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REPORT ON THE TRAINING FOR HEALTH CARE PROVIDERS FROM NYAMASHEKE DISTRICT ON COMPRENSIVE
PACKAGE INTEGRATING POST ABORTION CARE, SAFE ABORTION AND FAMILY PLANNING.
Lemigo hotel, September 16 – 20, 2019
I. Introduction
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The training on post abortion care, safe abortion and family planning took place in Kigali, at Lemigo Hotel from September 16- 20, 2019. The
attendance was 100% (36/36 invited healthcare providers) including 14 from Bushenge catchment area and 22 from Kibogora catchment area. Based
on their qualification, the participants were grouped into 4 categories: 17 midwives, 16 nurses, 2 medical doctors (general practioners) and 1
psychologist (GBV officer from Bushenge provincial hospital).
Invited healthcare providers
Hospital catchment area Health facility
Number of participants Qualification or position
Bushenge catchment area Gisakura health center 2 1 Nurse , 1 Midwife
Mukoma (nyamasheke) health
center
1 1 Nurse or Midwife
Bushenge health center 1 1 Nurse or Midwife
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Bushenge DH 4 Medical Doctor/Gynecologyst from
Maternity , 1Midwife/Nurse from
Maternity , 1Nurse from FP and 1 GBV
officer
Mwezi health center 1 1 Nurse or Midwife
Muyange health center 2 1 Nurse and 1 Midwife including the one
from FP secondary post
Kamonyi (ruharambuga) health
center
1 1 Nurse or Midwife
Mugera health center 2 1 Nurse , 1 Midwife
Kibogora catchment area Yove health center 1 1 Nurse or Midwife
Kibingo (Nyamasheke) health
center
2 1 Nurse and 1 Midwife including the one
from FP secondary post
Nyamasheke health center 1 1 Nurse or Midwife
Kibogora health center 1 1 Midwife or Nurse
Kibogora DH 4 1 Medical Doctor/Gynecologist,
1Nurse,1Midwife and 1 GBV Officer
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Ruheru (kanjongo Nyamasheke)
health center
1 1 Nurse or Midwife
Ruheru (kanjongo Nyamasheke)
health center
1 1 Nurse or Midwife
Karambi (nyamasheke) health
center
1 1 Nurse or Midwife
Ngange health center 1 1 Nurse or Midwife
Karengera health center 1 1 Nurse or Midwife
Gatare (Macuba) health center 2 1 Nurse, 1 Midwife
Hanika (Nyamasheke) health
center
2 1 Nurse, 1 Midwife
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Mahembe health center 2 1 Nurse, 1 Midwife
Rangiro health center 2 1 Nurse, 1 Midwife
Total 36
The training activities were conducted as planned for 5 days, see training agenda in the annex 1.
II. Activities
The flow of activities was as planned in the agenda. Before conducting the training, the participants were informed on the objectives of the training
and performed a pretest which showed the following results:
Marks Pre-test Post -test
Mean mark 14 / 30 (46.6%), 20 /30 (66.6%),
Lowest mark 8/30 (26.6%) 15/30 (50%),
Highest mark 21/30 (70%), 27/30 (90%)
Observations 19 participants got less than mean mark and 1 had
70%
The marks obtained by participants was improved,
9 of them got above 90%.
From Monday to Thursday, the training was conducted in two sessions, theory and practice (handson). Most of the participants were not familiar
with MVA technique and manifested interest in learning this procedure.
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They were very active and shared experiences on their previous practice related to abortion and family planning. During the practical hours, every
healthcare provider wished to have all required material in their respective health facility in order to help them to practice more MVA and IUD.
Every health center was given one Kit of MVA. They learned the use of MEC wheel which is a very important tool to assist clients in making a
decision for family planning. Participants were provided with a link where they can download the MEC wheel tool. All training material (modules)
were provided to healthcare providers through their email before leaving the training site.
Lesson learnt:
Manage a safe abortion client in a private room to ensure confidentiality, and prevent psychological complications related to the service provided.
One of the facilitators shared his experience on the practice of safe abortion. It was a case of an under 18 years managed in the labor ward while
keeping her in privacy to minimize criticism that can lead to post safe abortion psychological trauma.
III. PARTICIPANTS’ RECOMMENDATIONS FROM NYAMASHEKE DISTRICT
TO MOH/RSOG
Participants requested the following:
✔ Create awareness on safe abortion law in the community and local leaders to minimize stigma and inequity in provision of safe abortion and
family planning services
✔ Conduct supervision / mentorship in their work places to assist trainees in the implementation of what they havelearnt
✔ Advocate for additional healthcare providers
To Healthcare providers (participants) from health centers and hospitals.
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✔ To share the knowledge and skills acquired from the trainings with colleagues in their respective work places
✔ To promote family planning, create awareness on safe abortion insisting on the five inclusion criteria
✔ To improve quality care
✔ Respects les client’s rights
✔ Improve client orientation for family planning and safe abortion in Umuganda and other programs where they can meet more people
including nine-year basic education schools, secondary schools, umugoroba w’ababyeyi etc…
✔ Work closely with One Stop Centers for more records on safe abortion
Prepared by: Catherine Musabyimana checked by: Speciosa Kantengwa Approved by: Dr. Ngoga Eugene
Family Planning Officer RSOG Project Manager RSOG President
Kigali, September, 23rd 2019
Annex 1. Training agenda- Nyamasheke district
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Date Time Topic Facilitator
Day 1,
Monday 16th
September 2019
7:30 – 8:00 Registration RSOG
8:00 – 08:30 Introduction of participants
Setting training norms
Expectations from participants
Mr. KANYAMANZA Eugene
8:30 – 9:00 Pre-course assessment Dr. MUGANDA John
09:00 – 09:30 Objectives of the training,
opening
Dr. NGOGA Eugene
09:30 – 10:30 Anatomy and Physiology of reproductive systems Dr. NDAHAYO Philbert
10:30 – 11.00 Coffee break RSOG
11:00 – 11:45 Overview of PAC Program: Introduction,
Definition, Role of PAC in the Prevention of
Maternal Mortality and Components of PAC
Mr. KANYAMANZA Eugene
11:45 – 13:00 Overview of PAC Protocol….. Dr. MUGANDA John
13:00-14:00 Lunch RSOG
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14:00 - 15:00 Overview of PAC Protocol:
Diagnosis and Management, Pain management,
Patient assessment, Methods of Uterine evacuation,
Medical Methods and Surgical Methods.
Dr. SITINI Bertin
Dr. MUGANDA John
15:00 - 17:00 MVA practice on anatomic models Mrs. KANTENGWA Immaculee
Dr. MUGANDA John
Dr. SITINI Bertin
Day 2,
Tuesday 17th
September 2019
7:30 – 8:00 Registration RSOG
8:00 – 8:30 Recap Day 1 Mr. KANYAMANZA Eugene
8:30 – 9:30 Criteria of selection of Methods for treatment of
incomplete abortion and Miscarriage, Management
of complications, Values clarifications, Post
Procedures follow up and Infection Prevention.
Dr. HAKIZIMANA Augustin
Dr. MUGANDA John
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Mrs. UMUTESI Sharon
9:30-10:30 Legal aspect of Safe abortion Dr. SITINI Bertin
Dr. HAKIZIMANA F Xavier
10:30 – 11:00 Coffee break RSOG
11:00 - 12:00 Safe Abortion Dr. SITIN Bertin
12:00 – 13:00 Monitoring and Evaluation: Checklist PAC & safe
abortion
Mr. KANYAMANZA Eugene
13:00 - 14:00 lunch RSOG
14:00 - 17:00 MVA Practice on Anatomic Model for both Safe
abortion and Post abortion care
Mrs. KANTENGWA Immaculee
Dr. MUGANDA John
Dr. SITINI Bertin
Day 3, 7:30 – 8:00 Registration RSOG
8:00 – 8:30 Recap Day 2 Mr. KANYAMANZA Eugene
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Wednesday 18th
September 2019
8:30 – 9:30 Physiology of reproductive systems Dr. NDAHAYO Philbert
9:30 – 10:30 Menstrual cycle and lactation Dr. HAKIZIMANA Augustin
10:30 – 11:00 Coffee break RSOG
11:00 – 12:00 Progesterone only methods : pills, injectable,
implants
Dr. MUHIRWA Bonfils
12:00 - 13:00 Combined hormonal methods Dr. MUHIRWA Bonfils
13:00-14:00 lunch RSOG
14:00 - 15:00 IUD Dr. NGOGA Eugene
15:00 - 1700 Practices on anatomic models/use of ordinogramme
and checklists
Mr. NIYONSENGA Donatien
Mrs. MUSABYIMANA Catherine
Day 4,
Thursday 19th
September 2019
7:30 – 8:00 Registration RSOG
8:00 – 8:30 Recap Day 3 Mr. KANYAMANZA Eugene
8:30 – 9:10 Post- partum Family Planning (PPFP) Dr. MUHIRWA Bonfils
9:10 – 10:30 Post -partum Family Planning (PPFP Dr. MUHIRWA Bonfils
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10:30 – 11:00 Coffee break RSOG
11:00 – 11:30 Family Planning in PAC Dr. MUGANDA John
11:30 - 12:10 Family Planning in Post-natal Care Dr. MUGANDA John
12:10 - 13:00 Safe Abortion Counseling Dr. HAKIZIMANA F.Xavier
13:00 - 14:00 Lunch RSOG
14:00 - 17:00 Practices on anatomic models/use of ordinogramme
and checklists
Mr. NIYONSENGA Donatien
Mrs. MUSABYIMANA Catherine
Day 5,
Friday 20th
September 2019
7:30 – 8:00 Registration RSOG
8:00 – 10:00 General recap
Post –Training assessment
Training evaluation
Mr KANYAMANZA Eugene
Dr. SITINI Bertin
10:00-10:30 Coffee Break RSOG
10:30 – 12:30 Plan for next steps and
Recommendations
Mrs. UMUTESI Sharon
Dr. SITINI Bertin
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12:30 – 13:30 Lunch RSOG
13:00 - 14:00 Official closing Dr. NGOGA Eugene
14:00 Departure
Annex 2. Attendance list
No Participant Names Gender Place Work Qualification Phone I.D No email
1 Nyirabaziki Seraphine F Kamonyi H.C Nurse 0785256704 1198370069517079 [email protected]
2 Uwimana Anathalie F Ntango Heath post/ Muyange H.C
Nurse 0788418650 1197170027329033 [email protected]
3 Musabyemariya Agnes F Kivugiza H.C Nurse 0786261126 1199070057358075 [email protected]
4 Kayirangwa Clementine F Muyange H.C Nurse 0784931880 1196070029349098 [email protected]
5 Nikuze Marie Goretti F Karengera H.C Nurse 0783264416 1198170026584010 [email protected]
6 Mukarusine Jeannette F Mahembe H.C Nurse 0784779717 1198970069219056 [email protected]
7 Kwizera Gallican M Rugali health post/Gatare H.C
Nurse 0783607285 1198080067257093 [email protected]
8 Iryivuze Eurelie F Gatare H.C Nurse 0785479787 1199070087568019 [email protected]
9 Nyirangwabije Alexiane F Mukoma H.C Nurse 0787265922 1198070158732024 [email protected]
10 Nyirandayishimiye Delphine F Mwezi H.C Nurse 0783520034 1198370072270092 [email protected]
11 Nyiramana Esther F Mugera H.C Nurse 0788594793 1197070037270097 [email protected]
12 Ayinkamiye Esther F Karambi H.C Midwife 0788231638 1199370029628247 [email protected]
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13 Usabyuwera Chantal F Mugera H.C Midwife 0789508537 1198870072075024 [email protected]
14 Uwingabire Marthe F Bushenge H.C Midwife 0787269025 1199070100659041 [email protected]
15 Imanirakarama Olive F Ngange H.C Midwife 0786286942 1199070117013054 [email protected]
16 Dr. Alain Serge Dusingizimana M Kibogora D.H Medical doctor
0782892261 [email protected]
17 Uwumukiza Francine F Gisakura H.C Nurse 0783501065 1198970057679005 [email protected]
18 Vumiliya Eudie F Health post/Mahembe H.C
Nurse 0786432469 1197270098533099 [email protected]
19 Musabyemariya Agathe F Nyamasheke H.C Midwife 078880969 1198270077353021 [email protected]
20 Uwamahoro Sarah F Gisakura H.C Midwife 0786108850 1199170022024073 [email protected]
21 Ayingeneye Vestine F Kibogora H.C Midwife 0785040009 1198270079499064 [email protected]
22 Uwabagira Marie Claire F Kibogora D.H GBV officer /Psychologist
0788574756 1198570154284008 [email protected]
23 Ntuyemukaga Francoise F Rangiro H.C Midwife 0788643069 1197370042564050 [email protected]
24 Mukankurunziza Jacqueline F Ruheru H.C Midwife 0789692477 1198770193237093 [email protected]
25 Kwitonda Cecile F Rangiro H.C Nurse 0788721956 1199070070295034 [email protected]
26 Bayavuge Jean Claude M Bushenge P.H Midwife 0785494075 1198880050325083 [email protected]
27 Sr. Agnes Rigal F Kibingo H.C Midwife 0780750906 3198170158562275 [email protected]
28 Nyirahategeka Enatha F Bushenge D.H Nurse 0788796863 1197770043098087 [email protected]
29 Twagirayezu J.MV M Gatare H.C Midwife 0788611846 1196680065436006 [email protected]
30 Uwimana Bethe F Hanika H.C Midwife 0788636547 1199370100887180 [email protected]
31 Uwitonze J. Rene M Bushenge D.H Midwife 0783429618 1198380066392094 [email protected]
32 Bazirake Laurent M Kibogora D.H Midwife 0782475603 1198480185742089 [email protected]
33 Mukamurenzi Adalie F Kibogora D.H Midwife 0785391603 1196670034238045 [email protected]
34 Nyirasinayobye Violette F Yove H.C Nurse 0783731620 1197770045772092 [email protected]
35 Akimana Maurice M Mahembe H.C Midwife 0787188818 1199380099322017 [email protected]
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36 Ngendahayo Jacques M Bushenge P.H Medical doctor
0785333399 1198680065541040 ngendahayojaques@gmailcom
Annex 3. Photos
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