Consultant - Conduct of Training of Frontline Health Workers From Secondary Health Facilities in Kaduna State on Active Management of Third Stage of Labour and Obstetric Emergencies at Save The Children

The Organisation
We employ approximately 25,000 people across the globe and work on the ground in over 100 countries to help children affected by crises, or those that need better healthcare, education and child protection. We also campaign and advocate at the highest levels to realise the right of children and to ensure their voices are heard.

We are working towards three breakthroughs in how the world treats children by 2030:

• No child dies from preventable causes before their 5th birthday
• All children learn from a quality basic education and that,
• Violence against children is no longer tolerated

We know that great people make a great organization, and that our employees play a crucial role in helping us achieve our ambitions for children. We value our people and offer a meaningful and rewarding career, along with a collaborative and inclusive workplace where ambition, creativity, and integrity are highly valued.

Active Management of Third Stage of Labour

• The third stage of labour refers to the period following the completed delivery of the new-born until the completed delivery of the placenta. Several complications encountered in the third stage of labour may lead to maternal morbidity.
• PPH may cause anaemia or lead to poor iron reserves, ultimately contributing to anaemia. Anaemia may cause weakness and fatigue. Hospitalization may be prolonged, and the establishment of breastfeeding may be affected.
• However, despite the known risk of the third stage of labour, relatively little thought or teaching seems to be devoted to the third stage of labour compared to the attention given to the first and second stages.
• To this end, this training is aiming to improve the skills of frontline health workers (Doctors/Nurses/Midwives) from secondary health facilities in Gombe state on Active management of 3rd stage of Labour and emergency obstetrics care in line with national guidelines.

Objectives

• To build/strengthen the capacity of 50 health workers in the diagnosis and management of obstetric emergencies including management of retained placenta, postpartum haemorrhage and shock;
• To build/strengthen the capacity of 50 health workers on the proper and effective use of uterotonic drugs during labour and delivery;
• To improve the clinical and interpersonal skills of trainees when providing care to women in labour.

Methodology
The training will be residential for 2 batches of health workers (total of 50) from all secondary health facilities in Kaduna state.

• The participants will be trained for 2 days on AMTSL while training on emergency care for pregnant women will be conducted on the 3rd day.
• The training will involve adult learning techniques such as role plays, discussions, reading, audio visuals, and lecture presentations by participants, demonstrations, case study practices and clinical practice. The training will also be conducted using mannequins for practice.
• Pre-test and Post-test evaluations would be used in assessing knowledge gained by trainees.
• Post training evaluation will be conducted within 6 weeks of completion of the training by following up the trained health workers at their respective health facilities.

Consultant Specification
The consultant should be an experienced Obstetrician & Gynaecologist (a fellow of West African Medical College/NPMCN) with a minimum of 5 years’ post-fellowship experience;

• He/she should and an experienced trainer and should have undertaken a TOT in the delivery of AMTSL;
• He or she will work with 3 other facilitators (Doctors/Midwives who have a minimum of 5 years’ experience and also undertaken a TOT in the delivery of AMTSL training;
• Proven experience in organising and conducting competency based/hands on training;
• Good communication skills;
• Good report writing skills;
• Willingness to work under challenging circumstances.

Expected Outputs

• All trainees have been made to understand all the rudiments associated with active management of 3rd stage of labour and obstetrics emergencies;
• All trainees have developed skills and competence in the conduct of active management of labour and obstetrics emergencies;
• All trainees have developed good communication and interpersonal skills needed in patient care;
• A comprehensive report on the training of health workers on the active management of 3rd stage of labour and obstetric emergencies.