Hier seht Ihr Fotos vom letzten TBA Training

(Traditional Birth Attendants: Traditionelle Hebammen)

sponsored by Meeting Bismarck

also:

sponsored by YOU

Warum das so wichtig ist?

Emmanuel hat uns einen Bericht darüber geschickt (s.u.)

Unsere Schwägerin Eva arbeitet an der Übersetztung,

aber für den Moment wollt Ihr vielleicht schonmal die englische Version lesen?

Meeting Bismarck e.V

Germany

BRIEF NARRATIVE REPORT BY ATBAWA, GHANA ON REVIEW WORKSHOP FOR TBAs

Brief Background of Implementing Organization:

Akpafu Traditional Birth Attendants Women’s Association was founded in 1992 in Ghana and became officially registered with the Government of the Republic of Ghana in 1997 as a local charity organization. The organization since its creation has had its specific focus on maternal and child health projects including reproductive health.

So far, the organization has trained about 190 practicing but untrained traditional birth attendants as community midwives who are practicing as local midwives in about 80 rural communities/villages of the Upper Volta of the Republic of Ghana.

Training of the practicing but untrained traditional birth attendants in Upper Volta Region of Ghana;

What knowledge/benefits/ skills have the participants acquired

A). Prevention of Infection: Effective hand washing, use of protective clothing, example, aprons, gloves, condoms, use of parazone in decontamination.

Knowledge of HIV/AIDS: how HIV is acquired, what it means; the fact that there is presently no cure for it. How it is spread by means of sexual intercourse, sharing sharp instruments, example, needles, razor blades, nail cutting instruments. Receiving injections from unqualified persons. Prevention aspect are taught as; a) avoiding casual sex, b)avoiding sharing sharp instruments, receiving injections from qualified health professionals only, the use of condoms during sex. They also learnt that even though there is no cure, there is hope for people suffering from the condition, it is therefore necessary for every one to make use of counselling and Testing which is available at the Government Hospital Hohoe and also which is free to know one’s HIV status. Signs and symptoms of the disease are also taught. They also learnt about home –based care of the people living with HIV/AIDS. The possibility to prevent mother to-child transmission. Other sexually transmitted diseases are also treated.

Diarrhoeal disease: They were taking through what constitute diarrhoea, how it spreads- through contaminated food, water, improper hand washing before eating. That is rampant in dirty unhygienic areas and areas where there is poor disposal of especially wet refuse. The fact that pregnant women and infants are very vulnerable; the use of ORT (Oral rehydration therapy) in management of diarrhoea is the best option. Timely referral to the nearest health facility is very necessary. In Prevention, the birth attendants learn the following; a) proper hand washing especially before eating, washing fresh fruits in salty water before eating them, covering food and water, proper disposal of wet refuse, developing habit making our environment clean.

Knowledge about Malaria: What causes it, (the mosquito) and how it happens, signs and symptoms of malaria infection, breading areas of the mosquito, care of the patient while waiting to get to the referral point; example reducing high temperature by using tepid water to cool the body.

Prevention of Malaria: clean environment, covering stored water, the use of Insecticide Treated Bed Net (Permanent Long Lasting Nets), how to use it properly for effectiveness, example hanging the Bed nets well. Building mosquito proof houses and living in mosquito proof houses, care of such patient at home if not admitted into the hospital or health station.

Other areas of knowledge covered are; a) Safe Midwifery Practices (safe motherhood), example good Pre-natal care, safe delivery, safe Post-natal care. Eating well during these phases. The ability of the traditional birth attendant to recognize what is beyond her and to refer promptly. Traditional Birth Attendants are to handle normal cases only. Breast feeding issues were also taught, especially exclusive breast feeding and its benefits.

 Family Planning was also discussed. The traditional birth attendants distribute condoms and also provide services for other family options for their clients. However, they were told where the other family planning services are available, so that they can direct their clients. Practical demonstration of condom was introduced.

SKILLS

Ø  Hand washing

Ø  Finding out age, parity and problems related to previous pregnancies and deliveries and surviving children

Ø  Physical examination

Ø  Care for and refer the pregnant woman

Ø  Preparation for delivery

Ø  Symptoms and signs of onset of labour

Ø  Referral of mother at risk

Ø  Managing a mother during referral

Ø  Maintenance of TBA kit box

Ø  Breaking bag of water

Ø  Recognize and manage second stage of labour

Ø  Check cord around neck

Ø  Prevention of tears in mother and injuries to baby

Ø  Tie and cut cord

Ø  Manage Abnormal Presentation

Ø  Manage and Refer the Newborn Who Does Not Cry Soon after Birth and Has Difficulty in Breathing

Ø  Putting baby to Breast After Delivery

Ø  Delivery of the Placenta

Ø  Reduce Bleeding after Delivery

Ø  Examination of Placenta for Missing Parts

Ø  Management and Referral of Mother Who Has Lost Too Much Blood or Collapsed

Ø  Examine and Refer Newborn With Abnormalities

Ø  Postnatal Physical Examination

Ø  Advice to Postnatal Mother and Referral

Ø  Questions and Advice to Mother on Infant Nutrition

Ø  Examination of the Newborn Baby

Ø  Care of the Cord

Ø  Educate Community Members on Family Planning Methods

Ø  Counselling (GATHER)

Ø  Initiate, Resupply Condoms, Foaming Tablets and Exclusive Breastfeeding and Maintain Stock Level

Ø  Resupply and Maintaining Stock Levels of Oral Pills

Ø  Use sub-district Staff to Reinforce Family Planning and Other Health Care Services to Various Community Groups

Ø  Conduct Effective Meetings

Ø  Explain Clearly the Roles and activities of TBA in Health and Family Planning

Additional Skills

Ø  Benefits of Good Record Keeping

Ø  Keeping Good Records

Ø  Sharing of Information

Ø  Determine How Community Members will support TBA Work

Ø  Explain Links with Health and Family Planning System

Ø  Modification of Harmful Delivery Practices

Ø  Find Out About the Pregnant Mother

Ø  Discover and Refer Problems with Present Pregnancy

Ø  Immunization

Ø  How to Sponge a Child with Fever

Ø  Referral of Infants for Immunization and Growth Monitoring

Ø  What is Diarrhoea?

Ø  Danger Signs for Drying Up in Children with Diarrhoea

Ø  Make and Give ORS Solution

Ø  Management of Drying Up and When to Send a Child with Diarrhoea to a Health Facility

Ø  Causes and Prevention of Diarrhoea 

During a review workshop were 25 participants who attended the workshop. Ghana Health Service –Hohoe provided facilitation.

Appreciation:

ATBAWA, Ghana is happy to appreciate the founding members of Meeting Bismarck e.V Germany on their timely financial support that enabled ATBAWA to feed the participants.  Mrs. Sonja and Mr. Markus, All the TBAs say hello to you for your financial contribution.

Recommendation/Appeal

 In view of the wider coverage of project regions covered by ATBAWA, another funding is therefore needed to replicate the project to other villages that have not been reached by maternal and child health activities in Upper Volta Region Ghana. We therefore appeal to Meeting Bismarck e.V Germany NGO to support ATABWA Ghana financially to enable us conduct more of these workshops. ATBAWA, Ghana lacks a demonstrating bed for pregnant women during training. We are therefore appealing to Meeting Bismarck e,V Germany for a donation of the bed.

Thank you for your support.

Looking forward to hearing from you.

Yours faithfully,

Pewudie Emmanuel

Programme Manager

Akpafu Traditional Birth Attendants Women’s Association

P.O.BOX HH 526, Hohoe, Volta Region, Ghana West Africa

Mobile: +233 (0) 24-131 7964

Email:pewudieemmanuel@gmail.com

Website: www. atbawa.org