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Adapting HBLSS to Fit Your Program_Lewis_5.11.11
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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
  • Transcript

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