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EMERGENCY OBSTETRIC AND NEONATAL CARE AT THE COMMUNITY LEVEL (Santénet2 – 2013)

EMERGENCY OBSTETRIC AND NEONATAL CARE AT THE COMMUNITY LEVEL (Santénet2 – 2013)

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Published by HayZara Madagascar
The C-ONE (Community-based care for obstetrical and neonatal emergencies) project helps the community prevent possible dangers before, during, and after childbirth, both for pregnant women and newborns. In general, the perception of the population stays positive for an extension of practices in excellence.
Another point that was evoked during the course of the study was the importance of partnering the public and private sectors in reinforcing the capacities of the CHVs. Investment at the community level comes through the partnerships of NGOs and Fokontany.
It is important to recognize the importance of the CDS and to request the help of Health Officials. Their support is needed in the stimulation of the request and the offer of services at a community level.
The C-ONE (Community-based care for obstetrical and neonatal emergencies) project helps the community prevent possible dangers before, during, and after childbirth, both for pregnant women and newborns. In general, the perception of the population stays positive for an extension of practices in excellence.
Another point that was evoked during the course of the study was the importance of partnering the public and private sectors in reinforcing the capacities of the CHVs. Investment at the community level comes through the partnerships of NGOs and Fokontany.
It is important to recognize the importance of the CDS and to request the help of Health Officials. Their support is needed in the stimulation of the request and the offer of services at a community level.

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Published by: HayZara Madagascar on Aug 07, 2013
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05/14/2014

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EMERGENCY OBSTETRIC AND NEONATAL CARE AT THECOMMUNITY LEVEL
 
 
Page 2
USAID/Santénet2 is implemented by RTI International under contract No. GHS-I-01-07-00005-00, in partnership with CAREInternational, CRS, PSI, IntraHealth International and, DRV.
TABLE OF CONTENTS
ACRONYMS
...................................................................................................................................................
3
 
EXECUTIVE SUMMARY
.................................................................................................................................
5
 
BACKGROUND
…………………………………………………………………………………………………………………………………………5
 
ASSUMPTION
………………………………………………………………………………………………………………………………………….7
 
GOALS OF THE STUDY
General objective………………………………………………………………………………………………………………………..7
 
Specific objectives……………………………………………………………………………………………………………………….7
 
Expected results………………………………………………………………………………………………………………………….7
 
METHODOLOGY
Study type…………………………………………………………………………………………………………………………………..8
 
Study zone………………………………………………………………………………………………………………………………….8
 
Selection criteria of communes…………………………………………………………………………………………………..9
 Study
length………………………………………………………………………………………………………………………………..9
 
Study population…………………………………………………………………………………………………………………………9
 
Study activities………………………………………………………………………………………………………………………….10
 
Principles stages of the study……………………………………………………………………………………………………
11
LIMITATIONS OF THE STUDY
…………………………………………………………………………………………………………………14
 
RESULTS
Capacity building of the actors…………………………………………………………………………………………………15
 
Support of the organization of community emergency evacuation system………………………………18
 
Qualitative results……………………………………………………………………………………………………………………19
 
Register indicators of service utilization…………………………………………………………………………………..24
 
DISCUSSION
Recognition of danger signs and referrals…………………………………………………………………………………27
 
Comparisons of the indicator changes ……………………………………………………………………………………..28
 
Implementation of solidarity funds and evacuation systems…………………………………………………….29
 
RECOMMANDATIONS
……………………………………………………………………………………………………………………………32
 
ATTITUDES TOWARD THE CONTINUATION OF THE PROGRAM
……………………………………………………………32
 
SCALING OF THE PROGRAM
…………………………………………………………………………………………………………………33
 
Results………………………………………………………………………………………………………………………………………33
 
Community emergency evacuation system………………………………………………………………….33
 
Service utilization…………………………………………………………………………………………………………35
 
CONCLUSION
…………………………………………………………………………………………………………………………………………40
 
ANNEX
………………………………………………………………………………………………………………………………………………….41
 
 
 
Page 3
USAID/Santénet2 is implemented by RTI International under contract No. GHS-I-01-07-00005-00, in partnership with CAREInternational, CRS, PSI, IntraHealth International and, DRV.
ACRONYMS
ANC Antenatal CareCHD 1 Centre Hospitalier du District niveau 1 (District Hospital Center, Level 1)CHD2 Centre Hospitalier du District niveau 2 (District Hospital Center, Level 2)CHU Centre Hospitalier Universitaire (University Hospital Center)CHV Community Health VolunteerCME Complexe Mère Enfant (Mother Child Health Complex)CSB Centre de Santé de Base (Basic Health Center)DHS Demographic Health SurveyONE
Obstetrical and neonatal emergency
c-IMCI Community based Integrated Management of Childhood Illnesses
C-ONE Community-based care for obstetrical and neonatal emergencies
GM Group of MenHC House CallHF Health FacilityHMIS Health Management Information SystemHO Health OfficialIFA Iron and Folic AcidIPT Intermittent Preventive TreatmentKMs Kaominina Mendrika salamaMES Medical Evacuation SystemNA Not AvailableNGO Non-Governmental OrganizationLLIN Long-Lasting Insecticidal NetPoNC Postnatal Consultation

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