1. RHTU
Session
Plan
|
Essential
Obstetric
Care
EOC
RHTU
–
EOC1-­‐03
Respectful
Maternity
Care
Last
Reviewed
|
June
2014
|
Page
1
of
3
Program
Essential
Obstetrics
Care
EOC1-­‐03
Topic:
Respectful
Maternity
Care
Total
Time
|
1hr
Learning
Objectives
By
the
end
of
this
session
the
participant
will
…
• Reflect
on
their
own
values
towards
women
in
their
care
• Reflect
on
their
current
clinical
practice
environment
and
identify
what
changes
they
could
make
to
offer
more
respectful
maternity
care
• Identify
opportunities
to
change
local
practice
and
improve
health
services
Why
are
we
teaching
this
topic…
Participants
need
this
information
to
enhance
service
delivery
and
make
it
welcoming
to
women
and
families
Materials,
learning
resources
1. Room
set
up:
groups
of
4-­‐5
participants
or
if
this
is
not
possible,
U
shape
to
promote
interaction
2. PPT
projector,
laptop
plus
hard
copy
of
PPT’s
(EOC1-­‐02
MH
Issues)
3. RMC
Role-­‐play
audience
cards
Assessment
Quiz
in
this
session
and
some
True
or
false
questions
in
final
exam.
Future
activity
(poster
promoting
antenatal
care)
should
incorporate
theme
Topics/Content Delivery
Methods
VAK min Time
Intro
! Role
play
–
what
does
RMC
feel
like?
INSTRUCTIONS
Ask
participants
to
take
an
audience
card
–
as
they
watch
the
role-­‐play
they
should
pretend
to
be
the
person
on
the
audience
card.
Select
a
volunteer
participant
to
be
the
mother
in
early
labour
and
explain
the
scenario
–
select
from
one
below
and
then
conduct
the
role
play
(3
min)
Good
to
get
participants
up
and
standing
as
they
watch
–
bit
of
an
energiser.
Role
play
VA
5
5
" Go
around
the
room
and
ask
participants
to
say
who
they
were
in
the
audience
and
to
tell
the
group
how
they
felt
while
watching
the
role-­‐play.
In
doing
this
exercise,
you
will
explore
the
differences
between
respectful
and
disrespectful
care.
Identify
aspects
of
Mother-­‐friendly
care.
Participants
will
need
to
recall
this
information
in
future
activities
in
the
course
so
encourage
them
to
develop
their
ideas.
Feedback
VAK
20
25

2. RHTU
Session
Plan
|
Essential
Obstetric
Care
EOC
RHTU
–
EOC1-­‐03
Respectful
Maternity
Care
Last
Reviewed
|
June
2014
|
Page
2
of
3
Topics/Content Delivery
Methods
VAK min Time
Body
Quick
quiz
–
7
Questions
on
PPT
? Record
responses
in
the
Workbook
page
10
Then,
run
through
the
answers…
clarify
any
areas
where
there
is
uncertainty.
PPT
Discussion
VAK
10
35
Key
message:
There
is
no
excuse
for
women
to
feel
abused
by
health
workers
through
their
experiences
of
maternity
care
?
Workbook
page
12
Ask
participants
to
record
some
of
their
feelings
or
some
of
those
described
during
the
discussion
in
the
thought
bubble
in
their
workbook.
Talk
K
5
40
" ACTIVITY:
Discuss
in
pairs
what
aspects
of
care
the
participants
could
change
in
their
own
facilities
and
how
they
can
make
that
happen
?
record
ideas
in
the
Workbook
page
13
OR
Each
table
discuss
as
a
group
and
then
share
one
idea
with
the
entire
group
in
a
feedback
session.
Participants
can
record
ideas
for
change
and
the
reason
why
this
change
is
important
for
improving
health
outcomes
-­‐
There
are
some
ideas
in
the
Workbook
for
Maternity
Friendly
Health
Facilities
and
ideas
for
improving
services.
Small
group
activity
…
or
this
can
be
done
later
as
a
filler
Can
use
white
board
/
Flip
chart
if
you
like
AK
10
50
End ? ACTIVITY
complete
the
“reflection”
Workbook
page
12
" ALTERNATIVE
ACTIVITY
If
you
like
you
can
close
by
asking
participants:
What
does
this
mean
to
you?
It
is
the
icon
that
white
ribbon
alliance
use
for
respectful
maternity
care.
Individual
reflection
K
A
10
60
Next
session:
Antenatal
care

3. RHTU
Session
Plan
|
Essential
Obstetric
Care
EOC
RHTU
–
EOC1-­‐03
Respectful
Maternity
Care
Last
Reviewed
|
June
2014
|
Page
3
of
3
Audience
cards
1. Sarah's
mother
2. Sarah's
husband
3. Sarah's
unborn
pikinini
4. OIC
5. Cleaner
6. Sarah's
sister
7. Midwife
8. A
fellow
Nursing
Officer
9. Senior
health
worker
10. Male
Admin
Clerk
11. Student
nurse
12. A
young
14
yr
old
girl
13. Nurse
-­‐
8
wks
pregnant
14. Primigravida
first
ANC
visit
15. A
fellow
health
worker
16. Lab
technician
17. Junior
CHW
18. Grandmulti
30
weeks
19. Volunteer
Birth
Assistant
20. Labouring
mother
21. Sarah
–
in
role
play
Instructions:
Ask
participants
to
take
a
laminated
audience
card
–
as
they
watch
the
role-­‐play
they
should
pretend
to
be
the
person
on
the
audience
card.
Select
a
volunteer
participant
to
be
the
mother
in
early
labour
and
explain
the
scenario
–
select
from
one
below
and
then
conduct
the
role-­‐play
(3
min).
It
is
good
to
get
participants
up
and
standing
as
they
watch
–
bit
of
an
energizer.
• Only
do
the
role
play
for
about
3
minutes.
• You
are
to
demonstrate
a
health
worker
being
disrespectful
to
a
patient
Possible
scenarios
Health
worker
is
standing
up
in
front
of
a
group
of
women
and
telling
them
that
they
must
start
using
family
planning.
You
can
talk
loudly
and
use
words
such
as
‘ignorant’
or
‘bush
person’.
You
may
point
to
individual
women
and
say
‘You’ve
had
8
children
and
they
are
hungry,
I
keep
telling
you
to
come
for
FP
and
you
don’t
come’….
Health
worker
wants
to
do
a
vaginal
examination
on
a
woman
in
early
labour
–
the
young
primigravida
is
reluctant
and
shy
and
the
health
worker
doesn’t
bother
to
explain
what
she
will
do
or
why….
Or
make
up
your
own
scenario…
Facilitator
Resources
for
additional
reading
• http://whiteribbonalliance.org/campaigns/
respectful-­‐maternity-­‐care/
• https://www.k4health.org/sites/default/fil
es/rmc_learning_resource_package.pdf
• http://whiteribbonalliance.org/wp-­‐
content/uploads/2013/09/RMC-­‐
Guide_FINAL.pdf