dinara mambetalieva, national mch center bishkek - 2015
TRANSCRIPT
Capacity building of anesthesia and intensive
care services in obstetricsDinara Mambetalieva,National MCH Center
Bishkek - 2015
Safe Motherhood PrinciplesHuman life is pricelessSafe Motherhood is a human rightAll women have guaranteed access to
Emergency Obstetric Care (EmOC)Ensured skilled attendance at delivery
(Mother-Baby Package: Implementing safe motherhood in countries. Practical guide.
WHO Geneva, 1996).
JUSTIFICATION:High rates of maternal mortality in KRNon-adequate and delayed Emergency Obstetric CareAbsence of effective and evidence based technologies and
practices in provision of EmOC
APPROACH:Innovative idea using experience and knowledge of
Uzbekistan due to common history, culture, language and common challenges in health system
Development of clinical and practical skills and team approach
Improvement of continuous medical education in Emergency Obstetrics
Main activitiesAssessment of clinical and organizational bottlenecks in
EmOC jointly with Uzbek colleaguesStudy Tours to Uzbekistan and LithuaniaDevelopment, approval and introduction of the 1st Clinical
protocol on anesthesia and intensive care in EmOCDevelopment of 5-day training module on EmOC in for
continuous education and retrainingClinical and practical training at national level jointly with
regional and international experts (more than 200 doctors trained)
On-the-job training and mentoring at oblast level
Results (1)Care of critical conditions in
obstetrics (pre-eclampsy, hemorrhage, sepsis) is according to approved clinical protocol;
Wide application of spinal anesthesia in obstetrics;
Team of national trainers and supervisor/mentors on EmOC is built, cascade trainings
Commitment and contribution of managers of health organizations on EmOC (equipment, training, provision of drugs) is increased
Results (2)EmOC training module is integrated in continuous
medical education (KSMIRCE);Training Center under National MCH Center is
established and equipped with dummies and training equipment;
Regional experience and international expertise has increased the role and the status of anesthesiologists and intensive care doctors of Kyrgyzstan;
ChallengesFurther capacity building of the professional
association of anesthesiologists and intensive care doctors in KR (organizational development, task share in training and mentoring, regional exchange)
Institutionalization of EmOC programmes (ToT, equipping of Simulation Labs, motivation)
National System of Monitoring and Mentoring in EmOC (human and financial resources/potentials)
Future perspectives Introduction of training programmes and provision of
master-classes on EmOC for anesthesiologists, intensive care and obstetric doctors at national level
Active involvement of the professional association of anesthesiologists and intensive care doctors in development of:
- New clinical guidelines and adaptation of EmOC standards for tertiary level of care;
- Quality management system using monitoring and mentoring tools;
- Standards for referral of pregnant women under critical condition to the Perinatal Center
Thank you!