According to the World Health Organization, every day approximately 800 women die during pregnancy and childbirth. Most of these needless deaths can be prevented if midwives and other frontline health workers have the skills needed to prevent and manage a small number of complications. While current Jhpiego programs are working to decrease maternal mortality in many different ways, upgrading the skills of frontline health workers to provide comprehensive care to mothers on the day of birth remains a challenge. on the day of birth on the front line remains a substantial challenge. . Jhpiego believes that accelerating progress toward eliminating the preventable death of mothers in child birth will require new and innovative methods to increase the skills of health care providers around the globe. childbirth that mothers deserve, cannot be reached without designing innovative training innovations to increase the skills health care providers in countries around the World.
Jhpiego, working in collaboration with Laerdal Global Health, has developed the Helping Mothers Survive (HMS) training method designed to dramatically reduce barriers to quality of care for the most vulnerable. HMS rapidly prepares district level champions with the skills that they need to introduce and facilitate a new generation of clinical skills building: low-dose, high- frequency (LDHF) training. This innovation allows delivery of proven training approaches to remote facilities that frequently are not reached through current training methods. By taking training to health workers on the frontline and establishing a culture of learning within their workspace, thereby enabling larger numbers of health workers maintain the skills needed to prevent and manage the leading causes of death on to mothers and babies on the day of birth.
Postpartum Hemorrhage accounts for up to 35 percent of maternal deaths. As the world’s leading contributor to maternal mortality the HMS Bleeding After Birth module has been introduced as the first in the HMS series. The module contains a graphic flipchart used to introduce key knowledge, actions, and clinical decisions needed to prevent and manage bleeding after birth. The MamaNatalie maternal simulator, recently developed by Laerdal, is used to demonstrate best practice and provides workers with the realistic simulated experience that they need to be comfortable managing postpartum hemorrhage.
The MamaNatalie simulator was purposefully developed to address access barriers to quality of care by addressing the variables associated with portability, durability and affordability needed to make it available for low-dose, high-frequency practice by teams.. Frequent practice of those scenarios that are most responsible for hemorrhage are now enabling midwives and frontline health workers to build and maintain the competence and confidence that they need to prevent the needless death of women from bleeding on the day of birth. Jhpiego has taken steps to rapidly introduce HMS training into health systems where it is needed most while expanding to address other common causes of maternal death.