MATERNAL, NEWBORN AND CHILD HEALTH-4.PDF

MATERNAL, NEWBORN AND CHILD HEALTH Prepared by Dr. Hadi Alhamzi MBBS,MCM Community Medicine Department Faculty of Medicine and Health Sciences Amran University  MATERNAL, NEWBORN AND CHILD HEALTH The health syste...

MATERNAL, NEWBORN AND CHILD HEALTH Prepared by Dr. Hadi Alhamzi MBBS,MCM Community Medicine Department Faculty of Medicine and Health Sciences Amran University  MATERNAL, NEWBORN AND CHILD HEALTH The health system in Yemen is crumbling as a result of the current war. A staggering 14.7 million people lack adequate healthcare and less than half of all health facilities are fully functional. There is a severe shortage in medicines, equipment, and staff across the country MATERNAL, NEWBORN AND CHILD HEALTH Moreover, with the Ministry of Public Health and Population lacking the funding to cover critical operating costs, pressure is increasing on households and humanitarian organizations to fill the gap. Pregnant women, mothers, and young children are particularly vulnerable, as quality care throughout the stages of pregnancy, childbirth, and early childhood development is critical to prevent mortality and set a strong foundation for a child’s future.  DEFINITION According to WHO “Maternal and child health (MCH) refer to a package of comprehensive health care services which are developed to meet promotive, preventive, curative, rehabilitative needs of pregnant women before, during and after delivery and of infants and pre-school children from birth to five years.” Maternal and Newborn Care in Communities Maternal and Newborn Care in Communities: Unfortunately, it is increasingly difficult for many Yemenis to reach medical facilities. For this reason, INGO is also supporting expanded training for over 260 midwives that will help them better care for mothers and newborns in their communities and homes.  Combating Preventable Child Deaths Combating Preventable Child Deaths: INGO is helping ensure that health facilities can combat the rising number of child deaths from preventable illnesses and promote improved child development. Approximately 360 health workers at 180 health facilities are receiving training on holistic child healthcare that takes into account all elements of the child’s wellbeing. INGO is also providing these health facilities with the supplies and equipment they need to provide these critical services.  Childhood Disease Control: To ensure children are protected from preventable illnesses, INGO is supporting the Global Vaccine Action Plan for Yemen. In collaboration with the UN, the plan strives to provide all children with the recommended childhood vaccines, cold chain maintenance, and trained personnel needed to deliver high quality immunization services.  Communication in Healthcare Introduction What is communication?: the exchange of information between a patient and their healthcare provider, and includes communications with the family and carer Importance of communication in healthcare It ensures that all staff know and can efficiently follow protocols and procedures, enhancing overall operational efficiency. Significance Improved communication during shift report can help catch potential medical errors ( IOM, 2009) SBAR: S situation( briefly describe the situation) B background (briefly state pertinent history. What got us to this point?) A assessment ( summarize the facts. What do you think is going on?) R recommendation (what are you asking for? What need to happen next?  Communication in Healthcare Clinical Proposal Tool :Kardex Target population: Healthcare providers Healthcare setting Description of the Tool Kardex divided into 4 sections 1st section patient history: patient name, age, gestational age, gravity/parity, gestational age, due date, primary physician, home medications, allergies. History Exams Labs Procedure/Plan of care Description of the Tool 2nd section Exams: current findings vitals signs, vaginal exams, any bleeding, physical assessment. 3rd section Labs: Patient’s current lab results: blood type, group beta strep status, rapid plasma reagin RPR, HIV, HepBsag, Rubella, CBC, long term goals Enhance nurses autonomy while providing patients care Decrease patient safety risks due to errors, short terms goals Empower nurses on patients’ advocacy Provide effective patient care by reducing errors related to miscommunication After the implementation of the tool, nurses on the unit will be able to: Identified the importance of effective communication during shift report Describe the importance of quality exchange information when handing over patient care Cite the benefits of using the new communication tool during shift report. Evaluation Monthly staff meeting Survey questionnaire: rate the effectiveness of the tool from 1 to 10 How helpful is the tool related to your work? Please rate the quality of the tool  REFERENCES Chapman, K. (2009). Improving Communication Among Nurses, and Physicians. AJN retrieved April 29th, 2013 from http://www.nursingcenter.com/pdf.asp?AID=940556. Curtis, K., Tzannes, A., & Rudge, T. (2011). How to talk to doctors - a guide for effective communication. International Nursing Review, 58(1), 13-20. Evans, D., Grunawait, J., McClish, D., Wood, W., & Friese, C. R. (2012). Bedside Shift-to-Shift Nursing Report: Implementation and Outcomes. MEDSURG Nursing, 21(5), 281-292 References Ins Priorities for facilitating HSS Health workforce Cost-effective interventions and service delivery models (PHC) Progressive and Smart Health Management Decentralization Results -based financing Enhanced and integrated management approachetitute of Medicine (2009) To Err Is Human: Building a Safer Health System, retrieved 10/30/13 from http://www.justice.org/cps/rde/justice/hs.xsl/8677.htm The Joint Commission (2007) Sentinel Event statistic retrieved 10/30/13 from http://www.jointcommission.org/assets/1/18/General_Information_1 995 2Q2013 pdf  Health Systems Strengthening Why do we need to strengthen Health Systems? ‘The poor state of Health Systems in many parts of the world is one of the greatest barriers to increasing access to essential health care’ (WHO, 2007) There is an increasing recognition that efforts to improve global health cannot be achieved without stronger health systems’ (Chee and cols., 2012)  What do Health Systems Strengthening mean? HSS is any array of initiatives, strategies, or activities that improves one or more of the core functions of the health system—labeled “Building Blocks” by the World Health Organization (WHO, 2007) Quite simply, HSS is about permanently making the system function better, not just filling gaps or supporting the system to produce better short terms. The WHO definition of HSS (WHO, 2007) fully support this. HSS is a mean to an end, not an end in itself The end is better performance HS: health universal coverage  Distinguishing between Support and Strengthening Health Systems Support: Any activity to improve inputs into HS Strengthening: To facilitate comprehensive changes to HS performance drivers such as policy and regulations, organizational structures, and relationships to motivate changes in behavior  Priorities for facilitating HSS Health workforce Cost-effective interventions and service delivery models (PHC) Progressive and Smart Health Management Decentralization Results-based financing Enhanced and integrated management approaches Effective commodity supply chains are crucial for health security THANK YOU