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Basic Maternal and Newborn Care: A Guide for Skilled Providers (BMNC)
This reference manual is intended for use by skilled providers (including midwives, doctors and nurses)—working in low-resource settings at any level of the health care system or in homes—who care for women during pregnancy, childbirth and the postpartum period, and for newborns. Although the BMNC's emphasis is on supporting and maintaining the health of the woman and her baby, the manual recognizes that all childbearing women and newborns are at risk of developing life-threatening complications.
Thus, for each phase of the childbearing cycle and early newborn period, the BMNC presents a basic care strategy for: health promotion, through health messages and counseling, as well as birth preparedness/complication readiness; and prevention, early detection and/or initial management of the most common causes of maternal and newborn death and disability. Guidance is also provided on general, cross-cutting issues, such as woman- and newborn-friendly care, infection prevention, male involvement and working with the community. In addition to serving as a reference for skilled providers, the BMNC is also suitable for use in inservice training and preservice education programs. (2004) Available in English and French.
To view the publication online in English, please click on the link below.
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Learning Resource Package for Basic Maternal and Newborn Care
This learning resource package on CD-ROM contains all of the materials needed to conduct a competency-based inservice training course for skilled providers. It is divided into two modules that can be used separately: one on antenatal care, the other on childbirth, postpartum and newborn care. The package is intended for use with the Jhpiego reference manual Basic Maternal and Newborn Care: A Guide for Skilled Providers. (2004) Available in English.
Emergency Obstetric Care: Quick Reference Guide for Frontline Providers
This pocket-sized booklet is designed to help the health care provider in a Type 1 health post recognize and respond to obstetric
emergencies. The goal of emergency obstetric care at the health post level is to diagnose the problem, stabilize the woman, and
arrange for transport to the nearest facility capable of managing and treating the complication.
The Quick Reference Guide is based on the World Health Organization manual Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors. The first section
of the Guide deals with responding to an emergency using rapid initial assessments; the next section presents diagnosis and
management according to symptom; the Appendices include information on active management of the third stage of labor,
essential drugs and supplies, infection prevention and guidelines for procedures. (2003) Available in English, French and Spanish.
Malaria in Pregnancy Resource Package, Second Edition
This resource package contains a variety of tools designed to assist policymakers, public health professionals and health managers in implementing programs that will reduce the incidence of malaria in pregnancy and provide effective treatment for pregnant women with malaria. This innovative package contains training materials (reference manual, participant’s guide and facilitator’s guide), an MIP program implementation guide, an interactive tutorial, job aides, article abstracts and a communications strategy. (2008) Available in English, French and Portuguese.
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Preventing Postpartum Hemorrhage in Africa: Moving from Research to Practice
This report summarizes a regional conference on postpartum hemorrhage hosted by the ACCESS Program in partnership with RCQHC, ECSA and POPPHI. Held from 4-7 April 2006 in Entebbe, Uganda, the conference aimed to increase knowledge of the devastating effects of this largely preventable complication and to advance programming in Africa for its prevention and treatment—in support of the Millennium Development Goal to reduce maternal mortality by 75% by 2015.
The report is ideal for use in informing policy development, health systems strengthening and program planning. It contains: summaries of presentations, skills lab sessions and other conference activities; highlights from lively open-floor discussions; selected country action plans; a listing of donor and technical assistance agencies with a PPH-related focus; and highlights and summary of program priorities. (2006) Available in English.
To view the publication online, please visit the ACCESS Web site. Additional PPH resources are available below and through ACCESS.
Preventing Postpartum Hemorrhage: From Research to Practice
This report summarizes a conference held to review the evidence for approaches to preventing postpartum hemorrhage (PPH) and explore strategies for scaling up interventions in the field. The conference, co-sponsored by the Jhpiego/Maternal and Neonatal Health Program and the Asia/Near East Bureau of the U.S. Agency for International Development (USAID), was held from 20 to 23 January 2004 in Bangkok, Thailand. (2004) Available in English.
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Preventing Postpartum Hemorrhage: A Community-Based Approach Proves Effective in Rural Indonesia
This Jhpiego/Maternal and Neonatal Health Program brief focuses on the prevention of postpartum hemorrhage (PPH), including the active management of the third stage of labor. The brief also discusses the effectiveness of a community-based intervention to prevent PPH in women who do not have a skilled provider present at birth. (2004) Available in English.
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Prevention of Postpartum Hemorrhage Study, West Java, Indonesia
This study offered an intervention designed to lower the incidence of postpartum hemorrhage in rural Indonesia, where a large proportion of the deaths are not attended by skilled providers. A total of 1,811 women participated in the study. The purpose of the intervention was to demonstration the safety, acceptability, feasibility and program effectiveness of community-based distribution of oral misoprostol for preventing PPH. The study was funded by the United States Agency for International Development and was a collaborative partnership between the Indonesian Department of Health and Indonesia Association of Obstetricians and Gynecologists.
The study showed that trained and supervised personnel can successfully provide counseling and information on the prevention of PPH, and then safely distribute misoprostol to pregnant women. The study also found that women can understand the information provided, act on it appropriately, and safely take misoprostol at the correct time. (2004) Available in English.
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Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors
This manual, developed by the World Health Organization and Jhpiego, is written for midwives and doctors at the district hospital who are responsible for the care of women with complications of pregnancy, childbirth or the immediate problems of the newborn. The main text of the manual is arranged by symptoms (e.g., vaginal bleeding in early pregnancy) to facilitate immediate diagnosis and treatment in an emergency situation. There are also sections covering "Clinical Principles" and "Procedures." (2000)
Jhpiego is unable to accept orders for this product. To order the manual in English or French, please contact a WHO Sales Agent. To order the manual in Spanish, please contact Pan American Health Organization:
Regional Initiative for the Reduction of Maternal Mortality
Family Health and Population Program
Division of Health Promotion and Protection
Pan American Health Organization
525 23rd Street NW
Washington, DC 20037-2895
E-mail: camachov@paho.org
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Learning Resource Package for Managing Complications in Pregnancy and Childbirth: Notebook for Teachers
This learning resource package on CD-ROM is based on and intended for use with the Managing Complications in Pregnancy and Childbirth manual. The Notebook for Teachers includes resources needed for comptency-based preservice education or inservice training for skilled providers, be they midwives, physicians or nurses. The CD-ROM contains all parts of the notebook. (2000) Available in English and Spanish.
To view the notebook in English, please click the link below.
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Managing Newborn Problems: A Guide for Doctors, Nurses and Midwives
This manual, developed by the World Health Organization and Jhpiego, is written for the doctors, nurses, senior midwives and other health care workers at the first referral level in low-resource settings who are responsible for the care of newborn babies with problems during the first week(s) of life. The guide, based on the latest available evidence, provides up-to-date, authoritative clinical guidelines that are relevant to a facility with selected essential drugs and supplies, basic laboratory facilities, and the capability to provide safe blood transfusion. In some settings, the guide will be relevant to large health centers that provide childbirth care and have the capacity to care for sick or small newborn babies. (2003)
Jhpiego is unable to accept orders for this product. To order the manual in English or French, please contact a WHO Sales Agent. To view the manual online, please click on the link below.
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Learning Resource Package for Managing Newborn Problems
This learning resource package on CD-ROM focuses primarily on knowledge and skills for managing newborn problems in inservice clinical training courses for skilled providers. The package is based on and intended for use with the World Health Organization manual Managing Newborn Problems: A Guide for Doctors, Nurses, and Midwives. This package presents teaching/learning methods, materials and other resources to support the implementation of competency-based training courses for skilled providers, whether they are doctors, nurses or midwives. (2004) Available in English.
Anesthesia for Emergency Obstetric Care
This learning package, prepared by the Jhpiego/Maternal and Neonatal Health Program with support from the Averting Maternal Death and Disability Program
at the Mailman School of Public Health, Columbia University, is designed to train doctors, midwives and/or nurses with midwifery skills who, as team members, will provide selected anesthesia services for comprehensive and emergency obstetric care (EmOC) at district hospitals to avert maternal death and disability. (2003) Published in English and French.
At this time, Jhpiego is unable to accept orders for this product.
The English courseware is available to download for free on the ReproLine website. Please click on the link below.
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Emergency Obstetric Care for Doctors and Midwives
This learning package, prepared by the Jhpiego/Maternal and Neonatal Health Program with support from the Averting Maternal Death and Disability Program at the Mailman School of Public Health, Columbia University, is designed to train doctors, midwives and/or nurses with midwifery skills who, as team members, will provide basic and comprehensive Emergency Obstetric Care (EmOC) at district hospitals to avert maternal death and disability. (2003) Published in English and French.
At this time, Jhpiego is unable to accept orders for this product. The English courseware is available to download for free on the ReproLine website. Please click on the link below.
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Monitoring Birth Preparedness and Complication Readiness: Tools and Indicators for Maternal and Newborn Health
This manual is the product of a joint collaboration between the Maternal and Neonatal Health Program at Jhpiego and Family Care International through its Skilled Care Initiative.
The manual provides guidance in assessing and monitoring safe motherhood programs that
intervene at multiple levels. It establishes a set of indicators, called a Birth Preparedness and Complication Readiness (BP/CR) Index, for each of six levels: the individual woman, her family (husband/partner), the community, the health facility, the provider and the policymaker. It also provides a comprehensive set of tools for deriving these indicators and tracking progress. The manual therefore represents an initial attempt to establish a standardized set of indicators that could
be used across countries and/or programs for monitoring safe motherhood programs based on a
birth preparedness and complication readiness approach. (2004) Available in English.
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Birth Preparedness and Complication Readiness: A Matrix of Shared Responsibility
This fold-out poster describes the responsibilities, actions, practices and skills needed to help ensure the safety and well being of the woman and her newborn throughout pregnancy, labor, childbirth and the postpartum period. It outlines plans and actions that can be implemented wherever life-threatening delays may occur—at home, on the way to care or at the place of care. BP/CR includes the woman and her family, as well as the community, health care providers, facilities that serve them, and the policies that affect care for the woman and the newborn.
The BP/CR matrix is a programming tool. It is a list of behaviors and skills that address delay-causing factors at various levels. Program planners can use the matrix to select desirable and feasible activities and adapt them to local realities. The matrix is also an advocacy tool. It enumerates the roles of facilities and communities and the responsibilities of policymakers, healthcare providers, families and women. In this role, it helps support provider and community demands for improvements. (2001; English introductory text revised in 2004) Available in English, French and Spanish. Note: Print copies may be ordered for free in limited quantities. To view the English text (as a handout), please click on the link below.
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Shaping Policy for Maternal and Newborn Health: A Compendium of Case Studies
This collection of case studies was developed by Jhpiego/Maternal and Neonatal Health Program, Saving Newborn Lives/Save the Children, and Family Care International to demonstrate different approaches to influencing national policies on maternal and newborn health. The case studies highlight the strategies and processes involved in securing national policy commitments and the specific changes these commitments to improve healthcare for mothers and newborns. Each one presents a strategy that has been used to achieve or influence policy change in a country or region, details of the implementation process, and the changes that have been made in maternal and newborn health and healthcare as a result. Together the case studies show how civil society and nongovernmental organizations can contribute to positive change for safe motherhood and newborn health. (2003) Available in English.
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Behavior Change Interventions for Safe Motherhood: Common Problems, Unique Solutions—The MNH Program Experience
This report focuses on the activities of the Maternal and Neonatal Health (MNH) Program in the area of behavior change interventions. BCI activities were undertaken in nearly every country in which the MNH Program worked, and were evaluated through population-based surveys in Burkina Faso, Guatemala, Indonesia and Nepal. These surveys found that the MNH Program had an impact on behavior relating to maternal health.
The most fundamental and salient lesson learned was the importance of designing and implementing an integrated program. In the four countries examined in this report, knowledge of birth preparedness, danger signs and antenatal care attendance all increased after an integrated campaign. The greatest successes occurred where advocacy was integrated with the design and implementation of behavior change communications, and where integration was a priority for both program planners and stakeholders. (2004) Available in English.
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Igniting Change! Capacity-Building Tools for Safe Motherhood Alliances
This report is a collection of tools to help focus and strengthen collective efforts, from the grassroots to the policymaking level, to improve maternal and neonatal health.
The tools foster communication and collaboration among all levels of safe motherhood stakeholders—policymakers, healthcare providers and facilities,
communities, families and women—who come together to share their viewpoints
and solutions for improved maternal and newborn health. The tools emphasize
strengthening group processes, building capacity for the linkages between diverse
stakeholders, and helping stakeholders work as a team to advocate for safe motherhood. (2004) Available in English.
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Igniting Change! Accelerating Collective Action for Reproductive Health and Safe Motherhood
This publication, developed by the Enabling Change for Women's Reproductive Health (ENABLE) Project and the Maternal and Neonatal Health (MNH) Program, discusses the theory and historical context of social mobilization. It then focuses on the two programs' efforts to apply social mobilization to the field of reproductive health in order to accelerate change. Country examples are provided to show how social mobilization resulted in forged alliances that helped to increase awareness and secure political commitment, improve information equity, facilitate collaborative actions and adopt evidence-based practices. (2003) Available in English.
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Using Performance and Quality Improvement to Strengthen Skilled Attendance
This report documents how the use of the performance and quality improvement (PQI) process has helped to improve skilled attendance in Jhpiego/Maternal and Neonatal Health Program countries, and shares some lessons the Program has learned about how best to use PQI in safe motherhood programs. (2003) Available in English.
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Guidelines for Assessment of Skilled Providers After Training in Maternal and Newborn Healthcare
This manual is a collection of tools for conducting follow-up assessments of healthcare providers who were recently trained in maternal and newborn health care. Using all of the tools will provide a comprehensive assessment of knowledge, clinical decision-making and skill competence. Each tool, however, may be used separately or combined with others to create a document appropriate for the content of a specific maternal and newborn health training course.
The tools were based on the World Health Organization's international guideline Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors and the Jhpiego/Maternal and Neonatal Health Program's reference manual Basic Maternal and Newborn Care: A Guide for Skilled Providers. (2004) Available in English and French.
Note: Print copies of the English report may be ordered for free in limited quantities. To view the publication online, please select one of the following:
English | French
Site Assessment and Strengthening for Maternal and Newborn Health Programs
This toolkit presents a process and tools for conducting facility-level site assessment and strengthening with the goal of improving essential maternal and newborn care services. The process is based on the performance improvement process defined by the USAID Performance Improvement Consultative Group, and adapted by Jhpiego as a performance and quality improvement (PQI) approach.
This toolkit explains how the PQI process can be used to strengthen facility and individual performance, and how it can be easily and effectively incorporated into the operating norms of any facility. Using the PQI process, staff can continually assess and strengthen individual and facility-level performance. (2004) Available in English.
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Scaling Up Practices, Tools and Approaches in the Maternal and Neonatal Health Program
This report documents how the Jhpiego/Maternal and Neonatal Health Program scaled up practices and approaches at the global, regional and country levels, and
provides a qualitative description of the Program’s expanded reach, breadth, impact and sustainability. (2003) Available in English.
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Improving Safe Motherhood through Shared Responsibility and Collective Action
This report details the global reach of the Maternal and Neonatal Health (MNH) Program, as well as its accomplishments and results from 2002 to 2003. Information is framed around the Program's legacy statements, which capture its focus and goals in supporting the international safe motherhood agenda. The report also recognizes Program accomplishments before 2002, and discusses plans for the upcoming year. (2003) Available in English.
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Measuring the Effects of Behavior Change Interventions in Burkina Faso with Population-Based Survey Results
The Maternal and Neonatal Health (MNH) Program started a pilot project in the Koupéla district of Burkina Faso in 1999. The project sought to increase informed demand for, and use of, skilled providers during pregnancy, childbirth and the postpartum/newborn periods while increasing the operational capacity of the district health system. The MNH Program developed a model process for team building, using the concept of birth preparedness and complication readiness, which is now recognized nationally and has been replicated in other districts. This report evaluates the Program's efforts to change levels of knowledge and reported safe motherhood behaviors. (2004) Available in English.
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Measuring the Effects of Behavior Change and Service Delivery Interventions in Guatemala with Population-Based Survey Results
Empowering individuals and communities to recognize and respond to obstetrical emergencies was a goal of the Guatemalan Ministry of Health and Public Assistance and the Maternal and Neonatal Health (MNH) Program. This report evaluates the impact of behavior change initiatives by the MNH Program and its partners on improving community preparedness and helping increase maternal and neonatal survival in the country. Research methods, as well as routine health and management information systems, were used to conduct the evaluation. (2004) Available in English and Spanish.
Note: Print copies of the Spanish report may be ordered for free in limited quantities. To view either publication online, please select one of the following:
English | Spanish
Measuring the Effects of the SIAGA Behavior Change Campaign in Indonesia with Population-Based Survey Results
Community involvement in maternal health is historically strong in Indonesia, but interventions have not always reflected communities' needs. Indonesia's emerging democracy expanded community involvement in maternal health from a centrally-driven, message dissemination network. This report evaluates the efforts of the Maternal and Neonatal Health (MNH) Program and its partners to build on this foundation through its behavior change intervention (BCI) initiatives, and by promoting shared responsibility for the well-being of women during pregnancy, childbirth and the postpartum/newborn period. BCI interventions were concentrated in West Java, but national activities, including behavior change communication, helped to strengthen maternal and newborn care throughout several provinces and the country. (2004) Available in English.
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Measuring the Effects of Behavior Change Interventions in Nepal with Population-Based Survey Results
As part of its work in Nepal, the Maternal and Neonatal Health (MNH) Program supported the National Health Education, Information, and Communications Centre (NHEICC) in its efforts to develop and implement the SUMATA initiative. (SUMATA is a Nepali acronym for "Care, Share, and Prepare.") The integrated information, education and communication/behavior change intervention was launched on 8 March 2002 as a multi-level strategy. This report evaluates the Program's success in helping promote adoption of appropriate maternal and newborn health behaviors, and increasing access to and use of safe motherhood services. (2004) Available in English.
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Implementing Global Maternal and Neonatal Health Standards of Care
Implementing Global Maternal and Neonatal Health Standards of Care reports on a workshop held in 2000 on promoting the use of evidence-based maternal and neonatal health standards globally. It contains a strategy paper on disseminating and using guidelines at the healthcare provider level. (2001) Available in English and Spanish.
Note: Print copies may be ordered for free in limited quantities. The English report is also available to download for free on the ReproLine website. Please click on the link below.
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