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Reproductive, Maternal and Newborn Health Project (RMNHP) Pakistan

Implemented by. Reproductive, Maternal and Newborn Health Project (RMNHP) Pakistan. Implementing the WHO Safe Childbirth Checklist Jasmin Dirinpur, Team Leader RMNHP GIZ Symposium Bad Neuenahr , September 2016

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Reproductive, Maternal and Newborn Health Project (RMNHP) Pakistan

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  1. Implemented by Reproductive, Maternal and Newborn Health Project (RMNHP) Pakistan Implementing the WHO Safe Childbirth Checklist Jasmin Dirinpur, Team Leader RMNHP GIZ Symposium Bad Neuenahr, September 2016 Breakout Session 1.4.: Strengthening quality of care for pregnant women and newborns

  2. Implemented by Implementing the WHO Safe Childbirth Checklist Situation: The major causes of maternal and perinatal mortality are well-known Most deaths occur within a narrow time frame International guidelines for best practices during childbirth exist, but are often not followed Proven interventions are simple to perform, but can be difficult to remember and execute in the correct sequence

  3. Implemented by Implementing the WHO Safe Childbirth Checklist (closing the „know-do gap“) Response: Establishment of a WHO Working Group Development of the “Safe Childbirth Checklist” with 29 evidence-based items Each item is a critical actionthat - if missed - can lead to severe harm Tested for usability in 29 countries across Africa and Asia

  4. Implemented by Improving quality of service: Checklists in medicine Atul Gawande from Harvard Idea to use checklists to handle increasing complexity as done by pilots, engineers - help to recall all steps - establish higher standards

  5. Implemented by Source: Better Birth Program

  6. Implemented by Khyber Pakhtunkhwa (KP) ProvinceHaripur and NowsheraDistricts(population ~ 2.2 M) Source: Pakistan Demographicand Health Survey 2006/7 & 2012/13)

  7. Implemented by Randomizedcontrolledtrials (RCTs) • RCT 1: Piloting the WHO-Safe Childbirth Checklist (WHO-SCC) • RCT 2: Development and validation of an integrated WHO-SCC/EmONC Training Package

  8. Findingsfrom Baseline and implementation challenges Provision live savingservicesforBEmONC Use and availabilityofpartograph Missingequipment and supplies Provision ofWHO-SCC Motivation ofhealthstaff XXX

  9. Success Factor 1 – Clinical expertise

  10. Success Factor 2 – Local Project Manager

  11. Success Factor 3 – Joint operational planning

  12. Success Factor 4 – Political Coordination Group

  13. Success Factor 5 – Passionate knowledge broker

  14. Implemented by Thankyou

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