The Association of Obstetrics and Gynaecology of Uganda (AOGU) and the African Midwives Research Network (AMRN) are implementing a maternal and newborn morbidity and mortality reduction program in Kibaale and Kiboga districts, two underserved districts in Rural Uganda.
The overall goal is of this project is to contribute to the reduction of maternal and newborn morbidity and mortality in Kiboga and Kibaale districts through strengthening provision of emergency obstetric care and essential newborn care.
- In 2008, AOGU proposed and secured support from MAIA Foundation to increase the demand for quality EmONC services through: Strengthening provision of and demand for quality EmONC within 26 health units in Kiboga and Kibaale districts by 2010
- Mobilizing the community to access emergency obstetric and newborn care in Kiboga and Kibaale districts
The key activities to achieve these objectives were:
- Training of 30 health workers in essential skills for emergency obstetric and newborn care
- Provision of management protocols emergency obstetric and newborn care to health workers in 26 health units offering EmONC in Kiboga and Kibaale district.
- Developing or adapting locally appropriate educational materials for low literate community members (i.e. posters, leaflets etc.) on birth preparedness, emergency preparedness, and warning signs for complications.
- Training / empowering Village Health Teams (including TBAs) from each of the health sub districts in the project area for emergency preparedness.
- Support local drama groups delivering safe motherhood messages to the communities.
- Conducting advocacy and information sessions with communities on recognizing danger signs and community support to women to access EmONC.
MAIA Foundation provided $ 15,800 USD for these activities.
With this support, AOGU was able to:
- Support training of health workers in maternal and newborn care (partial funding for 60 healthworkers (approximately 50 % of the maternal health workforce in the two districts were trained inALARM and 30 health workers in essential newborn care). It was envisaged that they would also mentor others at the health units using the ALARM training manual.
- Provide management protocols for 250 health workers in the project area health units that offer basic and emergency obstetric care. All heath workers working in maternal health care in the districts were offered the pocket sized management protocols that would help them in decision making.
- All health units were given A3 partogram job aids for the delivery rooms to visually help them in monitoring of labour.
- Increase community awareness of maternal danger signs by supporting printing and production of over 4800 posters. These materials were distributed by village health workers and district health teams.
- Support community awareness through drama. Ten drama shows were held in the Kibaale and Kiboga with local drama groups. These were very successful in both districts.
- Training of 222 health worker from 250 villages to educate pregnant mothers in their villages on danger signs, emergency preparedness, and birth planning. Support for ongoing supervision and data collection is being provided by the main project.