Transcript Slide 1

SAFE MOTHERHOOD ACTION GROUPS
SMAGs TRAINING IN
MWINILUNGA DISTRICT
Prepared by:
Ernest K. Kakoma
Senior Health Promotion Officer
NWP/PHO
1st November, 2012
Intercontinental Hotel - Lusaka
PROCESS
• Supported
by
Zambia
Integrated
Systems
Strengthening Program (ZISSP)
• Facilitators: American College of Nurse Midwives
(ACNM)
• ACNM trained Master Trainers, who trained District
Trainers.
• District Trainers capacity building community
members/groups as key players.
• Aim:
• To institutionalise SMAG as a strategy to improve
mothers’ and newborn lives.
TRAINING OF COMMUNITY MEMBERS
• Done in two phases;
– 1st 2RHCs; Nyang’ombe and Lumwana West,
– 2nd phase; Kanyihampa and Katuyola.
• Pre-assessment (Baseline) prior to training
• Observations:
• HMIS does not include some data captured by
the SMAG leaders at community level (eg
referrals from the community),
• Long distances from Community to RHC,
• Lack of transport, etc
FOCUS
• Focuses on Home Based Life Saving Skills (HBLSS)
methodology– Urgent referral
– Give 1st Line care enroute to HF
– Broadens responsibility in emergencies to rest of the
community
– Emphasises TAKING ACTION at all levels during referral
– Stimulates problem-solving
– Provides hope that things can change
– Learning approach: uses pictures, role plays, content
repeated multiple times in multiple ways (see, hear and
do) to enhance retention
– Uses community meetings approach
Flow chart illustration
P
R
O
B
L
E
M
Recognise Get to
the
seek
problem
care
Decide
Seek
to seek
care
care
Get
quality
care
Facility
Life
Family + Community Home Based Saving
Life Saving Skills (HBLSS)
Skills
S
U
R
V
I
V
A
L
Materials shared
• Participants received a set of training manuals:
– Take action card booklet (Community),
– Large picture cards (laminated) (Community),
– Pregnant woman and New born registers with
pictures (Community),
– Reporting forms (Community),
– Basic information booklet (Trainers),
– Safe motherhood training manual booklet (Trainers),
– Baby information booklet (Trainers),
– Facilitators guide (Trainers), and
– Woman Information booklet (Trainers),
Results
• 82 SMAGs trained both males and females;
Nyang’ombe (20), Lumwana West (20),
Kanyihampa (20) and Katuyola (22).
• Methodology used enhances knowledge
retention, participation and reflective learning
(eg use of story telling, etc).
• Use of picture cards during teaching was very
helpful as some participants could not read
and write (illiterate).
• Marked improvement by participants from
Pre-test to post test
Conclusion
• Mobilising communities is very expensive (?).
• Due to inadequate resources (human and
financial), communities empowerment with
skills and knowledge is one solution to reduce
MMR.
• Methodology used make learning a life time
experience.
• Recommend that the same be replicated in all
the communities.
• Health Care Providers need to oriented.
• Thanks to ZISSP, and ACNM, for taking a step
Phase II: SMAGs Master trainers: Central, Copperbelt, Lusaka,
Northern, North-Western, Western Provinces
SMAGs in action at Katuyola RHC during role plays
Training at Nyang’ombe RHC
Training at Nyang’ombe RHC
SMAGs at Nyang’ombe RHC
The end