Comprehensive post partum (CPP) project

The project, to be implemented by an institutional contractor in collaboration with the Ministry of Health (MOH) and other Jordanian entities, includes three components: service delivery, training, and information, education, and communications (IEC). The service delivery component will establish Comprehensive Postpartum (CPP) Centers at 12 existing sites (6 MOH hospitals, 3 Royal Medical Services hospitals, 1 university hospital, 1 NGO/charity hospital, and 1 NGO clinic). The Centers will be provided with the space and equipment they need to provide CCP services and attract users. Antenatal care at the participating institutions will be expanded to include routine information, education, and counseling in family planning and in postpartum follow-up care for both the mother and infant. Mothers will receive information to reinforce the antenatal educational messages, and both mothers and infants will receive two postpartum care appointments. Women who have delivered but received no antenatal care or who were not exposed to the CPP approach, will be targeted to receive more extensive information prior to discharge. All postnatal services will be provided in the same place and at the same time for the sake of the mothers" convenience. To ensure continuity of care, the project will develop a referral system connecting the maternal and child health (MCH) Center to the hospital, then to the CPP Centers, and back to the MCH center. Target beneficiaries include the country"s 350,000 married women of reproductive age and 125,000 children under one. The training component will train the obstetric and pediatric staff of the 12 CPP Centers in family planning. Training sites will be located in the country"s major teaching hospitals so that residents will be rotated through the program, ensuring that the CPP concept is integrated into Jordan"s medical community. Training will cover medical family planning issues, as well as, management, counseling, education, and a team approach to the provision of services. It is anticipated that 74 training courses will be provided for almost 1,200 persons. The IEC component will inform the general public of the benefits of the new comprehensive postpartum approach and encourage effective contraceptive use. This will be accomplished through a mass media campaign reinforced by interpersonal communications through community-based NGOs and other systems and innovative educational materials that encourage women, in subtle ways, to seek regular care throughout pregnancy and into the pospartum period. The targeted beneficiaries of IEC activities are the 806,000 women and 856,000 men aged 15-49.