Dr Jane Sandall
Professor of Midwifery and Women's Health
Florence Nightingale School of Nursing & Midwifery
King's College, London
57 Waterloo Road, London
SE1 8WA
Tel: 020 7848 3605
Fax: 020 7848 3506
e-mail:[log in to unmask]
http://www.kcl.ac.uk
------ Forwarded message -------
From: "Kathleen Hines" <[log in to unmask]>
To: "Kathleen Hines" <[log in to unmask]>
Date: Fri, 20 Dec 2002 17:09:29 -0500
MNH Update
December 2002; Number 35
Please click on the website address
http://www.mnh.jhpiego.org/updates/ to read the MNH Update. For those
who cannot access the version on the website, please scroll down below
for a text version.
LASTING IMPACT OF INDONESIA'S BIDAN SIAGA CAMPAIGN RECOGNIZED BY
SURVEY
The Bidan SIAGA ("alert midwife") campaign in Indonesia, launched in
November 2001 by the MNH Program and the Provincial Ministry of Health
of West Java, uses complementary mass media and community mobilization
activities to promote birth preparedness and complication readiness
among couples, community members, and midwives. The campaign features
a famous singer as its spokesperson, sponsors television and radio
messages, promotes a karaoke concert organized by local radio stations
and local nongovernmental organizations, and relies on the White
Ribbon Alliance for support for midwives, as well as for the
dissemination of messages.
The Bidan SIAGA campaign promotes the village midwife (bidan di desa)
as a skilled and caring provider that all women should rely on for
good care during pregnancy and safety during labor, childbirth, and
the postpartum period. Results released in November 2002 from an
ACNielsen Omnibus Survey show that themes and materials from the
campaign are widely recognized by adults (aged 15+) in the five
largest metropolitan areas of Indonesia (Jakarta, Bandung, Semarang,
Surabaya, and Medan), indicating that the campaign has achieved
national reach, and that its messages are remembered a year after the
launch.
The "Bidan SIAGA" theme itself was recalled by 50 percent of survey
respondents. Fifty percent is equivalent to approximately 7.2 million
people in those five cities alone. In Indonesia overall, the total
number of people familiar with this theme is probably 8 to 10 times
higher, or roughly 60-70 million people. The slogan, "Ayo ke bidan
siaga" ("Come on, let's go to the alert midwife"), was recalled by 41
percent of survey respondents. This is equivalent to approximately 6
million people in the five major cities, or roughly 50-60 million
people throughout Indonesia.
These results indicate the creation of a positive attitudinal base
upon which to build maternal mortality prevention programs, achieve
changes in clients' utilization of trained midwives, and garner
community support for pregnant women. ACNielsen Omnibus surveys are
conducted approximately every quarter for marketing purposes. Each
wave of data collection involves more than 1,700 interviews with
randomly selected individuals to produce a representative sample.
GUATEMALAN NEWSPAPER FEATURES CONTRIBUTIONS OF TRADITIONAL BIRTH
ATTENDANTS
In the last year, the MNH Program has conducted a number of activities
as part of its culturally-adapted hospitals initiative in Guatemala.
This project aims to make ministry of health services more culturally
accessible and increase the number of women whose births are attended
by skilled providers. To strengthen the links between traditional
birth attendants (TBAs) and providers at hospitals, Sololá Hospital,
in the western highlands, worked with the local TBA organization to
establish an on-call system for TBAs at the hospital. The TBAs have a
room in the hospital, just as physicians have, where they can rest
between patients and be available 24 hours a day to provide emotional
and social support during labor and childbirth.
Last month, a Guatemalan newspaper, El Periodico, featured a story
about the initiative. In the article, María Luisa Tzoc, an indigenous
woman from Guatemala, tells about her recent experience giving birth
in a Guatemalan Hospital. Despite the tradition of home births with
TBAs, she and her husband wanted to have this child in a hospital
because they lost their last child in childbirth. While in the
hospital she was accompanied by a TBA, who was there to reassure her
in her native language, and provide her with emotional and physical
support, while a skilled provider attended the birth.
Dr. Yadira Villaseñor de Cross, the coordinator of JHPIEGO's Maternal
and Neonatal Health Program in Sololá, was interviewed for the
article. Dr. Villaseñor de Cross coordinates efforts with other
organizations, including Doctors of the World from Spain, CARE, and
Vivamos Mejor (Better Living), a Swiss NGO. Dr. Vallaseñor de Cross
explained that the principal reasons that mothers were not coming to
the hospital to give birth were fear and unfamiliarity. The 24-hour
presence of TBAs alleviates some of those concerns. Participaing
organizations have been able to provide each TBA with a payment of 100
Quetzales (approximately US $12) per shift. Dr. Villaseñor de Cross
also indicated that they have been able to sensitize the hospital
personnel to the need for providing higher quality and more humanistic
care. In the article, TBA Febe Guarcas explains the main reason that
TBAs are participating in this program: "We don't want any more
suffering. We are trying to explain to our communities that in the
hospital there will always be a TBA so the people will be content and
without any problems."
MNH PROGRAM EXPERT TRAINER DIRECTORY: LATIN AMERICA AND CARIBBEAN
REGION AVAILABLE IN JANUARY
The MNH Program is pleased to announce the publication of the MNH
Program Expert Trainer Directory: Latin America and Caribbean Region.
The directory features short biographies and contact information for
14 expert trainers in maternal and newborn healthcare in the Latin
America and Caribbean region. These professionals have demonstrated
their dedication to assuming this role by actively participating in a
series of development activities over a 10-12 month period. As a
result of this training, they are now able to:
· Advocate for changes in the best healthcare practices for mothers
and newborns
· Articulate the evidence basis for such changes
· Teach at the preservice level and train at the inservice level
· Provide leadership in an institution, country, and region to improve
maternal and newborn health
This is an extraordinary group of healthcare experts and trainers.
Copies of the directory are available to our colleagues in the Latin
America and Caribbean region from the MNH Program. Copies of the MNH
Program Expert Trainer Directory: Africa Region (published last year)
are also available to our colleagues in the Africa region. Please
contact Kathleen Hines ([log in to unmask]) for more information, or
for a .pdf copy, click on:
http://www.mnh.jhpiego.org/global/training/lacexpts.pdf
JHPIEGO NAMES DIRECTOR OF HIV/AIDS
JHPIEGO CEO, Leslie Mancuso, RN, PhD, recently announced the
appointment of Kai Spratt, RN, MPH, PhD as Director of the Office of
HIV/AIDS. Dr. Spratt, who brings to the position a rich combination of
experience, background and leadership skills, will work to expand
JHPIEGO's HIV/AIDS programs and projects. The Office of HIV/AIDS will
provide technical and programmatic assistance in support of key
prevention and maternal and newborn health interventions globally, and
to enhance complementary strategic planning and action across all
countries and regions.
The Maternal & Neonatal Health (MNH) Program at the JHPIEGO
Corporation produces MNH Updates for those working to promote maternal
and neonatal health. Activities reported are those of the MNH Program.
Please notify us of other Safe Motherhood activities of interest to
our readers. Your comments are welcome. Previous issues can be viewed
on our website at www.mnh.jhpiego.org/updates/. For more information
about MNH Updates, e-mail Kathleen Hines, [log in to unmask], or visit
our website, www.mnh.jhpiego.org/index.asp.
This publication was made possible through support provided by the
Nutrition and Maternal Health Division, Office of Health and
Nutrition, Bureau for Global Health, U.S. Agency for International
Development, under the terms of Award No. HRN-A-00-98-00043-00. The
opinions expressed herein are those of JHPIEGO and do not necessarily
reflect the views of the U.S. Agency for International Development.
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