Women and Children’s Health
The strong commitment by LAMB to this area exists because it goes right to the core of the LAMB Vision, serving especially women and children, these typically being under-privileged groups.
Ongoing Maternal Health Interventions, Activities
- Hospital: EmONC (emergency obstetric and newborn care) is provider 24 hrs/day, 7 days/week with C-section and blood transfusion capabilities.
- Minimum staff of 8 doctors (4 senior, 4 junior) covered >4200 deliveries in 2011.
- Nursing care is of the highest quality, with regular Adv. Nurse Midwifery training to provide labor room service.
- CHDP: all programs currently underway strongly prioritize maternal health, while seeking to increase attention to general women’s health.
- Community Managed Health Care
- 28 ‘independent’ fixed-site Clinics, 18 with 24-hour Safe Delivery Units and all with smaller satellite clinics in surrounding villages
- In 6 sub-districts, service delivery through government facilities
- Supplementary staff with community midwives
- Facilitating community oversight committees to improve accountability of staff
- Through Maternal Newborn Child Survival (MNCS—GOB/UNICEF) and WATCH (Plan)
- CC Project, improving service delivery in government clinics but only through facilitating community oversight committees to work toward increased accountability in 2 districts, Dinajpur and Nilphamari.
- Community Managed Health Care
- LAMB Training Centre: continue cSBA training for as many trainees as possible despite limited training and clinical facilities and low trainer numbers.
- Information, Research: ongoing improvement of reporting of outcome by poverty stratification
Women’s Health, Social Well-being: more than 50% of women’s savings groups independently hold meetings, make decisions, keep cashbooks and meeting minutes. They report benefits including: ‘We receive joy!’ ‘We can help ourselves.’ ‘We know we might need help, and here we can get it.’ The women’s groups are keen to be involved in conflict resolution and reduction of social barriers to health (eg dowry, early marriage, family violence).
Children’s Health: because of LAMB’s large maternity care focus, the newborn care is also of high priority. Nurses and medical assistants have had special advanced training to shift some of the routine monitoring tasks, allowing doctors to follow up on more complex patients. Integrated Management of Childhood Illnesses (IMCI) is the backbone of community and hospital child health promotion and curative care.
Key Recent Activities: Policy updates (Gender; Anti-Abortion; Family Planning–including ‘Beginning of Life’). GOB fistula training and Community Fistula Advocate (CFA) training. Training center continues to see cSBA training demand increase (and BRAC reported LAMB training more effective that other GOB training). MIS-R began research on nutrition supplements to pregnant women and is now able to report outcomes by wealth category for all target areas.
New Interventions and Challenges: A new ‘crisis intervention’ team has been formed for when woman (or children) comes to hospital as victim of violence OR if a member of staff asks for help as victim of violence. We hope an expanded program will also identify high-risk women for more intensive community follow-up whether identified by CHDP or after hospitalization.
Women health indicators
- Overview of Programs
- Improved Health Outcomes
- -Women and Children’s Health
- -Disability Support
- -TB Program
- -Non-Communicable Disease
- Government Service Strengthening
- Community Leadership Development
- Community Mobilization
- Spiritual Health Development
- Clinical Services
- -Clinical Maternity
- -Clinical Surgery
- -Clinical Medicine, Pediatrics
- -Vision Centre
- School Education