Oral

In Mexico it was determined that Non physician providers, particularly PM, act in accordance with WHO guidelines for labor and delivery practices and for avoiding practices that should be decreased or eliminated. Further work is needed to train PM in neonatal care guidelines. In Tanzania, the village register has the potential to contribute to a reliable method of tracking pregnancy indicators from initial TBA contact through 42 days post-partum. In Bangladesh, in-hospital counseling can improve mothers' infant-feeding and hygiene behaviors. For adolescent girls, increasing girls' access to education post-puberty should be a central prevention strategy; continued schooling delays marriage and first births, and helps make girls less vulnerable to HIV and STDs. In Ethiopia, the goals of the Pre repair centers for fistula care are to educate the community on fistula prevention and care, identify potential clients, screen clients for fistula, provide rehabilitation prior to surgery and provide post surgery support for community reintegration.

Session Objectives: Compare evidence based obstetric practices performed by general physicians, obstetric nurses and professional midwives in Mexico. In Tanzania, four steps are identified to developing village-level data collection systems. Describe the hospital counseling sessions designed to educate mothers on infant-feeding and hygiene behaviors at the ICDDR,B in Bangladesh. In adolescent girls a program identifies the linkages between adolescent pregnancy and maternal and infant mortality & morbidity. Describe the project approach for engaging communities in fistula prevention activities in Ethiopia.

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)