Weak health system Weak data base for previous in-service training Uneven distribution of qualified staff The Ministry of Health and Social Welfare rely on NGOs and donor agencies to support its facilities and services and does not exercise control over the in service training they offer. OPPORTUNITIES Donor support. Political will Voluntary commitment. Increase in budget. THREATS Shortage of staff. Lack of cooperation and resistance from stakeholders who support facilities. Already they are complaining of difficulty in releasing for training due to shortage. They continue to resist. Existence of vertical training programs that will duplicate MOH&SW’s Program. Resistance to change. Donor fatigue Weak health system PRESENT CAPACITY FOR IN SERVICE TRAINING FOR THE BPHS IN MATERNAL AND CHILD HEALTH Working towards achieving the UN Millennium Development Goals #4 and # 5 the MOH&SW has endorsed and adopted two programs developed by the American College of Nurse-Midwives (ACNM). Both Basic Life Saving Skills (BLSS) for mid level health care providers in facilities and Home Based Life Saving Skills (HBLSS) for community health care providers, families and communities have been successfully implemented. BLSS is a facility two week intensive education program for midwives, nurses and physicians (which builds on midwifery and obstetrical/gynecological skills) to provide quality care for women and infants during pregnancy, child birth and early postpartum. The training enables maternal/newborn health care providers to respond in a timely, effective and appropriate manner to obstetrical and newborn emergencies- essential in reducing maternal and newborn mortality and morbidity. BLSS training also strengthens skills in maternal and newborn care, infection prevention, and problem solving integrating HIV/AIDS education throughout the program. The use of the partograph for tracing the progress of labor and recognizing the need for intervention in a timely is the hallmark of intrapartum care. Two training centers have been set up at and specifically for BLSS to support the intensive clinical training that is required. The center accommodates students
Weak health system Weak data base for previous in-service training Uneven distribution of qualified staff The Ministry of Health and Social Welfare rely on NGOs and donor agencies to support its facilities and services and does not exercise control over the in service training they offer. OPPORTUNITIES Donor support. Political will Voluntary commitment. Increase in budget. THREATS Shortage of staff. Lack of cooperation and resistance from stakeholders who support facilities. Already they are complaining of difficulty in releasing for training due to shortage. They continue to resist. Existence of vertical training programs that will duplicate MOH&SW’s Program. Resistance to change. Donor fatigue Weak health system PRESENT CAPACITY FOR IN SERVICE TRAINING FOR THE BPHS IN MATERNAL AND CHILD HEALTH Working towards achieving the UN Millennium Development Goals #4 and # 5 the MOH&SW has endorsed and adopted two programs developed by the American College of Nurse-Midwives (ACNM). Both Basic Life Saving Skills (BLSS) for mid level health care providers in facilities and Home Based Life Saving Skills (HBLSS) for community health care providers, families and communities have been successfully implemented. BLSS is a facility two week intensive education program for midwives, nurses and physicians (which builds on midwifery and obstetrical/gynecological skills) to provide quality care for women and infants during pregnancy, child birth and early postpartum. The training enables maternal/newborn health care providers to respond in a timely, effective and appropriate manner to obstetrical and newborn emergencies- essential in reducing maternal and newborn mortality and morbidity. BLSS training also strengthens skills in maternal and newborn care, infection prevention, and problem solving integrating HIV/AIDS education throughout the program. The use of the partograph for tracing the progress of labor and recognizing the need for intervention in a timely is the hallmark of intrapartum care. Two training centers have been set up at and specifically for BLSS to support the intensive clinical training that is required. The center accommodates students
National%20In%20Service%20Education%20Strategy.docx