The 130th Annual Meeting of APHA

Abstract #48011

Anne Hyre, MPH, MSN, CNM and Evodia Iswandi, MQA. Maternal and Neonatal Health Program, JHPIEGO, Jalan Kuningan Barat 26, Gedung TIFA, Lt. 10, Jakarta, Indonesia, 62-21-520-1004, ahyre@jhpiego.or.id

In Indonesia, one strategy to achieve the Ministry of Health goal of increasing the numbers of births attended by skilled providers is strengthening the skills of midwives through inservice training. Implementing this strategy showed that a strong maternal and newborn healthcare training system required not only well-trained trainers but also quality clinical settings in which providers can observe, learn and become proficient in their skills. To that end, the Maternal and Neonatal Health Program (MNH) has supported the institutional capacity of the National Clinical Training Network (NCTN) to develop an inservice training system that focuses on high quality, clinical practice to achieve competency. NCTN is embedded in the professional organization of obstetricians and has been legitimized through a government decree, making it the sole provider of clinical training in reproductive health. MNH and NCTN are using a performance and quality improvement approach to strengthen a network of MCH service delivery sites so that they can serve as clinical training sites. Activities include involving administrators in the planning process, mentoring hospital midwives on a continual basis, and linking the clinical training sites to the midwifery academies. Results from 18 months of activities indicate that the preparation of high quality clinical training sites requires complex inputs to strengthen skills in clinical decision making, mother-friendly care, proper infection prevention practices, and prevention and management of complications. Once these inputs were in place, however, appropriate learning is then facilitated and skilled providers result.

Learning Objectives:

• · Describe a performance and quality improvement approach to strengthening clinical services and training.
• · Describe the importance of standardized clinical services to insure standardized, high quality training in a country the size of Indonesia;
• · Understand the challenges of creating a sustainable, inservice training system that is able to meet the needs of a large, low-resource country.

Keywords: Training, Maternal Health

Related Web page: www.mnh.jhpiego.org

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Maternal and Neonatal Health Program
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employed by the MNH Program through JHPIEGO.