Consultant - Training of Health workers on Active Management of Third Stage of Labour and Obstetric Emergencies - AMTSL 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.

Background

• With a population of over 170 million, Nigeria is Africa’s most populous country, and has the highest annual number of maternal and newborn deaths across the continent. Each year 40,000 women die during pregnancy and childbirth, and over 250,000 babies die in their first month of life. Haemorrhage and hypertension are the leading causes of maternal deaths, and for newborns, complications during childbirth, preterm birth, and infections contribute to hundreds of thousands of lives being needlessly lost.
• The majority of these deaths are caused by conditions that are preventable or treatable. While some progress has been made to reduce these deaths over the past decade, the rate of change is not fast enough for Nigeria to meet the Sustainable Development Goal (SDG 3) for child survival and maternal health, by 2030
• Key interventions and packages that could prevent 70% of newborn deaths in Nigeria exist but coverage is low. For example, just half of all mothers are vaccinated against Tetanus Toxoid, only 39% of mothers deliver with a skilled attendant and a low 30% of women breastfeed their newborns within the first hour of life; all of these with huge variations across the different regions in the country. The policies are in place; however action is needed at state and local levels to increase coverage and quality of life-saving interventions while closing the equity gap for the poorest families. 
• Save the Children aims to deliver transformational change to thousands of mothers’ and newborns’ lives around the world. We will improve access to skilled health workers and ensure that more babies and mothers are reached with packages of evidence based, high-impact health interventions.
• The aim of this training is to improve the skills of frontline health workers (Nurses/Midwives and) from target health facilities on active management of 3rd stage of labour and emergency obstetrics care using standard national training guidelines.

Objectives

• To enable trainees update their skills in the conduct of normal labour including the use of   partograph.
• To prepare and enable trainees develop the competence in the conduct of active  management of 3rd stage of labour.
• To prepare and enable trainees develop the competence in the diagnosis and management of obstetric emergencies.
• To improve the clinical and interpersonal skills of trainees when providing the care

Methodology
In collaboration with the Health Service Commission and the MOH, a training Needs Assessment will be conducted to select health workers for the training. The training will be for two batches of 23 health workers from secondary health facilities across the state making a total of 46 health workers to be trained:

• The participants will be trained for 3 days on AMTSL
• The participants have been scheduled to use the facilities in the training centres for thepractical sessions.
• 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

Activities

• The consultant will lead 3 other resource persons to take participants through;
• Observation of live deliveries in a secondary health facility during clinical session.
• Conduct role plays and making use of mannequins to provide innovative training.
• Apply interactive sessions integrated into the training to provide opportunities of sharing experiences and ideas during the training.

Qualification/Experience

• The consultant would be an experienced Obstetrician & Gynaecologist with experience in leading AMTSL training at both primary and secondary health care level.

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.