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>From: Jane Sandall <[log in to unmask]> >Reply-To: "A forum for discussion on midwifery and reproductive health research." <[log in to unmask]> >To: [log in to unmask] >Subject: Fwd: MNH Update, December 2002 >Date: Thu, 2 Jan 2003 11:23:49 -0000 > >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.