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PROSAMI

PROSAMI. A program for the promotion of maternal and infantile health in rural areas. Acronym derives from French title: promotion maternelle et infantile. Maternal mortality and morbidity. The facts:.

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PROSAMI

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  1. PROSAMI A program for the promotion of maternal and infantile health in rural areas. Acronym derives from French title: promotion maternelle et infantile.

  2. Maternal mortality and morbidity.The facts: • Maternal mortality is the death of a woman during pregnancy, delivery and up to sis weeks following childbirth. • This is the most extreme consequence of poor maternal health. • Approximately 500,000 women die in pregnancy or childbirth: one woman dies every minute.

  3. Maternal and infant health in developing world: A grim picture. • A woman in developing countries has a 1 in 16 chance of dying in pregnancy or childbirth, compared to 1 in 4000 risk in developing country. • Poverty, a combination of social, economic and cultural barriers pose major challenges to maternal health in developing countries.

  4. The facts cont… • For every woman that dies: more than 25 others suffer debilitating life-long consequences • Improving maternal health yields the benefit of: a healthy family, increased labor supply, productive capacity, economic well-being of communities and positive impact on the economy.

  5. The causes of maternal deaths • Most of them are preventable • Mainly due to insufficient care during pregnancy and childbirth: almost 2/3 of births in developing countries take place without a skilled birth attendant.

  6. One single essential intervention • To ensure a trained provider with midwifery skills is present at every birth, to provide quality emergency obstetric care in the face of unpredictable complications.

  7. Overview of maternal health in a developing country • Population: approximately 8,483,343 (density: 50/km²) • Population in age of reproduction estimated at: 1.600.000 • 5 District Hospitals. • 750 health care centers providing maternal and infantile health.

  8. Rural community problems • Illiteracy, ignorance, hazardous beliefs and practices. • Little income (> 1$ per capita): Poverty and deprivation. Pandemic state of malnutrition. • Environmental hazards: lack of basic infrastructure (water, electricity, sanitary ablutions…)

  9. Health care system in rural areas • Virtually no existent in some areas. Community depends on distant neighborhood. • No communication system (road, transport, telephone…). • Safety issues. • No health care workers. (Use of family members, traditional birth attendants, untrained personnel).

  10. Escape to no man land: daily strategy for survival • Let’s take a trip. When life is threatened, survival of the fittest strategies dictate. In these perilous times, one becomes prepared to overcome obstacles by inconceivable means.

  11. PROSAMI plan of action: the South African perspective. • to bring antenatal care to the community. • Creation of mobile clinics. • Midwives obstetric units. (MOU) • Advanced midwifery training. • National reduction in maternal and infantile mortality and morbidity rate.

  12. Objectives • To promote maternal and infantile health in the rural areas by improving the quality of perinatale care through: - an appropriate training of health care providers, defining the standard of care applicable to the rural context. - the creation and establishment of health centers in geographically accessible areas to the population to be served.

  13. Implementation Phases. • Training professors in advanced midwifery. • Establishing a pilot center • Training local nurses in advanced midwifery practice • Establishing rural health care centers

  14. Monitoring of MMR • Establish a task force to: - Collect statistics and analyze them - Identify causes of MMR - Make key recommendations - Develop guidelines for management - Implement corrective measures - Continuous evaluation.

  15. 2010 fundraising events • January: soup & sweet, silent auction. • February: spaghetti dinner & silent auction. • March: celebration of the 100th anniversary of International women’s day • April: Fun run • May: yard sale

  16. Who are involved • David Strider: President of the Board • Dr. Tom Massaro: Project advisor • Jennifer Mentore: Grant • Sally Williamson: Treasurer • Matthew Shiflett: secretary • Rob Williamson: Grant • Lois McGee: strategy advisor • George Morrison: strategy advisor • Agnes Kanyanya: training coordination • Dan Atkins & Ken Bucci: registered agents • Stacie Ried: account

  17. How can you help? • Fundraising • Grant writing • Translation from English to French & French to English • Health care expertise • Events organization • Donations of any kind • And much… much more….

  18. We believe no mother should die giving life… • Here is an opportunity for you, clinical nurse leader of tomorrow, to make a difference in the lives of thousands of voiceless mothers and infants who have been denied the right to live.

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