Reducing Maternal and NewbornMortality through collaborative action(CALMED model) by Future VisionGlobal Grant and VTT  Al...
ProgramRI Director Allan O Jagger – Moderator            5 minsRI Past President and Trustee John KennyMaternal and Child ...
The ProblemA pregnant woman dies every minute6 Children die every minuteMost of these deaths are preventable
Maternal Mortality Reduction           StrategiesA realistic solution would have to below cost, low technology, andreprodu...
Opportunities through Rotarys       Future VisionMaternal and Child Health is a recognisedArea of FocusA Vocational Traini...
Future Vision Plan and Vocational       Training Team (VTT)    John Kenny    Trustee, The Rotary Foundation    Past Presid...
Future Vision Plan Areas           Of Focus1. Peace and Conflict Prevention /   Resolution2. Disease Prevention and Treatm...
Humanitarian Programme and    Vocational Service Vocational Service –adds impact  and sustainability to a Global Grant  p...
Vocational Training Team -               VTT1. At least one Rotarian and 3 non-Rotarian   Professional related to one area...
Vocational Training Team-VTT Training Team of Professionals travel to impart  professional training and skills transfer t...
Why Mothers and Babies Die ?Rtn. Dr. Niranjan BhattacharyaVice ChairmanInternational Fellowship of Rotarian Doctors
Why Mothers and Babies        Die ?Maternal Mortality Rate is a  Barometer of Women’s Health and Social Status
Why Mothers and Babies Die ? Medical Causes –largely preventable Delays – 3 delay model in resource poor  countries– mos...
Why Mothers and Babies Die ? Medical Causes are largely preventable in          resource rich countries
Why Mothers and Babies Die ?     Delays – 3 delay model specially in         resource poor countries   delay in recogniti...
Why Mothers and Babies Die ?   Poor Status of Women in resource           poor countries   Literacy   Income   Access to h...
Reducing Maternal and NewbornMortality through collaborative action           (CALMED model)  PDG Dr. Himansu Basu  Past C...
THE PROBLEM
Reducing Maternal Mortality - MDG 5 A(Problem in Low Resource Countries)   Life time risk of maternal mortality – U.K    ...
THE SOLUTION
How to stop Mothers and Babies                Dying ?      Improve skill Standards in Institutional       Delivery      ...
How to stop Mothers and Babies Dying ?   In resource poor countries ,a top down    and a bottoms up approach are needed ...
THE TOOLS
CALMED -Collaborative Action in Lowering Maternity Encountered Deaths      A FVP Strategy      of Collaborative        Act...
CALMED MODEL             Emergency              Obstetric              Training              Data            Collection   ...
CALMED MODELIt is important tohave partnership     Emergency    VTT using the Training                      Obstetricwith ...
CALMED MODELBasic Ambulance,Cell phone,Social Obstetrics,Mapping       Care     Pathway     Mapping
CALMED MODEL         Saheli Centres, ASHA,         Anganwadi etc. health         awareness ,family         spacing, empowe...
CALMED MODEL               Signal functions,               processes and some               outcome indicators    Data  Co...
CALMED MODEL             Emergency              Obstetric              Training              Data            Collection   ...
The plan                    SikkimMumbai
Site Visits
Meeting with the Government Health              officials
Meeting with the Minister
CALMED MODEL – Rotary    shows the wayGlobal Grant VTT – Training the TrainerModel – FVP Dist 1120,1130,3140 and 3240Preli...
CALMED MODELLow cost , low technology methodVTT using the Training the Trainermodel leads to capacity buildingSustainable ...
What can you do ?You can join us
What can you do ?   You can join us for- Funding through cash ,DDF- Advocacy measures- Professional Hands on  Assistance
Thank You !drhbasumd@gmail.com
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IC12 - Reducing Maternal and Newborn Mortality through collaborative action (CALMED model) by Future Vision Global Grant and VTT

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Breakout session presented at at 2012 Rotary International Convention in Bangkok. Wednesday 9 May 2012

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IC12 - Reducing Maternal and Newborn Mortality through collaborative action (CALMED model) by Future Vision Global Grant and VTT

  1. 1. Reducing Maternal and NewbornMortality through collaborative action(CALMED model) by Future VisionGlobal Grant and VTT Allan O. Jagger Director Zones 17 and 18a
  2. 2. ProgramRI Director Allan O Jagger – Moderator 5 minsRI Past President and Trustee John KennyMaternal and Child Health Area of Focus and VTT 10 min.Rtn. Dr. Niranjan BhattacharyaCauses of Maternal and New born Mortality 10 min.PDG Dr. Himansu BasuA strategic approach with VTT – CALMED model 10 min.Past RI Director Dr. Bill CadwalladerExperience in South America 10 min.Questions and Answers 45 min.
  3. 3. The ProblemA pregnant woman dies every minute6 Children die every minuteMost of these deaths are preventable
  4. 4. Maternal Mortality Reduction StrategiesA realistic solution would have to below cost, low technology, andreproducible in many countriesThe strategy should incorporatesustainability and capacity building
  5. 5. Opportunities through Rotarys Future VisionMaternal and Child Health is a recognisedArea of FocusA Vocational Training Team visit , can lead tocapacity development and sustainability for the programme
  6. 6. Future Vision Plan and Vocational Training Team (VTT) John Kenny Trustee, The Rotary Foundation Past President ,Rotary International
  7. 7. Future Vision Plan Areas Of Focus1. Peace and Conflict Prevention / Resolution2. Disease Prevention and Treatment3. Water and Sanitation4. Maternal and Child Health5. Basic Education and Literacy6, Economic and Community Development
  8. 8. Humanitarian Programme and Vocational Service Vocational Service –adds impact and sustainability to a Global Grant programme Vocational Training Team (VTT) has a bigger impact on the community than individual hands on vocational service
  9. 9. Vocational Training Team - VTT1. At least one Rotarian and 3 non-Rotarian Professional related to one area of focus2. Training programme is driven by local needs and priorities3. Training the Trainer (TTT) is best for capacity development in resource poor areas4. VTT is best supported by a Global Grant
  10. 10. Vocational Training Team-VTT Training Team of Professionals travel to impart professional training and skills transfer to local professionals ,generally in a specified area of Focus Leads to sustainability and capacity building in the area of Focus
  11. 11. Why Mothers and Babies Die ?Rtn. Dr. Niranjan BhattacharyaVice ChairmanInternational Fellowship of Rotarian Doctors
  12. 12. Why Mothers and Babies Die ?Maternal Mortality Rate is a Barometer of Women’s Health and Social Status
  13. 13. Why Mothers and Babies Die ? Medical Causes –largely preventable Delays – 3 delay model in resource poor countries– mostly preventable Women’s status- lack of empowerment
  14. 14. Why Mothers and Babies Die ? Medical Causes are largely preventable in resource rich countries
  15. 15. Why Mothers and Babies Die ? Delays – 3 delay model specially in resource poor countries delay in recognition by Traditional Birth Attendant delay in transport to an Institution delay at the Institution–mostly avoidable
  16. 16. Why Mothers and Babies Die ? Poor Status of Women in resource poor countries Literacy Income Access to health information Nutrition Culture and tradition
  17. 17. Reducing Maternal and NewbornMortality through collaborative action (CALMED model) PDG Dr. Himansu Basu Past Chairman RIBI International Committee International Fellowship of Rotarian Doctors
  18. 18. THE PROBLEM
  19. 19. Reducing Maternal Mortality - MDG 5 A(Problem in Low Resource Countries)  Life time risk of maternal mortality – U.K – 1 in 9000 ,Ethiopia – 1 in 40  The Problem – Three quarter reduction of MMR ( Maternal Mortality Rate ) by 2015 ,will not be achieved in low resource countries  But there is a Solution – Rotary’s Future Vision Plan Vocational Training Team can assist in low resource countries
  20. 20. THE SOLUTION
  21. 21. How to stop Mothers and Babies Dying ? Improve skill Standards in Institutional Delivery Encourage Institutional Delivery For women outside the Institution (50 to 70 per cent ) - Three Delay model is the ultimate killer –reduce the delays
  22. 22. How to stop Mothers and Babies Dying ? In resource poor countries ,a top down and a bottoms up approach are needed Collaboration with Governments, Communities, Professionals – Rotary acts as Facilitators for funding, advocacy, skills transfer
  23. 23. THE TOOLS
  24. 24. CALMED -Collaborative Action in Lowering Maternity Encountered Deaths A FVP Strategy of Collaborative Action – VTT visit
  25. 25. CALMED MODEL Emergency Obstetric Training Data Collection Village Care Women’sPathway GroupsMapping
  26. 26. CALMED MODELIt is important tohave partnership Emergency VTT using the Training Obstetricwith the Training the Trainer Model –Government, sustainability andUniversity and the capacity developmentProfessions
  27. 27. CALMED MODELBasic Ambulance,Cell phone,Social Obstetrics,Mapping Care Pathway Mapping
  28. 28. CALMED MODEL Saheli Centres, ASHA, Anganwadi etc. health awareness ,family spacing, empowerment and social mobilisation Village Women’s Groups
  29. 29. CALMED MODEL Signal functions, processes and some outcome indicators Data Collection
  30. 30. CALMED MODEL Emergency Obstetric Training Data Collection Village Care Women’sPathway GroupsMapping
  31. 31. The plan SikkimMumbai
  32. 32. Site Visits
  33. 33. Meeting with the Government Health officials
  34. 34. Meeting with the Minister
  35. 35. CALMED MODEL – Rotary shows the wayGlobal Grant VTT – Training the TrainerModel – FVP Dist 1120,1130,3140 and 3240Preliminary visit has confirmed thefeasibility for all componentsPartnership with District Inner WheelCollaboration with Medical Schools,Governments and professionalorganisations (FIGO,FOGSI),GLOWM,Drexel University
  36. 36. CALMED MODELLow cost , low technology methodVTT using the Training the Trainermodel leads to capacity buildingSustainable impact on reducing Threedelays in emergency careCan be replicated in low resourcecountries –empowering women
  37. 37. What can you do ?You can join us
  38. 38. What can you do ? You can join us for- Funding through cash ,DDF- Advocacy measures- Professional Hands on Assistance
  39. 39. Thank You !drhbasumd@gmail.com

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