Hospital Based EOC and Gender Sensitivity

Updated: February, 2013

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Appropriate maternal health care means the difference between life and death for a pregnant woman. Ensuring that women everywhere have access to such care could save hundreds of thousands of lives a year. Common complications such as pre-eclampsia or a malaria infection, as well as serious conditions like obstructed labor, can be safely managed as long as skilled care is available and accessed in time. Engender Health is working to make high quality essential and emergency obstetric care available in places where women and families need it most. We do this by: 

·         Improving providers’ clinical skills for routine prenatal care

·         Ensuring that life-saving postabortion care is available

·         Upgrading facilities in consultation with local partners

·         Increasing availability and quality of emergency obstetric services, including -

Ü      Management of obstructed labor

Ü      Prevention and management of postpartum hemorrhage

·         Treating and preventing obstetric fistula

·         Mobilizing communities to recognize danger signs and have plans for emergency transport of pregnant women to health facilities

·         Promoting increased availability of a low-cost treatment for preeclampsia and eclampsia, leading causes of maternal mortality

Essential obstetric care:

This is the term used to describe the elements of obstetric care needed for the management of normal and complicated pregnancy, delivery and the postpartum period.

Essential Obstetric Care is defined for two different levels of the health care system:

Basic essential obstetric care services at the health centre level should include at least the following:

Ü      Parenteral antibiotics

Ü      Parenteral oxytocic drugs

Ü      Parenteral sedatives for eclampsia

Ü      Manual removal of placenta

Ü      Manual removal of retained products

Comprehensive essential obstetric care services at the district hospital level (first referral level) should include the entire above plus

Ü      Surgery

Ü      Anaesthesia, and

Ü      Blood Transfusion.

To continue EOC at a district hospital the following things are very important:

Ü      Skilled manpower in place

Ü      Proper equipment and logistics

Ü      Commitment and motivation of the service providers

Ü      Hospital action plan for program implementation

Ü      Team approach

Ü      Monitoring and supervision

At present the LD-IHSM is trying to provide necessary logistics for the smooth running of EOC activities and performs regular monitoring and supervision of the above activities.

Status at HNPSP Period:

 Gender sensitivity: Service providers of the 15-DH received training regarding gender sensitivity and gender equity.

Gender Sensitivity:

Women bear a disproportionate burden of the world’s poverty. Statistics indicate that women are more likely than men to be poor and at risk of hunger because of the systematic discrimination they face in education, health care, employment and control of assets. Poverty implications are widespread for women, leaving many without even basic rights such as access to clean drinking water, sanitation, medical care and decent employment. Being poor can also mean they have little protection from violence and have no role in decision making.

Ü      To address gender issues in health sector is a major challenge and achieving MDGs depend on proper knowledge and capacity development of health care service providers on these issues.

Ü      To address all these, Gender sensitivity workshops have been held at several district hospitals to develop the capacity of the service providers

Ü      The women friendly hospital activities also address gender sensitivity as one of the pillars of women friendly hospital is gender equity

Ü      The gender sensitive distribution of budget is also being ensured at district hospitals

Ü      Gender sensitive allocation of resources is being ensured as well.

Breast Feeding:

Service providers of 59-District Hospital received training regarding breast feeding.

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Hospital Based EOC and Gender Sensitivity

ACTION PLAN

Updated: November, 2012

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Hospital Based EOC and Gender Sensitivity

PRESENT STATUS

Updated: September 2011

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Orientation regarding Gender equity has completed in 15 DH

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