ASIA MEETING: INTERVENTIONS FOR IMPACT IN EONC

Page 1

ASIA MEETING: INTERVENTIONS FOR IMPACT IN EONC DAY 1 8:30

110 Min 20 min 15 min

4 May 2012 Improvements in MH: The Changing Situation of MH Maternal Mortality 1990-2011 Reductions in Maternal Mortality – Bangladesh

Det ails

Chair: Sir Arul OR Nahed OR Regional Director UNFPA/WHO H4 Representative – WHO (Metin or other WHO), World Bank (?) OR UNFPA (Luc de Bernis) Bangladesh Govt. – MoH or MH Champion

(key elements of country experience including TFR reduction)

15 min

Reductions in Maternal Mortality – Afghanistan

Afghanistan Govt. - MoH or MH Champion

(key elements of country experience including Health HR development and community interventions)

15 min 15 min

Reductions in Maternal Mortality – Nepal

Nepal Govt. – MoH or MH Champion

Reductions in Maternal Mortality – Cambodia

Cambodia Govt. – MoH or MH Champion

(key elements of country experience including community interventions and PAC) (key elements of country experience including increasing SBA and financing – midwife incentives/equity funds)

10:20

30 min

DISCUSSION

30 Min

TEA

100 Min TOTAL

Global Evidence and Guidance for PPH Prevention and Treatment

15 min

WHO PPH Guidance, with some reference to Task Shifting: WHO AMTSL Trial

15 min 15 min 15 min 35 min 12:30

90 Min

14:00

75 Min TOTAL

Chair to summarize themes at start of discussion

Position Statements of FIGO and Role of Prof Associations Prevention and Management Strategies at different levels of health system DISCUSSION

15 min 15:15

30 Min

Afternoon TEA Break

15:45

75 Min TOTAL 15 min 15 min

Drugs and Commodities

15 min 15 min 15 min

Improving the quality of uteronics The horizons of oxytocin- TTIs, Heat Stable Oxytocin DISCUSSION

15 min

Wrap –Up Day One

10 min 15 min 12 min 12 min

17:00

WHO – Metin Gulmezoglu, Justus Hofmeyr, Shiva Goudar or Debbie Armbruster FIGO – Sir Sabaratnam Arulkumaran (Arul) or his designate USAID - Debbie Armbruster OR someone from Asia?. Pisake Limbagayone from Thailand?

LUNCH (Problem Solving discussion round tables/Task force meetings) Overcoming barriers and measuring success: Implementing PPH prevention and management programs Global overview of PPH Scale up: A Multi-country Analysis Maternal Health Indicators and Use of a Uterotonic in 3rd stage Experience with community level use of misoprostol in Asia Implementation experience: Bangladesh highlighting operational issues. Implementation experience: Nepal highlighting national scale up. DISCUSSION

10 min

Chair: Regional WHO or UNFPA Head of MH – Saramma Mathai, WHO Regional MH advisor OR Vincent Faveau (?) WHO – Metin Gulmezoglu or Matthews Mathai

Quality of Oxytocin and Ergometrine, India Quality of misoprostol

Chair: Koki OR Ann Starrs or Alice MCHIP – Jeffrey Smith MCHIP- Steve Hodgins VSI- Ndola Prata or designate Bangladesh- names TBD Nepal- names TBD

Chair: USAID - Maria Moralles OR Catharine Taylor or Alice Oxytocin Initiative- Cindy Stanton (JHU) Gynuity/Concept Foundation- Beverly Winikoff and Peter Hall USP – Patrick Lukulay or designate Hans Hogerzeil

Alice or Jeff


17:15

45 Min

18:30

90 Min

Group Work – Uterotonic Selection Tool

Introduced by: MCHIP -

Optional Evening Satellites 1. Uterotonic use in India: Oxytocin Initiative 2. Integration of FP and MNH - Health Approach

Oxytocin Initiative, Neetya Nand Deepak (PATH) Catherine McKaig

3.

Peter Johnson and Cherrie Evans

4.

Training on PPH Prevention – “Bleeding After Birth” Improving newborn survival: role of chlorhexidine application to the umbilical stump

Joseph de Graft Johnson and Steve Hodgins

DAY 2 8:30

9:00

5 May 2012

30 Min

OPENING OF THE DAY

Details

Moderator:

20 min

Daily Keynote: Quality of Care/Access to Care

???

???

10 min

DISCUSSION

90 Min

Evidence for Prevention and Detection of PE/E

NEED MORE WOMEN AND ASIAN PRESENTERS

Moderator:

TOTAL 15 min

New WHO Guidelines on PE/E 2011

Metin Gulmezoglu ??

15 min

Use of calcium (+/- Vitamin D) for prevention

Possibly Justus Hofmeyr

Zulfi Bhutta

15 min

Detection of PE during ANC – data from QoC studies

Africa only data?

Barbara Rawlins

15 min

Screening and early detection of PE/E at community

30 min

DISCUSSION

Harshad Sanghvi

10:30 30 Min

Tea break

11:00 90 Min TOTAL

Evidence for Decisions in PE/E Management

Moderator:

15 min

Choice of Anticonvulsants in treatment of PE/E

Matthews Mathai ??

15 min

Choice of Antihypertensives in treatment of PE/E

Peter von Dadelszen

15 min

Induction of Labor: Timing and Methods

Joao Paulo de Souza ??

15 min

Management strategies at different levels of health systems

Pisake Limpiganon ???

30 min

DISCUSSION

12:30 – 13:30

LUNCH


13:30 75 min

Programs for PE/E

Moderator:

15 min

MgSO4 in Bangladesh

Farhana Dewan

15 min

Calcium supplementation Nepal

Kusum Thapa

15 min

Training of provider in Indonesia

15 min

DISCUSSION

14:45 15 min

Instructions for Afternoon Skill Sessions

15:30 30 Min

Afternoon Tea

15:00 120 Min

Skill Sessions (8 sessions, participant chooses 4) – each session 25 min+5 min re-set/shift 1.

BP measurement/ Urine testing

2.

Induction of Labor

3.

MgSO4 teaching tool

4.

New PPH technologies

5.

Kangaroo Mother Care

6.

Essential Newborn Care

7.

Teaching Maternity Care using MamaNatalie

8.

Oxytocin in Uniject

17:30 30 Min

Poster Session Part 1: Status of PPH and PE/E Programs in Participating Countries

18:00

Optional Evening Satellites – Choose 1

90 Min

Country Teams meet to review their posters and discuss status of their country programs vis a vis what has been learned

1.

mHealth and the MAMA Initiative

James Bon Tempo

2.

PPH, PE/E, PPFP and PSE toolkits

Catherine Carr / Stephanie Suhowatsky

3.

MNH Financing

Broad Branch

4.

Improving newborn resuscitation using HBB materials in interested countries

5.

NGOs role in moving the MNH Agenda ??

In-depth discussion on country level implementation for countries interested in introducing or expanding HBB with Development of action plans

Joseph de Graft Johnson

CORE Group


DAY 3 8:30

9:30

6 May 2012

60 Min

OPENING OF THE DAY: Daily Keynote

Details

Moderator:

15 min

SoWMy Report and Midwifery in Asia

Focus on MW in Asia, new initiatives

Vincent Fauveau / ICM

15 min

Midwifery model in Afghanistan

Scale up approach

Pashtoon Azfar

15 min

Impact or Cost of Investment in PSE

15 min

DISCUSSION

90 Min

Newborn Panel/Improving Neonatal Resuscitation

15 min

Technical update on newborn resuscitation and home visits for newborn survival

Share findings from recent WHO newborn technical consultations

WHO representative (TBD)

15 min

Improving newborn resuscitation in Bangladesh

Share Bangladesh experience on HBB scaling-up

Bangladesh HBB Program representative

15 min

Ensuring newborns with infections get prompt treatment: Nepal experience

MOH strategy to reach and treat newborns with infection

MOH\Nepal representative

15 min

Scaling-up Kangaroo Mother Care in Vietnam

Vietnam experience in expanding care for LBW babies

MOH\Vietnam representative

30 min

DISCUSSION

11:00 30 Min

TEA Break

11:30 90 Min

Implementation MNH Programs

Linda B or Amnesty L

Moderator:

Moderator:

15 min

MNH Financing I: Equity Fund-Cambodia

15 min

MNH Financing II: JSY- India

15 min

Quality? Family Planning?

Details???

15 min

Respectful Care at Birth

Humanization approach

30 min

DISCUSSION

13:00 – 13:45

impact on results and quality of care

Indo? Contracted mws?

Dr. Bahar, Budi Kemuliaan

LUNCH

13:45 45 Min

Group Exercise: Interventions Matrix for Prevention and Management of PPH Interventions for Prevention and Management of Pre-Eclampsia/Eclampsia (or could be something else)

14:30 30 Min

Poster Session Part 2: Status of PPH and PE/E Programs in Participating Countries

Country Teams meet to review their posters and discuss status of their country programs vis a vis what has been learned. Nominal Action Plans


15:00 30 Min

TEA

15:30 60 min

Environment for MNH

Moderator:

15 min

Health System Approach or ???

???

15 min

Advocacy for MNH

Ann Starrs, FCI

15 min

Global Commitments to MNH

PMNCH

15 min

Going Beyond MDGS and 2015

Jill Sheffield: Women Deliver

16:30 60 min

Panel Discussion: Integrating new ideas and approaches with current situations in countries - The way forward

Previous presenters stay, joined by BMGF, MCHIP, USAID

17:30 30 min

Summary and Closing

Including best poster award


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