focus: Gender | Focus: Small and Sick Newborns | Focus: Mental Health | Focus: Private Sector Room: Daisy Oral Abstracts
May 09, 2023 13:15 - 14:30(Africa/Johannesburg)
20230509T1315 20230509T1430 Africa/Johannesburg Improving Referral, Transportation, and Triage

Community Follow-Up to Prevent Recurrence of Fistula

Female genital fistula remains a global burden, and in Nigeria there are an estimated 12,000 new cases annually. Attention has focused on surgical repairs, community mobilization, and government guidelines. These target the condition, but not the "whole person." Women with fistula may experience psycho-social consequences, and difficult deliveries that leave women with nerve damage. Noncompliance with post-repair recommendations can result in fistula recurrence. Integration of community follow-up into holistic fistula care can help to address these needs.

Strengthening a Referral System through a Community-Owned Maternal and Newborn Transport Model Using Motorbike Ambulances in Luwingu, Lupososhi, and Lunte Districts, Northern Province, Zambia

Less than 25% of Zambia's population live within 15 km of an emergency obstetric facility, amplifying inequities for women accessing life-saving care during pregnancy and delivery. In 2018, the Ministry of Health (MoH) and Clinton Health Access Initiative (CHAI) implemented a community referral and transport intervention as part of the integrated reproductive maternal and neonatal health program in Northern Province, covering 143 health facilities. Northern Province is sparsely populated, characterized by long distances to health facilities, poor terrain, and inadequate public transport. There have been numerous community interventions to bridge gaps in maternal transport but they are often not sustained beyond partner support.

Leveraging Private Sector Partnerships to Sustainably Connect High-Risk Mothers to Emergency Transport and Appropriate-Level Quality Care in Kakamega County, Kenya

Delays in timely access to care drive a thir ...

Room: Daisy International Maternal Newborn Health Conference 2023 information@imnhc.org
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Community Follow-Up to Prevent Recurrence of Fistula

Female genital fistula remains a global burden, and in Nigeria there are an estimated 12,000 new cases annually. Attention has focused on surgical repairs, community mobilization, and government guidelines. These target the condition, but not the "whole person." Women with fistula may experience psycho-social consequences, and difficult deliveries that leave women with nerve damage. Noncompliance with post-repair recommendations can result in fistula recurrence. Integration of community follow-up into holistic fistula care can help to address these needs.


Strengthening a Referral System through a Community-Owned Maternal and Newborn Transport Model Using Motorbike Ambulances in Luwingu, Lupososhi, and Lunte Districts, Northern Province, Zambia

Less than 25% of Zambia's population live within 15 km of an emergency obstetric facility, amplifying inequities for women accessing life-saving care during pregnancy and delivery. In 2018, the Ministry of Health (MoH) and Clinton Health Access Initiative (CHAI) implemented a community referral and transport intervention as part of the integrated reproductive maternal and neonatal health program in Northern Province, covering 143 health facilities. Northern Province is sparsely populated, characterized by long distances to health facilities, poor terrain, and inadequate public transport. There have been numerous community interventions to bridge gaps in maternal transport but they are often not sustained beyond partner support.


Leveraging Private Sector Partnerships to Sustainably Connect High-Risk Mothers to Emergency Transport and Appropriate-Level Quality Care in Kakamega County, Kenya

Delays in timely access to care drive a third of all maternal deaths in Kenya. Hospitals and health system managers lack means to rapidly identify at-risk mothers, service gaps, and gather clinical information on incoming patients, resulting in mothers being "bounced around" between facilities to find the appropriate level of care. Kakamega County has partnered with Jacaranda and Rescue.co to improve maternal survival by expediting access to emergency care.


Strengthening Management of Emergency Maternal Health Complications at the Emergency Unit of Public Health Facilities in Bangladesh

In Bangladesh, ante-and postpartum hemorrhage (APH, PPH) and pre-eclampsia/eclampsia (PE/E) contributed about 55% to overall maternal deaths (Bangladesh Maternal Mortality and Health Care Survey, 2016). Improved detection and management of maternal complications is crucial to avert these preventable deaths. The U.S. Agency for International Development (USAID)'s MaMoni Maternal and Newborn Care Strengthening Project (MNCSP) supported district- and subdistrict-level hospitals with the formation and training of emergency management teams and the availability of essential drugs through the government system to manage maternal complications in the emergency department. After initial stabilization, mothers with complications are referred to inpatient wards of hospitals or to other facilities for further management. Ongoing supervision helped to resolve technical and logistical issues and strengthen recording and reporting. There were no prereferral case management and reporting systems in the emergency units prior to this intervention.

Community Follow-Up to Prevent Recurrence of Fistula
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Gender, Mental Health
Prevention and Clinical Management
Presenters
KA
Kabiru Atta
Country Program Manager, EngenderHealth Nigeria
Co-authors Iyeme Efem
Snr. Global Fistula Manager, EngenderHealth
Strengthening a Referral System through a Community-Owned Maternal and Newborn Transport Model Using Motorbike Ambulances in Luwingu, Lupososhi, and Lunte Districts, Northern Province, Zambia
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Innovative Tools and Strategies
Strengthening Quality of Care
Presenters Caren Chizuni
Chief Safe Motherhood Officer, Ministry Of Health Zambia
Co-authors
AK
Aniset Kamanga
Program Manager - Monitoring And Evaluation For Sexual Reproductive Maternal Newborn Health, Clinton Health Access Initiative (CHAI)
TS
Timothy Silweya
Senior Program Officer, Community Engagements And Referral, Clinton Health Access Initiative
AM
Angel Mwiche
Ministry Of Health, The Ministry Of Health
Morrison Zulu
Associate Director - Sextual Reproductive Maternal And Newborn Health, Clinton Health Access Initiative
Oluwaseun Aladesanmi
Associate Program Director, Maternal Newborn Health, Clinton Health Access Initiative
Andrew Storey
Senior Director, Maternal And Newborn Health, Clinton Health Access Initiative
HS
Hilda Shakwelele
Country Director, Clinton Health Access Initiative
MP
Margaret Prust
Senior Technical Advisor Research & Labs - Applied Analytics, Clinton Health Access Initiative
Leveraging Private Sector Partnerships to Sustainably Connect High-Risk Mothers to Emergency Transport and Appropriate-Level Quality Care in Kakamega County, Kenya
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
Small and Sick Newborns (SSNB), Private Sector
Health Systems and Workforce
Innovative Tools and Strategies
Presenters Javan Waita
Head Of Programs, Jacaranda Health Solutions
Co-authors Victor Bwire
Head Of Department, Jacaranda Health
Strengthening Management of Emergency Maternal Health Complications at the Emergency Unit of Public Health Facilities in Bangladesh
Single Abstract 01:15 PM - 02:30 PM (Africa/Johannesburg) 2023/05/09 11:15:00 UTC - 2023/05/09 12:30:00 UTC
None
Health Systems and Workforce
Strengthening Quality of Care
Presenters
JD
Joseph De Graft-Johnson
Managing Director, Reproductive, Maternal, Newborn And Adolescent Health Team, Save The Children
Co-authors
RA
Rafiul Alam
Program Director-Maternal Health, USAID’s MaMoni Maternal And Newborn Care Strengthening Project (MaMoni MNCSP), Jhpiego
ZS
Zubair Shams
Technical Advisor-Research And Learning, Save The Children In Bangladesh
BB
Bal Ram Bhui
Senior Advisor MEL, Save The Children US
AM
ASM Moniruzzaman
Advisor-Maternal Health,USAID’s MaMoni Maternal And Newborn Care Strengthening Project (MaMoni MNCSP), Jhpiego
AK
Afsana Karim
Senior Technical Advisor-MNH, Save The Children In Bangladesh
Head of Programs
,
Jacaranda Health solutions
Chief Safe Motherhood Officer
,
Ministry of health Zambia
Country Program Manager
,
EngenderHealth Nigeria
Managing Director, Reproductive, Maternal, Newborn and Adolescent Health Team
,
Save the Children
Dr. Animesh Biswas
Technical Officer
,
United Nations Population Fund (UNFPA), Bangladesh
President Elect
,
FIGO
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Community Follow-Up to Prevent Recurrence of Fi...
IMNHC_1684442039dr_kabiru_atta.pptx View Submitted by Iyeme Efem 5
Strengthening Management of Emergency Maternal ...
IMNHC_1684442244joseph_11h00-_12h15_tues_daisy.pptx View Submitted by Rafiul Alam 9
Strengthening a Referral System through a Commu...
IMNHC_1684442074updated_deck_strengthening_referral_system_through_motorbike_ambulances_-_caren_sa_v2_mz_ak.pptx View Submitted by Aniset Kamanga 8
Leveraging Private Sector Partnerships to Susta...
IMNHC_1684442132223_javan_waita.pptx View Submitted by Victor Bwire 7
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