JHPIEGO
MCHIP's maternal and neonatal health (MNH) initiative in Madagascar made significant progress in FY12, with a focus on training healthcare providers and community health workers.
2012 · 12 pages

Abstract
The initiative trained 242 members of professional associations on MNH/Basic Emergency Obstetric and Newborn Care, with clinical trainers conducting intensive hands-on supervisory follow-up workshops with over 90% of the newly trained providers. MCHIP also trained 319 community agents in providing care for women and newborns with complications before transfer to health facilities. All healthcare provider association members and community health workers in the three demonstration districts were trained by MCHIP and are functional on MNH/Basic Emergency Obstetric and Newborn Care. The initiative distributed job aids to healthcare providers affiliated with private associations, including gestograms and posters on PPH management, newborn resuscitation, and magnesium sulphate administration. In addition, MCHIP updated service provider registers to include MNCH indicators and labor and delivery data. A total of 146 healthcare providers were trained to use the new registers, and 114 delivery registers and 115 consultation registers were distributed. Communities in the three districts worked with MCHIP coordinators to develop emergency referral plans applicable and feasible for their local context, with a total of 22 preliminary plans developed this year. MCHIP's partnerships with other bilateral organizations allowed for greater scale-up of MNCH interventions. The initiative provided technical leadership and support in MNCH at the national level through partnerships, technical information sharing, and national-level trainings. MCHIP worked closely with RTI, PSI, and MSM, which scaled up MNCH interventions as a result of the partnership. MCHIP shared best practices in MNCH through training of healthcare providers and community health workers. A total of 579 people were trained on MNCH best practices, which constitutes over 100% of the original annual objectives. Trainings focused on building a pool of new trainers and developing the capacity of healthcare providers and community health workers. A total of 18 new clinical trainers were trained, 242 healthcare providers, and 319 new community health workers. Supervision by MCHIP clinical trainers reinforced the capacity to apply best practices in MNCH issues among 544 MNH training participants. Follow-up supervision was conducted to ensure correct use of newly acquired skills among 544 health providers trained on maternal and neonatal health during 5-day workshops. Follow-up supervision with all trained community health workers in the three districts reinforced community-level capacity to deal appropriately with MNCH issues. MCHIP brought MNCH issues to the forefront through technical information sharing and Quality of Care survey results dissemination with partner providers, participation in the development of newly revised maternal and neonatal health booklets, and participation in key technical groups and newsletters. A national-level workshop was held to officially share the Quality of Care survey results, and vital technical information regarding MNCH was shared through additional presentations and workshops to an array of partners working in professional associations.
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