Special Programmes

  • Life Saving Skills & Focused Antenatal Care
  • Implant Insertion Training
  • Maternal Death Audit Meeting
  • Midwives’ Meeting

                                                    

1. Life Saving Skills & Focused Antenatal Care – UNFPA/ MAF

The United Nations Population Fund (UNFPA) in partnership with Ghana Health Service organized 7-day training on Life Saving Skills and Focused Antenatal Care for one hundred and five (105) Doctors and Midwives. The Service Providers were drawn from hospitals, health centres and the various districts.  These took care of service providers from the Ghana Health Services, Faith Based (CHAG & Ahmadiyya) institutions.

 

Participants were taken through the under listed topics;

  • The whole concept of FANC
  • The new WHO modules
  • Identifying and managing common FANC problems
  • Malaria and Anaemia in pregnancy
  • PMTCT
  • Active management of third stage of labour and episiotomy
  • MRP, MVA, Shoulder dystocia, CPR/Newborn and Adult resuscitation
  • Management of breech presentation
  • The use of partograph

 

Using handouts, dummies, tamponades, etc. the facilitators led discussions on the above topics. Participants were evaluated using pretest and posttest.

2. Implant Insertion Training for CHNs /CHOs

As part of the effort to increase Family Planning acceptor rate in the region and also protect the women in the fertility age group from indulging in unwanted pregnancy which could lead to sepsis and even death, the GHS both at national and regional level organized a training session in the insertion of Implanon NXT.

Two hundred and thirty service providers were trained. The region was zoned into three. Namely Sunyani zone, Berekum and Techiman zones. Sunyani and Berekum trained sixty four service providers each whilst Techiman did one hundred and two and these was funded by Ghana health service and UNFPA.

 

3. Maternal Death Audit Meeting - MAF

As part of efforts to improve the quality of death review and to strengthen its use as a tool for improving accountability for the lives of women, there was the need to form a Regional Maternal Death Audit task force to monitor and supervise the district Maternal Death Audit teams on the Revised Maternal Death Audit System under the MAF operational plan.

A three day training programme was organized for identified Doctors in to maternal health and Midwives on the revised audit guidelines.

The region was zoned into four (4) groups constituting Doctors and Midwives

 

Key Issues

  • High maternal deaths in the region (23 deaths as at March, 2016) and low coverages for Antenatal Care, Skilled Delivery, Postnatal Care and Family Planning.
  • Districts with hospitals rather performing poorly than those without hospitals
  • Most of the maternal deaths occur at night and midnight. There is the need to maintain night shift and on-call Doctors
  • Implementation of recommendations from Maternal Death Audits is a very big challenge. Leadership involvement in the implementation of audit recommendations was suggested 
  • The use of partograph which is the mirror to safe delivery was stressed.
  • The need for Service Providers to know one another by face, phone, e-mail etc for easy follow-ups was emphasized so as to reduce maternal deaths
  • Poor feedback from referral facilities
  • Staff attitude towards clients was identified as one of the major delays
  • Intensifying of health education at ANC and other clinics to solve the issue of delay in seeking health care
  • Regional Health Directorate should help in the renewal of Memorandum of Understanding (MOU) between the Service Providers and Transport unions since community involvement is key to reducing maternal deaths.
  • Orderliness and discipline at facilities are very essential in solving maternal death.
  • Shortage of Magnesium Sulphate at facilities and Regional Medical Stores
  • Inadequate equipment to store oxytocin
  • Data analysis should be done by Midwives and verified before entry unto the DHIMS2.

 

Maternal Death Audit Task force was responsible for the following:

  • Assess audit reports at facilities (both maternal and newborn)
  • Draw an action plan for audit recommendation
  • Find out the implementation plan for their audit recommendation
  • Give support or coaching when necessary
  • Report to Regional Director of Health Services through the Regional parents

 

4. Midwives’ Meeting - MAF

The Reproductive and Child Health Unit organized a midwives’ forum for 71 midwives in the region as part of the MAF implementation plan. Midwives from both private and government facilities were invited to a meeting to deliberate on issues pertaining to maternal health.