Access through Community of practice and Engagement
Ms. Patricia Mines Gomez, RM, MCHS Executive Director and Former President, Integrated Midwives
Association of the Philippines (IMAP) President/Administrator, IMAP Foundation School of Midwifery, Iloilo City Chair, Technical Committee on Midwifery Education (TCME), Commission on Higher Education (CHEd) Member, Advisory Committee on Newborn Screening Member, Continuing Professions Education Council of the Professional Regulation Commission (PRC) Member, Technical Working Group, Clinical Practice Guidelines on Family Planning Trustee, Perinatal Association of the Philippines (PAP) Board of Directors, Philippine Federation of Professional Associations (PFPA)
Task Sharing
Mentoring
• Training and enabling ‘mid-level’ and ‘lay’ health workers to perform specific interventions that might otherwise be provided only by HCPs with specialized training
• Enable and develop professional confidence through negotiated partnership between two or more midwives
WHO OptimizeMNH, 2012
WHO Recommendation (2013) Use of different non-physician health workers to provide the following family planning services: Tubal ligation
Key Success Factors • Management of programmes • Community involvement
• Pre-service and inservice training • Supervision and support
• Disbursement and management of funds
Governance and Leadership
Financing
Training and Service delivery
Access to commodities
• Timely and adequate supply
WHO OptimizeMNH, 2012
Objectives To integrate Progestin Subdermal Implant (PSI) Service delivery into the Midwife Mentoring and Monitoring Program To identify and develop champions among midwives on implant counseling and insertion
Established communities of practice for PSI provision Communities of Practice (COP) Mentor is able to see that
everything is going well and offer support and advice when needed Midwife providers are confident and competent and continue to
administer the PSI because concerns are resolved as they occur Newly trained midwife providers are given advice how to make the
patient experience a positive one
Clinical Skills Training Program Overview • PhilHealth Subdermal Contraceptive Implant Package (PHIC Circular 038-2015) • Introduction to the Progestin Subdermal Implant (PSI) • Counseling for PSI • Client Assessment • Management of Potential Problems • Recording and Reporting • Implant Insertion, Removal and Replacement • Demo and Return Demo on Arm Model Practicum • Action Planning • Live insertion
Quality Learning Sessions
Supportive Supervision
Training of Trainers
Cascade Training
Where we are now Training and accreditation model being followed by
other organizations 31 midwives received Certificates of Completion Facilitated accreditation and central tagging PhilHealth reimbursements claimed in Tacloban City 11 midwives identified as Qualified PSI trainers Successful midwife-run trainings held in Tacloban, Iloilo and Bacolod
What’s next Supportive supervision c/o midwife trainers
(Certificates to be issued by PSRP) Monthly Quality Learning Sessions among trainers and supervisors Advocacy campaign – Karapatan Mo Magplano
Midwives as Family Planning Ambassadors
Educational roadshows / Nanay’s day out
Access through Community of practice and Engagement
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