lalonda_the role of health professional organizations for mnh the figo perspective

8/2/2019 Lalonda_The Role of Health Professional Organizations for MNH the FIGO Perspective

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The Role of Health Professional Organisations

for

Maternal Newborn Health

- the FIGO Perspective

Andre Lalonde MD, FRCSC ,Chair FIGO SMNH committee

Asia Regional Meeting on Interventions for Impact in Essential Obstetric and Newborn Care

Prevention


2/22

International Federation of

Gynecology and Obstetrics (FIGO)

FIGO has a vision that women of the world achieve the

highest possible standards of physical, mental, reproductive

and sexual health and well-being throughout their lives


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Committees Capacity Building in Education and

Training Ethical Aspects of Human Reproduction

and Women's Health

Fistula

Gynecologic Oncology

Reproductive Medicine

Safe Motherhood and Newborn Health

Womens Sexual and Reproductive

Rights

Working Groups Menstrual Disorders

Pelvic Floor Medicine and

Reconstructive Surgery

Prevention of Unsafe Abortion

Business Committees

Audit and Finance Committee

Publications Management Board


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Health professional associations

Have a vital role to play in the promotion of

womens health especially in MN health

Have an important role in efforts to achieve theMDGs 4 and 5


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Capacity-building is essential if health

professional associations are to be able to

undertake their roles effectively

This is especially needed in low-resource

countries where the vast majority

of maternal, newborn and

child mortality and

morbidity occur

Capacity building of

health professional associations


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what can a national

society of obstetrics and

gynecology do?

Improving the quality of reproductive healthcare

Outcome analysis - regular collection and assessment of data is

extremely important.

Audit, confidential enquiry and near-miss analysis

Ethical standards - vital role in promoting ethical standards for its

members and obstetrician-gynecologists in general within itscountry
http://www.google.co.uk/imgres?imgurl=http://www.emitten.org.uk/Training/Training%20Days/2009/Dec%202009/Ethics.jpg&imgrefurl=http://www.emitten.org.uk/Training/Training%20Days/2009/Dec%202009/dec_2009.htm&usg=__Tm6s5irppSJ5tHHo8_X35HstwRU=&h=1200&w=1600&sz=498&hl=en&start=1&zoom=1&itbs=1&tbnid=3Av0IZJmRjf9eM:&tbnh=113&tbnw=150&prev=/images?q=ethics&hl=en&biw=1260&bih=865&tbm=isch&ei=dtQeTsqQNYbLswbI5bygAg


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Saving Mothers and

Newborns InitiativeBuild and sustain the capacity of the

ob/gyn and midwifery societies in the

participating developing countries to

conduct essential projects relevant to the

care of mother/newborn

The goal is to reduce maternal and

newborn morbidity and mortality,

contributing to the achievement of MDGs

4 and 5 in 10 countries: Haiti, Peru,

Kenya, Uganda, Uruguay, Ukraine,Nigeria, Moldova, Kosovo, and Pakistan

2006-2011, funded by SIDA and FIGO


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FIGO and professional societies:

an example of a successful FIGO collaborative project

LOGIC Initiative (Leadership in Obstetrics and

Gynecology for Impact and Change)

Aim: Improving maternal and newborn

health in low-resource countries through

strengthening the role of obstetric and

gynecological national associations

Play a catalytic role in making positive

changes in policy and practice and

improve maternal and newborn health

services for under-served populations

Countries involved: Burkina Faso,

Cameroon, Ethiopia, India, Mozambique,

Nepal, Nigeria, UgandaProject length: 2008-2013;

funded by the Bill & Melinda Gates

Foundation


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Influencing policy

Standard-setting

Promotion of self assessments and audits

Awareness raising and team building Continuing medical education for members

Working in partnership

What can professional associations do?


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The Continuum of Care

Providing quality care across the life-cycle:

A professional responsibility

Reducing maternal mortality


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Misoprostol for Post-Partum

Haemorrhage in Low-ResourceSettings Initiative

To advocate for and disseminate

evidence-based information onmisoprostol for post-partum

haemorrhage for providers and

clinical policy makers (in order to

influence policy and practice, andto help normalise misoprostol use

for PPH)2010-2014, funded by Gynuity

Health Projects


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Prevention of Unsafe

Abortion Initiative

Reduce the number of women

dying as a result of unsafe

abortions - accounting for 13/20

per cent of annual global maternal

deaths - and hundreds of

thousands of women suffering

long-term complications2007-2012, funded by an anonymous donor


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To implement structured fistula surgical

training programmes in sub-Saharan Africa

using a standardised training curriculum

Fistula Initiative

What is the project objective?


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Fistula Initiative

2008-2011, funded by UNFPA and

FIGO

Feb 2011-June 2012, funded by

USAID

Disseminate the FIGO GlobalCompetency-Based Fistula

Surgery Training Manual .

Ensure high quality clinicaltraining and to increase

capacity of service sites and

staff to provide

comprehensive management

of fistula through a train the

trainor program and support

to the training centres


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FIGO Members Role

Leadership

Advocate

Champion

Collaborator


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Leadership

Think outside the box on issues

Example:

Uganda Kibale Community fund for transport

Provide members of parliament info on MM audits

FIGO Task Shifting guideline

..difficult medical and political

battles

Code of ethics (respect of women)

Promote evidence-based medicine


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Advocate

Public radio /tv shows on rights to safedelivery and newborn care

Parliament debates

Uruguay Unsafe abortion issue in a climate ofrepression

Choice of labor positions

and mother-baby rooming in Support womens groups

in securing misoprostol


18/22

Champions

Tackle unpopular issues for the government

of the day such as low pay for health

workers, poor conditions, lack of essentialsupplies and medications

International forums on Safe motherhood

and Newborn health essential maternal/newborn health

Misoprostol, PPH guidelines


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Collaboration

PMNCH ,ICM,IPA,

UN agencies WHO, UNFPA, Unicef WB

Development agencies : EXAMPLES USAID: PPH STATEMENTS

MISOPROSTOL

MANAGEMENT OF UNSAFE ABORTION

CIDA / SIDA: GRANTS FOR SAVE THE MOTHERS

GATES / FIGO LOGIC


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ICM colllaboration

Partners in many intiatives at international

level , country and local level.

FIGO save the mothers projects in

Haiti,Uruguay,Peru.Nigeria.Uganda.Ukraine

Developed joint statements on PPH

prevention,Skilled attendance at birth

Partcipate in joint projects such as POPPHI


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TAKE HOME MESSAGE

Act on quality of birthing unit,

quality of care

quality of staff /patient interaction.

Audit, confidential enquiry and near-miss analysis

Leadership role for women's health in country setting

and implementing standards

Ethical standards - vital role in promoting ethical

standards for its members and obstetrician-

gynecologists in general within its country
http://www.google.co.uk/imgres?imgurl=http://www.emitten.org.uk/Training/Training%20Days/2009/Dec%202009/Ethics.jpg&imgrefurl=http://www.emitten.org.uk/Training/Training%20Days/2009/Dec%202009/dec_2009.htm&usg=__Tm6s5irppSJ5tHHo8_X35HstwRU=&h=1200&w=1600&sz=498&hl=en&start=1&zoom=1&itbs=1&tbnid=3Av0IZJmRjf9eM:&tbnh=113&tbnw=150&prev=/images?q=ethics&hl=en&biw=1260&bih=865&tbm=isch&ei=dtQeTsqQNYbLswbI5bygAg


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We are making a difference !!

Unique role of leadership, cultural safety,advocacy and champions on the world stage,regional forums, at country level and in eachinstitution where Obs/Gyn work every day.

Thank you

Andr Lalonde

Professor Obs/GynUniversity of Ottawa

[email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]

lalonda_the role of health professional organizations for mnh the figo perspective

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