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
Selfie muss sein!
