Reducing Maternal and Newborn

Mortality through collaborative action

(CALMED model) by Future Vision

Global Grant and VTT

Allan O. JaggerDirector Zones 17 and 18a

ProgramRI Director Allan O Jagger – Moderator 5 mins

RI Past President and Trustee John Kenny Maternal and Child Health Area of Focus and VTT 10 min.

Rtn. Dr. Niranjan Bhattacharya Causes of Maternal and New born Mortality 10 min.

PDG Dr. Himansu Basu A strategic approach with VTT – CALMED model 10 min.

Past RI Director Dr. Bill Cadwallader Experience in South America 10 min.

Questions and Answers 45 min.

The Problem

A pregnant woman dies every minute

6 Children die every minute

Most of these deaths are preventable

Maternal Mortality Reduction

Strategies

A realistic solution would have to below cost, low technology, and reproducible in many countries

The strategy should incorporate sustainability and capacity building

Opportunities through Rotary's

Future Vision

Maternal and Child Health is a recognisedArea of Focus

A Vocational Training Team visit , can lead to capacity development and sustainability forthe programme

Future Vision Plan and Vocational

Training Team (VTT)

John Kenny

Trustee, The Rotary Foundation

Past President ,Rotary International

Future Vision Plan Areas

Of Focus1. Peace and Conflict Prevention /

Resolution

2. Disease Prevention and Treatment

3. Water and Sanitation

4. Maternal and Child Health

5. Basic Education and Literacy

6, Economic and Community Development

Humanitarian Programme and

Vocational Service

Vocational Service –adds impact and sustainability to a Global Grant programme

Vocational Training Team (VTT) has a bigger impact on the community than individual hands on vocational service

Vocational Training Team -

VTT1. At least one Rotarian and 3 non-Rotarian

Professional related to one area of focus

2. Training programme is driven by local needs

and priorities

3. Training the Trainer (TTT) is best for capacity

development in resource poor areas

4. VTT is best supported by a Global Grant

Vocational Training Team-VTT

Training Team of Professionals travel to impart

professional training and skills transfer to local

professionals ,generally in a specified area of Focus

Leads to sustainability and capacity building in the

area of Focus

Why Mothers and Babies Die ?

Rtn. Dr. Niranjan Bhattacharya

Vice Chairman

International Fellowship of Rotarian Doctors

Why Mothers and Babies

Die ?

Maternal Mortality Rate is a

Barometer of Women’s

Health and Social Status

Why Mothers and Babies Die ?

Medical Causes –largely preventable

Delays – 3 delay model in resource poor

countries– mostly preventable

Women’s status- lack of empowerment

Why Mothers and Babies Die ?

Medical Causes are largely preventable in resource rich countries

Why Mothers and Babies Die ?

Delays – 3 delay model specially in resource poor countries

delay in recognition by Traditional

Birth Attendant

delay in transport to an Institution

delay at the Institution–mostly

avoidable

Why Mothers and Babies Die ?

Poor Status of Women in resource poor countries

Literacy

Income

Access to health information

Nutrition

Culture and tradition

Reducing Maternal and Newborn

Mortality through collaborative action

(CALMED model)

PDG Dr. Himansu Basu

Past Chairman

RIBI International Committee

International Fellowship of Rotarian Doctors

THE PROBLEM

Reducing Maternal Mortality - MDG 5 A

(Problem in Low Resource Countries) Life time risk of maternal mortality – U.K

– 1 in 9000 ,Ethiopia – 1 in 40

The Problem – Three quarter reduction of MMR ( Maternal Mortality Rate ) by 2015 ,will not be achieved in low resource countries

But there is a Solution – Rotary’s Future Vision Plan Vocational Training Team can assist in low resource countries

THE SOLUTION

How to stop Mothers and Babies

Dying ? Improve skill Standards in Institutional

Delivery

Encourage Institutional Delivery

For women outside the Institution (50 to

70 per cent ) - Three Delay model is the

ultimate killer –reduce the delays

How to stop Mothers and Babies Dying ?

In resource poor countries ,a top down

and a bottoms up approach are needed

Collaboration with Governments,

Communities, Professionals – Rotary

acts as Facilitators for funding,

advocacy, skills transfer

THE TOOLS

CALMED -

Collaborative Action in Lowering

Maternity Encountered Deaths

A FVP Strategy of Collaborative

Action – VTT visit

CALMED MODEL

DataCollection

Emergency Obstetric Training

Village Women’s Groups

Care Pathway Mapping

CALMED MODEL

Emergency Obstetric Training

VTT using the Training the Trainer Model –sustainability and capacity development

It is important to have partnership with the Government, University and the Professions

CALMED MODEL

Care Pathway Mapping

Basic Ambulance, Cell phone,Social Obstetrics ,Mapping

CALMED MODEL

Village Women’s Groups

Saheli Centres, ASHA, Anganwadi etc. health awareness ,family spacing, empowerment and social mobilisation

CALMED MODEL

DataCollection

Signal functions, processes and some outcome indicators

CALMED MODEL

DataCollection

Emergency Obstetric Training

Village Women’s Groups

Care Pathway Mapping

The planSikkim

Mumbai

Site Visits

Meeting with the Government Health officials

Meeting with the Minister

CALMED MODEL – Rotary

shows the wayGlobal Grant VTT – Training the Trainer

Model – FVP Dist 1120,1130,3140 and 3240

Preliminary visit has confirmed the

feasibility for all components

Partnership with District Inner Wheel

Collaboration with Medical Schools,

Governments and professional

organisations (FIGO,FOGSI),GLOWM,

Drexel University

CALMED MODEL

Low cost , low technology method

VTT using the Training the Trainer

model leads to capacity building

Sustainable impact on reducing Three

delays in emergency care

Can be replicated in low resource

countries –empowering women

What can you do ?

You can join us

What can you do ?

You can join us for

- Funding through cash ,DDF

- Advocacy measures

- Professional Hands on

Assistance

Thank You !

drhbasumd@gmail.com