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Nkhoma Safe Motherhood Program - Referral & supervision |
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Back: Nkhoma Safe Motherhood Program - Overview Introduction
Nkhoma Hospital participated in the Referral and Supervision Project supported by Norwegian Church Aid and CHAM, which run 2003-2007. The aim of the project was to reduce maternal mortality. In this project clinicians and nurses did supervisory visits to health centres to discuss case management and to give feedback on referrals.
The project was evaluated positively by both the hospital staff and the health centre staff. Concerns regarding the project were: - The supervisory visits were done besides regular activities, which gave the project participants a significant workload.
- Lack of a dedicated vehicle, which caused regular cancellation or postponement of visits.
- Health centres are sometimes constraint in providing good quality care by the health system (lack of human resources, supervision, poor supply chain). The project had limited structures in place to bring these concerns to the local government level.
The staff at Nkhoma Hospital expressed unambiguously that they would like to continue the project.
The hospital is a partner in MaiKhanda by the Institute for Health Improvement/ Liverpool Associates. The project trained various staff members in quality management. A quality improvement team of staff members is instituted in the hospital. They analyze various processes including the referral procedure between health centres and the hospital and keep a database of maternal outcomes.
Activity 5.1 All 5 health centres will be visited every month by a team of a nurse and clinician
All health centres will be visited by a clinical officer and nurse. A standard supervision form will be filled in to objectively assess quality at the health centre.
The in charges will be invited for a meeting every six month at Nkhoma Hospital to discuss outcomes of the supervisory visits and identify shared challenges.
Back: Nkhoma Safe Motherhood Program - Overview
Activity 5.2 Health centre staff (10) will be trained in Basic Emergency Obstetric Care (BEmOC) for six weeks at Nkhoma Hospital
The Nkhoma Safe Motherhood stimulates women in the community to come for delivery care to the hospitals and requires traditional birth attendants to refer pregnant women to health facilities. If the health system is unable to deliver skilled birth attendance at health centres this will discourage women to come to deliver. The UN recommended number of EmOC facilities is 1/100.000 which would require at least two BEmOC facilities in the Nathenje health area. Nkhoma Hospital is a government appointed BEmOC training facility.
Two staff members from all health centres around Nkhoma Hospital will be trained in BemOC at Nkhoma Hospital (10 in total). The program will acquire the necessary equipment for BemOC at all health centres (vacuum extractor + oxygen mask).
Back: Nkhoma Safe Motherhood Program - Overview
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