COVID 19 PANDEMIC – PROTECTING MOTHERS AND BABIES – PREVENTABLE MATE TERNAL MORTALITY DURING REDUCT CTION IN IN COVID ID THE PANDEMIC AND BEYOND PANDEMIC ERA & PDG Dr. HIMANSU BASU, MD, PhD BEYOND RI Global Networking Committee On behalf of Programme Participants, Collaborators and Supporters of CALMED Programme
• COVID - 291,000 DEATHS • CHILDBIRTH DEATHS – 292,000 + MATERNAL DEATHS , A GLOBAL 2.4 MILLION + PROBLEM BABY DEATHS UNEQUAL GLOBAL BURDEN
MDG 3 – 1990 to 2015 Potential for Im Impact is is greater in in S SE Asia ia and Sub- saharan Afr frica
LTR – 1 in …… BR / 1000 • United States- 1 in 3,000 12.50 HOW MANY • Switzerland – 1 in 13,900 10.5 • U.K. – 1 in 8,400 12.10 MOTHERS DIE ? • Australia – 1 in 8,200 12.10 • Germany – 1 in 9,400 8.60 • Morocco – 1 in 500 17.70 • India – 1 in 290 19.00 Lif ife Tim ime Ris isk of f • Nigeria – 1 in 21 36.90 Chil ildbir irth Mortali lity • Uganda – 1 in 49 42.90 • Afghanistan, – 1 in 33 37.90 • vs vs Sudan – 1 in 18 27.90 World – 1 in 190 18.50 Bir irth rate • data.worldbank.org
1 in 190 1 In 190
Why Moth thers die ie in in poorer countr tries ? 1.F .Fractured Healt lth System 2.Three dela lays in in emergencie ies – home to hosp spit ital l 3.L .Large Number of f birt irths – unable le to cope PUBLIC HEALTH ISSUE
Option 1-- $30 K Repair the Bridge Option 2 – VTT ,build New Bridge – Engineers ,Villagers, Local Businesses
ST STOP OP MO MOTHERS THERS DYI YING NG ! 292,000 Mothers Die 4 million Damaged women 2.5 million Babies die
M.C.H. . Area of f Focus – Sel elective Action is is needed Preventing Labour Related Deaths (Maximum Impact) Improved Pre-conceptional & Pregnancy Care Maternal, Child ,New-born , Adolescent Health
EDUCATE EMPOWER EVALUATE TEMPLATE OF ACTION BASED ON EVIDENCE – ENHANCE GLOBAL GRANTS
ENGAGE EDUCATE EMPOWER EVALUATE ENERGISE TEMPLATE OF ACTION BASED ON EVIDENCE – ENHANCE GLOBAL GRANTS
COLLABORATORS – ADD STRENGTH AND VITALITY TEMPLATE OF ACTION – ENHANCE GLOBAL GRANTS
CA CALMED LMED VTT STRA VTT STRATEGY & TEGY & TACTICS CTICS KNO KNOWLEGE WLEGE Bridge the Gap ! CAL CALMED MED VTT VTT RESPECTFUL RESP ECTFUL SKILLS SKILLS BEHA BEHAVIOU VIOUR R
CALMED OPERATIONAL MODEL Digital Technology Simulators Vocatio nal Master Training Trainers Team VTT - “Training The Trainer” Model Basic Basic Basic Trainees Trainees Trainees
VTT Raises Childbirth preparedness through ASHA – Women Centred Programme
Rotary Community Engagement
ACTION / OUTCOME – 6 VTT s GG 1413592 , GG 1528483 FIELD TESTING OF EVIDENCE BASED MODEL - 2013-2019 ➢ Preliminary Visits -6 ➢ Preparatory Work ➢ Two Successful Global Grants – Training, Mentoring, Data Collection INCONVENIENT TRUTH One non-implemented Global Grant GG 1525311
ASSESSMENT Of TRAINING VTT SCORES 6VTTs -44 Wks Knowledge score Skills score Behaviour Improvement Community Health Seeking Behaviour Non- significant
THE CALMED VOCATIONAL TRAINING PROGRAMME LEGACY 1. Training Resources, TOOL BOX – manuals, films, simulators 2. Partnership – Government, Rotary , Professional groups (FOGSI) 3. Master Trainers -Group of 39 Trained Professionals with know how/passion for working with Rotary ,with mentoring support & Digital Technology ENHANCED REACH & IMPACT OF GLOBAL GRANTS IN MCH
Maternal and New-born mortalities can be reduced
CURRENT PROGRAMME - 3 VTTs – Structured Training → Practice Change BETA – TESTING OF ADVANCED MODEL - 2020-23 GG 1988385 - $ 83 K Meghalaya ➢ Pop. 3.2 million ; VTTs – 3 ➢ M.E.R.N. & Paramedic Training ➢ Distance Learning ➢ Advanced Digital Technology ➢ In Situ Simulation
MATERNITY ALLIANCE 4 STRUCTURED TRAINING (M.A.S.T.) – IN COUNTRY Technical Experts Doctors, Midwives M.A.S.T . GOVERNMENT ROTARY WHO FAMILY
MATERNITY ALLIANCE 4 STRUCTURED TRAINING (M.A.S.T.) – IN COUNTRY STRATEGIC GROUP Technical Experts Doctors, Midwives TACTICAL GROUP M.A.S.T . OPERATIONALGROUP GOVERNMENT ROTARY WHO FAMILY
CALL FOR ACTION – ENHANCE MULTIPLE GLOBAL GRANTS JOIN M.A.S.T. -www.calmedrotary.org M.A.S.T. National – Experts, Training Vocational Service, Resources & Funding Technology in the digital age, Tool ACCELERATION Box ,M.E.R.N. TOWARDS Collaboration SUSTAINABLE Government DEVELOPMENT ,NGO,Rotary Family GOAL 3 & 17… Determined, Committed Rotarians
A PAGE FOR BIG BOLDBULLET ITEMS Not all of us can do great things, but we can do small things TITLE OF SESSION Presenter | Date h with great love……… Mother St. Theresa
JOIN M.E.R.N. www.calmedrotary.org THANK YOU … T Comments ? Questions? calmedrotary@gmail.com https://www.calmedrotary.org
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