Transcript Severe Pre eclampsia at 20w

Sogeri Field Trip
Max Brinsmead MB BS PhD
May 2015
Objectives:
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Understand the difficulties faced by rural
families in PNG in accessing Reproductive
Health (RH) Services
Compare RH services provided at PMGH with
those of a typical Rural Health Centre (RHC)
Learn basic RH epidemiological indices
Plan service improvement using an
evaluation of these indices in a typical RHC
Understand population dynamics in rural
PNG as it relates to patient, family, clan,
district and province
Compare and Assess RH Facilities
Antenatal
 Intrapartum
 Postpartum
 Family Planning
 STD, PID and HIV
 Using the following criteria:
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 Accessibility
 Components
available
 Advantages and disadvantages CF PMGH
Basic RH Indices
Population (number)
 % Population <15 years of age
 Population of Reproductive Age
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 (Females
15 – 45 years of age)
Total Fertility Rate
 Population growth rate
 Population doubling time
 Contraceptive prevalence rate (CPR)
 Maternal Mortality Rate
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Advanced RH Indices
Proportion of pregnancies that receive
AN care
 Proportion of births that are supervised
by a medically-trained attendant
 Contraceptive’s Couple Protection
Years (CYP or Sip)
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All need to be analysed over time
You will study...
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Birth register
 Including
outcomes and referrals
Antenatal Clinic attendances
 Family Planning attendances
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 Evaluate
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by method prescribed
Inpatient Admissions
 Evaluate
by diagnosis and outcome including
death or referral
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Outpatient attendances
 Evaluate
by diagnosis
 Particularly those that relate to STD, PID, HIV
etc.
And assemble data that reports...
% pregnancies that have AN care
 % births that are supervised
 Couple Years Protection (CYP)
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 For
Pills (COC)
 For Injections (Depo)
 For tubal ligation
Inpatient Admissions
 Outpatient Attendances
 All over time
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On the second day you will...
See all patients who attend for AN
services
 Survey contraceptive use and plans
 Estimate maternal mortality
 Explore attitudes to pregnancy and
childbirth
 All the above using the survey forms
provided
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Resources
Faculty handout notes
 Mola and King “Primary Mother Care
and Population for Papua New Guinea”
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Section 3 & especially 3.14
 Section 5.17
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Records kept at Sogeri Clinic
 The staff at Sogeri
 Faculty staff
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In your Reports we expect recommendations
concerning…
Staffing
 Facilities
 Transport
 Use of Aid Posts
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 Staff
 Facilities
Guidelines for referral to PMGH
 Advice about data collection & use
 Your experience and advice for
subsequent students
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