Dissemination Meeting On Expansion of Reproductive Health Outreach Camp in Three Earthquake Affected Dsitricts-Kathmandu, Lalitpur and Bhaktapur
On 14th August, Midwifery Society of Nepal (MIDSON) convened a dissemination meeting on ‘Expansion of Reproductive Health Outreach Camp in Three Earthquake Affected Dsitricts-Kathmandu, Lalitpur and Bhaktapur including Midwifery update trainings for nurse midwives and Distribution of Midwife kits with support of Direct Relief as a part of the project.
3,281 women from 5 VDCs of each districts were benefitted. The team led by doctors and cometent midwives provided the reproductive health services followed by general service to adolescents, antenatal, postnatal, newborn and elderly women. Cervical cancer screening was was conducted using VIA in five camps ( One in Mahadevsthan, Kathmandu and four in Bhaktapur ( Dadhikot, Nangkhel, Sudal and Chyamamsingh).
Two weeks Midwifery Update Training was conducted to enhance the knowledge and skills of nurse-midwives. A total of 21 participants from Khotang, Dhading, Kathmandu and Bhaktapur working in different health facilities of Nepal were enrolled.
After the earthquake, 30 sets of midwife kits were provided by Direct relief to meet the chronic need of the midwives and to deliver the quality midwifery services in Nepal. So far, MIDSON had distributed midwife kit in Khotang, Nuwakot, Kathmandu, Bhaktapur and Dhading districts.
This dissemination meeting was attended by 50 participants including representatives from the ministry of Health, Local and International NGOs, Medical providers and other key stakeholders prof. Kiran Bajracharya, President of MIDSON welcomed all participants and highlighted the background, importance and scaling up the project throughout the sidtricts.She also disseminate on midwifery update training and kit distribution. Whereas the findngs of the project was presented by the secretary of MIDSON, Ms. Nani Maiya Kawey. The day was made up of a number of presentation and overview on different activities carried out throughout the project.
‘I had a great learning experience through this camp. I am sharing my experience of Shikarbhesi, Nuwakot. The road was slippery and after long hour of distance we finally reached the place. I was astonished to see the flow of clients as it was beyond our expectation. I had the life saving experience where me and my team diagnosed a near miss case of PPH and retained placenta. The situation of health care delivery in Nepal is so deplorable that due to lack of proper midwife and health care personnel, the women performing delivery of animal also attends a delivery of a female. To expect any aseptic precautions and medical knowledge for proper service delivery is just unimaginable. The fertility rate of that region is very high (at least 10 pregnancy/women) and very minimal use of family planning. There are lot of myths regarding family planning in the society. Hence, distribution of Dignity kit can be an effective part of this program. Prolapse management and prevention program was also found to be effectively executed. After this live experience I am very much keen to provide service to the most rural areas of Nepal .I would like to thank MIDSON for providing silicon pessaries which has been a boon to many women. Many women underwent VIA screening. I am very much inspired to see their work and dedication. I would like to thank on behalf of Chyamasingh health post and its people. The humanitarian and holistic service is praise worthy. The women were even given thyme seeds and supercereals as per need: - Dr. Jamuna Paudel ( Bhaktapur Hospital)
Reproductive health service is one of the important services and it has been rendered after earthquake through different RH cluster for a period of one year. Throughout this period MIDSON has shown its visibility and always eager to give its hand while delivering the service. During this short period MIDSON is able to establish a good network to fulfill its objectives. I even had got a chance for visiting Nuwakot during the camp. For professional upliftment there is a substantial role of professional organization and MIDSON is playing that role. I can comprehend that the ground realities in establishing midwife education have many conflicts on its own. It is easier in production of human resources and giving them training but it is tough in deployment and monitoring their skills and capacity. Now there is discussion going on regarding 7th level midwifery cadre but we are not sure about their retention. We have learned this from the medical officer recruitment at PHC level. So we wish to produce certificate level midwives as well. I wish the quality service will be given to every women door step through midwives- Dr. Puspha Chaudhary, Director General, Department of Health Service
Prof. Goma Niroula Shrestha, Vice President of MIDSON concluded the meeting looked at the challenges and opportunities that have arisen from the project and what might be further achieved should the MIDSON continue. She focused on the lessons that has been learned by the team ( partners) and was clear that the future was about continuity to build capacity of midwives through out the country.