Innovative Training to Help Frontline Health Workers Save Lives

 
To improve the quality of care on the day of childbirth and improve maternal survival, Jhpiego has developed Helping Mothers Survive (HMS)—an innovative training initiative designed to equip frontline health workers with the knowledge and skills they need to prevent mothers from dying on the day of birth. Designed to reach the same providers as Helping Babies Breathe (HBB), a training program on neonatal resuscitation within the Helping Babies Survive series , HMS is designed to be provided at all levels of the health system but targeted to the periphery to reach providers where women deliver. HMS is designed for any provider who attends birth at a facility or who is called on to manage complications. These birth attendants have a wide range of skills and training, but the goal of HMS training is the same for all: to provide the skills necessary to prevent deaths from the leading killers of women at birth.
HMS uses a simple, one-day training format that utilizes evidence-based training techniques—including clinical simulation, case-based learning, hands-on practice with models, and immediate feedback during practice—that result in sustained health worker performance. Responding to often-cited challenges with workshop-based trainings that do not reach all providers and result in absenteeism at health facilities, HMS is designed for all levels of workers who attend births at a facility, and training is conducted at the worksite with all members of the health care team. To consolidate skills, HMS utilizes "low dose, high frequency (LDHF)" practice approaches at the health facility to ensure sustained and targeted follow-up with every participant after training.
The first module of the HMS training series, Bleeding after Birth (BAB), focuses on preventing maternal deaths from postpartum hemorrhage—the leading cause of maternal death globally, particularly in countries where skilled birth attendants are limited and where routine care in labor and birth is provided by a wide variety of cadres of health workers. The training package uses validated training materials developed by Jhpiego in consultation with international stakeholders, including the International Confederation of Midwives, the International Federation of Gynecology and Obstetrics, World Health Organization, United Nations Population Fund, and American Academy of Pediatrics. Jhpiego is leading this consortium in development of the next module for the second killer of women—eclampsia/pre-eclampsia—slated to be field tested later this year.
The goal of HMS is to always ensure that care of the woman and her newborn are always connected. Currently, Jhpiego, in collaboration with the American Academy of Pediatrics, is leading a study to evaluate the implementation of a formal linkage of HMS and HBB in Uganda to assess change in provider clinical practice and health outcomes after facility-based training in each package.
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Coming Soon to HMS!

HMS training module for PE/E and HMS Implementation Guide!

In the coming year, expect to see two new additions to the HMS training series:
  • The second HMS module focusing on preeclampsia and eclampsia (PE/E) —the second leading killer of women globally—is currently under development, with field testing planned for 2015.
  • An HMS implementation guide—full of details and tools on how to start up, scale up, or integrate HMS into existing programs—is also in development and will be available in final form in 2015.

Questions? Feel free to reach us at hms@jhpiego.org

  • Helping Mothers Survive in the Democratic Republic of Congo
  • Helping Mothers Survive in the Democratic Republic of Congo
  • Helping Mothers Survive in the Democratic Republic of Congo
  • Helping Mothers Survive in the Democratic Republic of Congo

Helping Mothers Survive in the Democratic Republic of Congo

Despite recent trends that show a decrease in maternal deaths, maternal survival continues to be a challenge in the Democratic Republic of Congo (DRC), where nearly 15,000 maternal deaths occur each year, often due to preventable complications that occur in health facilities.

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  • Jhpiego Leads Innovative Project to Integrate Helping Mothers Survive Training to Better Manage Complications for Mother, Newborn
  • Jhpiego Leads Innovative Project to Integrate Helping Mothers Survive Training to Better Manage Complications for Mother, Newborn
  • Jhpiego Leads Innovative Project to Integrate Helping Mothers Survive Training to Better Manage Complications for Mother, Newborn

Jhpiego Leads Innovative Project to Integrate Helping Mothers Survive Training to Better Manage Complications for Mother, Newborn

In Uganda, Jhpiego, the American Academy of Pediatrics, and Protecting Families against HIV/AIDS (PREFA) have joined together under the Saving Lives at Birth: A Grand Challenges for Development initiative to introduce an innovative training package to prevent and manage postpartum hemorrhage and newborn asphyxia, two of the leading killers of mothers and newborns.

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How to Order HMS Training Materials

HMS BAB hardcopies of training materials in English

MamaNatalie© Simulators

HMS BAB e-version of training materials, all languages