OBGYN - CEmONC Capacity Builder at Jhpiego - John Hopkins University

Overview

• Maternal and Perinatal Mortality are Obstetric and neonatal tragedies worldwide. Of the global Maternal Mortality occurrences, the vast majority occur in low-resource settings and Nigeria accounts for nearly 20% of the global death. The lifetime risk of dying in Nigeria is 1 in 22 during pregnancy, childbirth or postpartum period compared to 1 in 4,900 in most developed countries.
• The causes of maternal mortality include Pre-eclampsia /Eclampsia (PEE), obstructed labor, postpartum hemorrhage, puerperal sepsis and abortion complications. These causes are treatable and preventable when labour is supervised by Skilled Birth Attendants (SBAs). Perinatal morbidity and mortality are closely related to events during pregnancy and labor. The high rate in Nigeria is a result of poor maternal health, sub -optimal care during pregnancy and childbirth, and lack of newborn care.
• The major causes of newborn deaths are birth asphyxia, neonatal sepsis and prematurity. Universal access to Comprehensive Emergency Obstetrics and Neonatal Care (CEmONC) services is one of the strategies thatcan reduce these deaths and sufferings along with the ten core signal functions of the services. Improving access to quality comprehensive emergency obstetrics and newborn care is critical to reducing these preventable maternal and newborn deaths and is a top priority of the Government of Nigeria.
• Therefore, as part of the commitment of the Federal Ministry of Health and Social Welfare (FMOHSW) to ensure that there are well equipped CEmONC facilities throughout the country to provide quality healthcare services, a nationwide CEmONC health facility assessment was conducted. to identified existing gaps. As part of the efforts to bridge the identified gaps in healthcare workers competencies, Jhpiego, in collaboration with the FCT, Ebonyi and Kebbi State Governments, through funding from USG in Nigeria, provides technical assistance to GoN to bridge the capacities of doctors, nurses, midwives, anaesthetic nurses, laboratory scientists/assistants inselected health facilities inthethree states.

Purpose of the CEmONC intervention

• This intervention aims to bridge existing gaps in the identified competencies of healthcare workers to provide quality CEmONC services during the recently concluded CEmONC health facility assessment in at least one CEmONC public facility per LGA in the selected states to improve quality services for women and newborns during pregnancy, labour, childbirth and postnatal period.

Specific Objectives
The specific objectives include to build the capacity of healthcare workers to provide quality:

• Antenatal care (ANC) services inline with therecent WHOguideline onANCfor positive pregnancy experience.
• Management of labour and childbirth using the national labour care guide (LCG), early identification and management of prolonged labour and imminent labour obstruction, maternal and fetal distress.
• Prevention and management of obstetrics complications such as use of AMSTL to prevent PPH, use of PPH bundle for early identification and prompt management of PPH, use of MgSO4 for treatment of severe pre-eclampsia/eclampsia, use of parenteral antibiotics for prevention and management of puerperal sepsis, manual removal of placenta, MVA for incomplete abortion, and assisted vaginal delivery with vacuum extractor.
• Pre-, intra- and post-operative management of patients for Caesarean section and exploratory laparotomy for ruptured uterus.
• Build the competencies of the healthcare workers to use lifesaving skills such as NASG, bimanual uterine compression, B-Lynch sutures, etc.
• Build capacity to implement MPCDSR/QoC processes and strengthen the data collection, collation, reporting, analysis and development of action plans to improve quality of maternal and newborn health services.
• Build capacity to improve two-way referral system in the stat

Responsibilities
In collaboration with Jhpiego staff:

• Each consultant will participate in a one-day skills standardization and pre-training planning workshop tobe organize by Jhpiego.
• Conduct anon-site capacity building of anaverage of 8 healthcare care workers, which would include doctors, nurses and midwives.
• Conduct follow-up mentoring of the trained healthcare workers to strengthen their confidence and competence inusing the newly acquired knowledge and skills.
• Conduct pre- and post-test assessment for each of the modules of the training package.
• Compile and submit a comprehensive report of the training within 5working days after completion of the training.
• Participate in a one-day post-training debrief meeting with key stakeholders in the state

Deliverables:

• Detailed and analysed pre- and post- training scores for each of the trainee for each module of the training package.
• Detail report ofthetraining tobesubmitted within 5working days ofcompletion of the training.

Required Qualifications

• Registered and practicing Obstetrician/Gynaecologist
• Evidence of previous and ongoing work experience in a facility delivering CEmONC services.
• Evidence of previous experience conducting CEmONC training especially within the last 24 months (preferred) OR Evidence of active involvement in the training of specialist doctors in the field of Obstetrics and Gynaecology.
• Evidence of having up-to-date annual practicing license with Medical and Dental Council of Nigeria.
• Evidence of strong coaching, mentoring and facilitation skills.
• Evidence of strong analytical and communication skills.