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

 Vasectomy  Intrauterine device (IUD)  Contraceptive implants  Injectable contraceptives  Education and counseling

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

Plenary 1 Patricia Gomez Task Sharing for service delivery ACE ...

Tubal ligation. Vasectomy. Intrauterine device (IUD). Contraceptive implants. Injectable contraceptives. Education and counseling. Page 4 of 16. Plenary 1 Patricia Gomez Task Sharing for service delivery ACE Project.pdf. Plenary 1 Patricia Gomez Task Sharing for service delivery ACE Project.pdf. Open. Extract.

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