Mapedir trainer slides session20 project tasks_01_sept08_pp95-2003

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Mapedir trainer slides session20 project tasks_01_sept08_pp95-2003

  1. 1. Develop the Project Plan Maternal and Perinatal Death Inquiry and Response MAPEDIR
  2. 2. Project tasks <ul><li>1. Sensitize the community to maternal and perinatal health issues </li></ul><ul><ul><li>Responsible organization: </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul><ul><ul><ul><li>c. </li></ul></ul></ul>Possible: Health office, NGOs, partnership, other Birth preparedness and complication readiness; Report female deaths & conduct death inquiries; Non-blaming, non-punitive approach
  3. 3. Project tasks 1. Sensitize the community to maternal and perinatal health issues Possible: PRI (multi-level), VH&SCs, SHGs, other Birth preparedness and complication readiness; Report female deaths & conduct death inquiries; Non-blaming, non-punitive approach <ul><ul><li>Who do we include in “community”? </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul><ul><ul><ul><li>c. </li></ul></ul></ul><ul><ul><ul><li>d. </li></ul></ul></ul>
  4. 4. Project tasks <ul><li>2. Report & notify all deaths of childbearing-age (? 15–49 ?) females </li></ul><ul><ul><li>Who will be the death reporters? </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul><ul><ul><ul><li>c. </li></ul></ul></ul><ul><ul><ul><li>d. </li></ul></ul></ul><ul><ul><ul><li>e. </li></ul></ul></ul>Possible: ANMs, AWWs, ASHAs, SHGs, school teachers, neighbors, pradhan, NGO, others Consider pregnancy registration & monitoring; Integrate with regular death reporting system
  5. 5. Project tasks <ul><li>2. Report & notify all deaths of childbearing-age (? 15–49 ?) females </li></ul><ul><ul><li>Who will be the block-level death notifier? </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul>Possible: GP secretary, LHV, ICDS supervisor, other Performs preliminary inquiry to identify suspected maternal deaths; Must be literate, able to travel throughout the block
  6. 6. Project tasks <ul><li>3. Investigate the deaths </li></ul><ul><ul><li>Assign a role (interviewer or supervisor) to each trainee. </li></ul></ul><ul><ul><li>Finalize the team structure & action plan. </li></ul></ul><ul><ul><li>Who will oversee the interview teams? </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul>Block-level MAPEDIR teams (1 supervisor + 2-3 interviewers) investigate all suspected maternal deaths; Possible oversight: B/DHMO, B/DNRHM, other
  7. 7. Project tasks <ul><li>4. Analyze the MAPEDIR data </li></ul><ul><ul><li>Responsible agency/organization: </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul><ul><ul><li>Core group membership: </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul><ul><ul><ul><li>c. </li></ul></ul></ul>Possible: Health office, together with “Core Group” (local university medical & social science faculty, NGO, community, health worker, other) Analyze, interpret and disseminate the data; Develop health program interventions
  8. 8. Project tasks <ul><li>5. Share the data with the community </li></ul><ul><ul><li>Responsible organization: </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul><ul><ul><ul><li>c. </li></ul></ul></ul>Possible: Health office, NGOs, partnership, other Share & interpret the data analysis with the community; Help the community develop effective local interventions and advocate for improved services
  9. 9. Project tasks <ul><li>6. Monitor interventions </li></ul><ul><ul><li>Responsible agency/organization: </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul><ul><ul><ul><li>c. </li></ul></ul></ul>Possible: Health office, NRHM, local university, partnership, other Ongoing maternal death surveillance & investigation: a) Are the interventions working? b) Are some women not being reached? Modify the interventions as needed and develop new interventions if needed
  10. 10. Project tasks Possible: Health office, NRHM, other Oversee all tasks and ensure coordination; Integrate MAPEDIR and other RCH data for health program planning and development; Ensure integration of health program and community-developed interventions <ul><li>Overall coordination of the project </li></ul><ul><ul><li>Responsible agency/organization: </li></ul></ul><ul><ul><ul><li>a. </li></ul></ul></ul><ul><ul><ul><li>b. </li></ul></ul></ul>

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