adapting hblss to fit your program_lewis_5.11.11
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HBLSS Training is Fun!
Community Foundation
Haitian Health Foundation: 24 years in JeremieHealth workers selected by village104 villages: 200,000 populationHigh level of community ownershipHealth “posts” for rural women and childrenCensus based and computerized health
information systemFeedback and decision-making with
communitiesVillage health committees, mothers’,
fathers’ and youth groups
Getting to HHF Villages
Sant Espwa
First Maternal Waiting Home in Haiti, 2000
HBLSS Training
24 community trainingsOver 1000 people
Adaptation
Negotiation based on existing capacity and feasibilityNeeds assessment incorporated in
Facilities AssessmentEvaluation incorporated in ongoing data
collection system for HFFReduced consultation and costs
Adapting training cascade and modules
Pregnancy Postpartum Newborn0
10
20
30
40
50
60
70
2004
2009
Danger Sign Recognition
%
Increased Care
Skilled Birth Attendance Postpartum in 3 days0
5
10
15
20
25
30
FY 04 FY 09
%
Community Planning — Emergencies
72 Evacuation Committees
Emergency Evacuation
Before
PBS NOW Series“Saving Haiti’s Mothers”
In 18 months600 women/newborns transported
Mortality Reviews
Committee meets 4 times/year
MoH Director HHF staff Ministry of the Condition
of Women Health Agent Head Nurse Hospital
Maternity Traditional Birth Attendant Community
Representatives
Annual Regional Review
Feedback to local communities
Post Partum and Newborn Care
CRS and private donor food support during
pregnancy and lactation
Health Agent home visit within 3 days
Nurse consultation in clinic and village sites
Challenges
Increased facility deliveries Respectful treatment at delivery Unstable political environment Maintaining activities in ongoing
crises Cost of training
Integration
Sustainability Community mobilization Combined with
MWHEmergency EvacuationMortality Review Training, supervision,
improvementFacilities improvement
Surprises andRecommendati
ons Community adoption and vigilance Evacuation and health committee
member observation at delivery Integrate Incorporate in other MNH activities One of most sustainable
interventions
HBLSS is an important part of the continuum of CARE for mothers and newborns!