Sogeri Field TripSogeri Field Trip

Max Brinsmead MB BS PhDMax Brinsmead MB BS PhD

May 2015May 2015

Objectives:Objectives: Understand the difficulties faced by rural Understand the difficulties faced by rural

families in PNG in accessing Reproductive families in PNG in accessing Reproductive Health (RH) ServicesHealth (RH) Services

Compare RH services provided at PMGH with Compare RH services provided at PMGH with those of a typical Rural Health Centre (RHC)those of a typical Rural Health Centre (RHC)

Learn basic RH epidemiological indicesLearn basic RH epidemiological indices Plan service improvement using an Plan service improvement using an

evaluation of these indices in a typical RHCevaluation of these indices in a typical RHC Understand population dynamics in rural PNG Understand population dynamics in rural PNG

as it relates to patient, family, clan, district as it relates to patient, family, clan, district and provinceand province

Compare and Assess RH FacilitiesCompare and Assess RH Facilities

AntenatalAntenatal IntrapartumIntrapartumPostpartumPostpartumFamily PlanningFamily PlanningSTD, PID and HIVSTD, PID and HIVUsing the following criteria:Using the following criteria:

AccessibilityAccessibilityComponents availableComponents availableAdvantages and disadvantages CF PMGHAdvantages and disadvantages CF PMGH

Basic RH IndicesBasic RH IndicesPopulation (number)Population (number)% Population <15 years of age% Population <15 years of agePopulation of Reproductive AgePopulation of Reproductive Age

(Females 15 – 45 years of age)(Females 15 – 45 years of age)

Total Fertility RateTotal Fertility RatePopulation growth ratePopulation growth ratePopulation doubling timePopulation doubling timeContraceptive prevalence rate (CPR)Contraceptive prevalence rate (CPR)Maternal Mortality RateMaternal Mortality Rate

Advanced RH IndicesAdvanced RH IndicesProportion of pregnancies that receive Proportion of pregnancies that receive

AN careAN careProportion of births that are supervised Proportion of births that are supervised

by a medically-trained attendantby a medically-trained attendantContraceptive’s Couple Protection Contraceptive’s Couple Protection

Years (CYP or Sip)Years (CYP or Sip)

All need to be analysed over timeAll need to be analysed over time

You will study...You will study...Birth registerBirth register

Including outcomes and referralsIncluding outcomes and referrals

Antenatal Clinic attendancesAntenatal Clinic attendancesFamily Planning attendancesFamily Planning attendances

Evaluate by method prescribedEvaluate by method prescribed

Inpatient AdmissionsInpatient AdmissionsEvaluate by diagnosis and outcome including Evaluate by diagnosis and outcome including

death or referraldeath or referral

Outpatient attendancesOutpatient attendancesEvaluate by diagnosis Evaluate by diagnosis Particularly those that relate to STD, PID, HIV Particularly those that relate to STD, PID, HIV

etc.etc.

And assemble data that reports...And assemble data that reports...

% pregnancies that have AN care% pregnancies that have AN care% births that are supervised% births that are supervisedCouple Years Protection (CYP)Couple Years Protection (CYP)

For Pills (COC)For Pills (COC)For Injections (Depo)For Injections (Depo)For tubal ligationFor tubal ligation

Inpatient AdmissionsInpatient AdmissionsOutpatient AttendancesOutpatient AttendancesAll over timeAll over time

On the second day you will...On the second day you will...

See all patients who attend for AN See all patients who attend for AN servicesservices

Survey contraceptive use and plansSurvey contraceptive use and plansEstimate maternal mortalityEstimate maternal mortalityExplore attitudes to pregnancy and Explore attitudes to pregnancy and

childbirthchildbirthAll the above using the survey forms All the above using the survey forms

providedprovided

ResourcesResources

Faculty handout notesFaculty handout notesMola and King “Primary Mother Care Mola and King “Primary Mother Care

and Population for Papua New Guinea”and Population for Papua New Guinea”Section 3 & especially 3.14Section 3 & especially 3.14Section 5.17Section 5.17

Records kept at Sogeri ClinicRecords kept at Sogeri ClinicThe staff at SogeriThe staff at SogeriFaculty staffFaculty staff

In your Reports we expect recommendations In your Reports we expect recommendations concerning…concerning…

StaffingStaffingFacilitiesFacilitiesTransportTransportUse of Aid PostsUse of Aid Posts

Staff Staff FacilitiesFacilities

Guidelines for referral to PMGHGuidelines for referral to PMGHAdvice about data collection & useAdvice about data collection & useYour experience and advice for Your experience and advice for

subsequent studentssubsequent students