Adapting HBLSS to Fit Your Program_Lewis_5.11.11

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  • Training cascadeCommunity: TBAs, mothers, fathers, leaders
  • Training cascadeCommunity: TBAs, mothers, fathers, leaders
  • People know to get care
  • HBLSS gave people skills and knowledgeOrganized communities for evacuationEvery community has a plan: who will do what in an emergency, call ambulance, get money, etc.
  • Nurse and ambulance on call 24/7
  • Adapting HBLSS to Fit Your Program_Lewis_5.11.11

    1. 1. HBLSS Training is Fun!<br />
    2. 2. Community Foundation<br />Haitian Health Foundation: 24 years in Jeremie<br />Health workers selected by village<br />104 villages: 200,000 population<br />High level of community ownership<br />Health “posts” for rural women and children<br />Census based and computerized health information system<br />Feedback and decision-making with communities<br />Village health committees, mothers’, fathers’ and youth groups<br />
    3. 3. Getting to HHF Villages<br />
    4. 4. Sant Espwa<br />First Maternal Waiting Home <br />in Haiti, 2000<br />
    5. 5. HBLSS Training<br />24 community trainings<br />Over 1000 people<br />
    6. 6. Adaptation<br /> Negotiation based on existing capacity and feasibility<br />Needs assessment incorporated in Facilities Assessment<br />Evaluation incorporated in ongoing data collection system for HFF<br />Reduced consultation and costs<br />Adapting training cascade and modules<br />
    7. 7. Danger Sign Recognition<br />%<br />
    8. 8. Increased Care<br />%<br />
    9. 9. Community Planning — Emergencies<br />72 Evacuation Committees<br />
    10. 10. Emergency Evacuation<br />Before<br />
    11. 11. PBS NOW Series<br />“Saving Haiti’s Mothers”<br />In 18 months<br />600 women/newborns <br />transported<br />
    12. 12. Mortality Reviews<br />Committee meets 4 times/year<br />MoH Director <br />HHF staff<br />Ministry of the Condition of Women<br />Health Agent<br />Head Nurse Hospital Maternity<br />Traditional Birth Attendant<br />Community Representatives<br />Annual Regional Review<br />Feedback to local communities<br />
    13. 13. Post Partum and Newborn Care<br />Health Agent home visit within 3 days<br />Nurse consultation in clinic and village sites<br />CRS and private donor food support during pregnancy and lactation<br />
    14. 14. Challenges<br />Increased facility deliveries<br />Respectful treatment at delivery<br />Unstable political environment<br /> Maintaining activities in ongoing crises<br /> Cost of training<br />
    15. 15. Integration<br /> Sustainability<br /> Community mobilization<br /> Combined with <br />MWH<br />Emergency Evacuation<br />Mortality Review Training, supervision, improvement<br />Facilities improvement<br />
    16. 16. Surprises andRecommendations<br /> Community adoption and vigilance<br />Evacuation and health committee member observation at delivery<br />Integrate<br />Incorporate in other MNH activities<br />One of most sustainable interventions<br />
    17. 17. HBLSS is an important part of the continuum of CARE for mothers and newborns!<br />

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