Exploring the power of vocational service ,expertise and partnership in supporting programmes for reduction of preventable maternal and newborn mortality in low resource countries
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Rotary International Hamburg Convention breakout final
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NEW OPPORTUNITIES FOR VOCATIONAL
EXPERTISE IN CHILDBIRTH EMERGENCIES
PDG Dr. Himansu Basu
RI Global Networking Committee
TRF Cadre Co-Ordinator in Maternal and Child Health
June 01,2019
2.
3. United States- 1 in 3800
Canada â 1 in 5200
Great Britain â 1 in 5900
Australia â 1 in 8700
Germany â 1 in 10,600
India â 1 in 220
Nigeria â 1 in 22
Uganda â 1 in 47
Afghanistan, â 1 in 52
Sudan â 1 in 72
World â 1 in 180 --
wWorww.data.worldbank.org
data.worldbank.org
Life Time Risk of Childbirth Mortality
4. A PAGE FOR BIG BOLDBULLET ITEMS
58 Firefighters tackled the blaze..
5. Body copy
STOP MOTHERS DYING AND BABIES CRYING !
Fire of Childbirth â
Firefighters are needed
!
6. STOP MOTHERS DYING !
300,000 Mothers Die
6 million Disabled women
7 million Babies die
7. FUNDING BY MCH ACTIVITY
$0.1 M
$0.1 M
$0.3 M
$0.4 M
$1.0 M
$1.8 M
$1.8 M
$2.6 M
$3.8 M
$4.8 M
$7.6 M
$0 M $5 M $10 M
Communicable diseases: prevention and treatment
Other
Non-communicable diseases: prevention andâŚ
Mobile Technology/Equipment and Vehicles
Graduate Scholarship
Lifesaving surgeries and surgeries to correctâŚ
Newborn health care
Child Health
Maternal prenatal care, labor and deliveryâŚ
Midwifery and other Health Care Worker TrainingâŚ
Medical Equipment purchase
8. Can we do better in
preventable maternal/new
born deaths ?
16. THE CALMED VOCATIONAL TRAINING PROGRAMME LEGACY
1. Training Resources âmanuals, films, simulators
2. Partnership âGovernment, Rotary , Professional
groups
3. Master Trainers -Group of 300 Trained
Professionals with know how/passion for working
with Rotary ,with mentoring support & Digital
Technology
18. A PAGE FOR BIG BOLDBULLET ITEMS
VOCATIONAL SERVICE ENHANCEMENT IN
MATERNAL AND CHILD HEALTH
ROTARIAN
VOCATIONAL
EXPERTISE &
PARTNERSHIP-
INTRN./EXTRN
19. A PAGE FOR BIG BOLDBULLET ITEMS
VOCATIONAL SERVICE ENHANCEMENT IN
MATERNAL AND CHILD HEALTH
ROTARIAN
VOCATIONAL
EXPERTISE &
PARTNERSHIP-
INTRN./EXTRN
As a
Volunteer
Vocational
Trainer -ToT
Vocational
Advocacy
20. A PAGE FOR BIG BOLDBULLET ITEMS
VOCATIONAL SERVICE ENHANCEMENT IN
MATERNAL AND CHILD HEALTH
ROTARIAN
VOCATIONAL
EXPERTISE &
PARTNERSHIP-
INTRN./EXTRN
As a
Volunteer
Vocational
Trainer -ToT
Vocational
Advocacy
/Funding
Digital
Technology
21. A PAGE FOR BIG BOLDBULLET ITEMS
Rotarian
Vocational
Alliance
Vocational
Experts
Training
Resources
Funding
VOCATIONAL ALLIANCE
22. ROTARIAN VOCATIONAL ALLIANCE FOR SAVING MOTHERS
AND BABIES â IN COUNTRY EMPOWERMENT
Determined,
Committed
Rotarians
Collaboration
Government
Vocational Service,
Technology in the
digital age, Tool
Box
RVA Global â
Experts,
Training
Resources &
FundingACCELERATION
TOWARDS
SUSTAINABLE
DEVELOPMENT
GOAL 3 & 17
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Joined Up Approach to Save
Mothers and Babies
ď ROTARIANS & ROTARACTORS
ď ROTARY FELLOWSHIPS & ACTION GROUPS
ď OBGYN/PEDIATRICS & PUBLIC HEALTH/SOCIAL ACTVISTS
ď ROTARY & ACADEMIC INSTITUTIONS / COLLEGES
ď ROTARY & GLOBAL NGOs
ď ROTARY & GOVERNMENTS IN COUNTRIES
ROTARIAN VOCATIONAL ALLIANCE OF GROUPS WILLING TO WORK TOGETHER
24. ROTARY VOCATIONAL ALLIANCE â IN COUNTRY
Technical Experts
Doctors,
Midwives
ROTARY
FAMILY
GOVERNMENT
Maternal &
Child Health
27. A PAGE FOR BIG BOLDBULLET ITEMSYOU ARE INVITED
VISIT BOOTH 4640
JOIN THE ROTARIAN VOCATIONAL ALLIANCE
ďCONTRIBUTE AS A VOCATIONAL TRAINING LEADER/MENTOR
ďBECOME AN IN - COUNTRY CHAMPION
ďLEVERAGE FUNDING FOR COUNTRY PROGRAMMES
www.calmedrotary.org
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h
TITLE OF SESSION
Presenter | Date
Not all of us can do
great things, but we
can do small things
with great loveâŚâŚâŚ
Mother St.
Theresa
30. This presentation and others from throughout
the convention are available through the
convention mobile app and on SlideShare at
www.SlideShare.net/Rotary_International.
Hinweis der Redaktion
Vocational expertise and partnership
THESE FIGURES WILL BEGIN TO MAKE MORE SENSE IF WE COMPARE THESE WITH OTHER KNOWN ACTIVITIES. FOR EXAMPLE, THE RISK OF DEATH IN CLIMBING UP TO THE BASE CAMP OF MOUNT EVERST IS 1 IN 1750, SCUBA DIVING IS 1 IN 34000, SKY FALL IS 1 IN 100,000, EVEN MOTOR CYCLE RACING IS 1 IN 1000 â SAFER THAN CHILD BIRTH IN POOR TRANSPORT SITUATIONS OF 1 IN 700. MOTHR HAS NO CHOICE..
THESE FIGURES AVAILABLE FROM THE WORLD BANK DATABASE INCLUDE NO OF PREGNANCIES â FERTILITY RATE.
I AM IN FAVOUR OF INCLUDING THESE, INSTEAD OF MATERNAL MORTALITY RATIO, AS FAMILY PLANNING BECOMES A MEASURE FOR PREVENTING MATERNAL DEATHS INSTEAD OF BEING A CULTURAL OR RELIGIOUS ISSUE.
The Tower burnt out in 35 minutes â mothers and babies will die of emergencies in 30 minutes â
There is no time to be lost â we need a fast track transfer from home to expert care . Concept of 3 delays.
âDelay kills â kill delaysâ
No time to be lost in fast track transfer to the best possible care â MERN concept â Maternity Emergency Resource Network
More and better trained professionals (firefighters) capable of giving basic resuscitation with basic equipment
THIS IS ABOUT A SILENT WAR WITH HEAVY CASUALTIES. 300,000 ARE JUST THE TIP OF THE ICE BERG. 6 MILLION DISABILITIES AND 7 MILLION CHILD DEATHS ARE RELATED, AND THEY CAN ALL BE PREVENTED THROUGH STRATEGIC LOW COST INITIATIVES. â FELLOW ROTARIANS YOU CAN BE A PART OF THAT ACTION
Equipment purchase is good , but is not a substitute for poor skills and non-availability of health workers. We need Calmed type VTT Global Grant as a priority ,in many areas.
We can â without diverting too much money from the GPEI initiative through vocational training and partnership
WE NEED A TEMPLATE OF ACTION. I PRESENT ONE CALMED- WHICH STANDS FOR COLLABORATIVE ACTION IN LOWERING OF MATERNITY ENCOUNTERED DEATHS, - MATERNAL AND CHILD DEATHS RELATED TO CHILDBIRTH, WAS BORN. IT HAS THRERE STRATEGIES - RELIES ON MULTIDISCIPLINARY NEEDS ASESSMENT .THE PROGRAMME IS THEN TAILORED TO THE NEEDS AND PRIORITIES. THIRDLY OUTPUT AND OUTCOME ARE MEASURED TO ASSESS IMPACT AND ENSURE SUSTAINABILITY
WE NEED A TEMPLATE OF ACTION. I PRESENT ONE CALMED- WHICH STANDS FOR COLLABORATIVE ACTION IN LOWERING OF MATERNITY ENCOUNTERED DEATHS, - MATERNAL AND CHILD DEATHS RELATED TO CHILDBIRTH, WAS BORN. IT HAS THRERE STRATEGIES - RELIES ON MULTIDISCIPLINARY NEEDS ASESSMENT .THE PROGRAMME IS THEN TAILORED TO THE NEEDS AND PRIORITIES. THIRDLY OUTPUT AND OUTCOME ARE MEASURED TO ASSESS IMPACT AND ENSURE SUSTAINABILITY
NO OF TRAINED PROFESSIONALS RISE BY GEOMETRIC PROGRESSION. MODERN TRAINING METHODS,USE OF SIMULATORS ,
RETRAINING, MENTORING
COMMUNITY MOBILISATION - -ASHAS AND ASHA TRAINERS PLAY MAJOR ROLES. FLIP CHARTS,FILMS,COMMUNITY WOMENS GROUPS
This slide shows summary of actions underatken by two global grants supported six VTT visits in two states of India with high maternal mortality. The programme covered 5 years, cost 100,000 USD, exceeded its target through training 39 master trainers, 218 doctors midwives and nurses, as well as over 500 ASHAs. These groups continue to train utilising the training materials left behind as legacies. Green arrow is for Meghalaya â GG 1988385
What are the resulting outcome ?
The output and outcome from these two global garnts are summarised in this slide. We calculated the number of mothers and babies lives saved, on a modeled estimate. We are aware that some of the improvements might have been contributed by initiatives already in place. Nevertheless, the improvements noted were verified .
We conclude that the Calmed programme and associated initiatives was a low cost, effective programme- only $ 400 of rotary foundation grant was associated with saving one mother, 5 babies and resulted in effective training of one extra doctor or nurse in the care of pregnant women in the target community.
There was more
Each pilot programme at its completion left three important legacies for future benefit. These included training resources like manuals, films, simulators etc, a strong partnership for future programmes on the lines I have described and a workforce of trained motivated doctors, nurses and midwives. What better way to ensure a sustainable highly effective programme than these legacies?
Now some photos
This slide shows the extent of external partnership as shown in these logos. World federation of obstetrics and gynaecology FIGO , global library of womens medicine Glowm, Laerdal Foundation , medical aid films MAF, Rotarian action group on population development RFPD and Rotarian doctors fellowship IFRD all contributed. WHO and MEDBOX are future partners as is the RCOG (logo not shown)
Proposed Vocational Alliance â Rotarians, Rotaractors, RAGs,Fellowships,Government and NGOs joined up action
For training resources, expertise and funding .
â FINALLY A SUCCESSFUL GLOBAL RESOURCE AIMED AT ZERO PREVENTABLE MATERNAL DEATH, SHOULD HAVE A COMMITTED TEAM, WITH RESOURCES AND WILL TO SUCCEED.- A GLOBAL PLATFORM OF ACTION
A ROAD MAP TO THIS GLOBAL PLATFORM SHOULD START WITH DETERMINED ROTARIANS, COLLABORATION, USE OF TECHNOLOGY AND EMPOWERMENT OF COMMUNITIESâ ABILITY TO RESPOND AT COUNTRT LEVEL
Alliance is both Global (for programme support) and Country level (implementation)
Rotary Vocational Alliance is a network of dedicated Rotarians aiming for design, implementation and scaling up of holistic maternal mortality reduction programmes based on helicopter views of community needs. Itâs assets include technical experts, NGOs, Academics and professional volunteers - doctors and nurses - , equipped with know how and resources for implementation
Question slide option #1
Our Vision â- Rotarians are people of action- this is so true
