Late Summer and Fall have been marked by a series of trainings in Guachochi, Chihuahua.
In August, we held five training sessions for volunteers from the municipalities of Guachochi and Batopilas in partnership with the Servicios de Salud (SES, State Health Services) and Desarrollo Integral de la Famila (DIF, government entity for Family Development). Volunteer trainings cover a variety of topics, including the Network of Safety model, healthy pregnancies, prenatal care and its importance, newborn care, how to identify warning signs and possible complications during pregnancy, delivery, and puerperium and how to handle them, developing delivery and evacuation plans, use of volunteer equipment and materials, community outreach, and data collection.
All 250 participating Foot Soldiers of Change (volunteer outreach providers) were provided with materials and equipment to help pregnant women in their communities. Their volunteer backpacks include items such as thermometers, blood pressure cuffs and headlamps to monitor the women's progress, as well as flip charts that help volunteers to recognize warning signs and guide them through actions to take when certain situations arise.
In September, alongside the SES, we held a training for 40 doctors and nurses from Guachochi and Batopilas. The providers were trained in ultrasound use, emergency obstetrics, and intercultural sensitivity. They also participated in a workshop on vertical delivery, as this is a delivery option that is seldom used in delivery facilities, but is often preferred by Tarahumara women. Helping providers to better understand equipment designed for vertical delivery and discussing the importance of giving this delivery position as an option may encourage more Tarahumara women to have facility-based deliveries
This month, the SES will be hosting a Multiculturalism and Humanization of Obstetric Care Symposium in Chihuahua. While the Symposium has previously been taught on a national level, this will be the first of its kind within the state of Chihuahua. Providers across all levels (including One Heart Mexico volunteers) from all over the Copper Canyon have been selected to attend and act as representatives who will then go back and share with their teams in their units.
One Heart is happy to have played a role in bringing this symposium to the state by helping to organize workshops earlier this year on intercultural sensitivity - a training package that we now include in all of our health providers trainings. Currently, the state health department is working with One Heart and other key stakeholders to promote such trainings for providers as part of their strategy to reduce maternal mortality.
Thanks for all of your support! Don't forget to take advantage of the GlobalGiving Bonus Day on October 23rd! Starting at 9:00am Eastern your donation with be match with an extra 30%!!
Since our last report, things have changed for the better. We had originally set a goal to train 200 community health volunteers, but with new commitments from various stakeholders across the state - that number just got bigger. We are pleased to inform you all that our project in the Copper Canyon of Mexico is now set to reach more women and communities than we had expected.
Thanks to the committment of the State Health Department of Chihuahua and the municipal jurisdictions' efforts to irradicate maternal mortality, as well as a committment from the State Government and its Social Development Department, we have been able to raise the bar for improving maternal and newborn health in the most affected communities of the Sierra Tarahumara. Through a committment made by One Heart Mexico and government entities dedicated to this project, we have been able to agree to train a total of 500 community health volunteers by the end of September of 2013 in order to implement our Network of Safety model. Additionally, we will have trained at least 200 health providers in topics like Emergency Obstetrics, Helping Babies Breathe Protocol and Intercultural Sensitivity, plus, 30 key memebers of the health system will be trained in Basic Use of the Ultrasound Machine. All of this makes for a total of 730 people trained this year in the Sierra Tarahumara to implement and improve a statewide strategy for the reduction of maternal and newborn mortality.
One Heart World-Wide's new goal is to raise money for the purchase of two ultrasound machines that will benefit over 2,000 women in the Sierra Tarahumara. We have agreed to allocate those machines in the areas where they are most needed. The agreement made with the various state agencies will also introduce monthly food incentives for the community health volunteers, starting in August of this year. This will provide a stronger committment from these volunteers to implement this project and will thus improve the lives of so many women. Becasue of the support you have given us up to this point, we have been able to provide trainings to 157 community health volunteers,100 health providers and have been able to reach close to 400 women.
Thanks for the continued support!
We have started the year in good spirits and with a lot of optimism. One Heart has been working hard to train as many people from rural communities as possible in order to reach out to pregnant women residing in the remote areas of the Canyon.
In January, health workers from the state of Chihuahua received a Cultural Sensitivity training for the first time. The idea behind this, is the need to bring deeper awareness to health care providers about the cultural beliefs that the Tarahumara women hold in order to communicate more clearly, effectively, and in a manner that is respectful of their cultural differences. The majority of the health staff that work in rural communities, we have realized, are mestizos, meaning they do not consider themselves indigenous. Due to the differing perspectives and practices held by the mestizos and the Tarahumaras, we believe it is important for health workers to be more open to the cultural beliefs of the many indigenous groups within Mexico, in order to provide improved, client-centered care to the indigenous women that are at risk of dying in childbirth.
We have set a goal to train at least 200 community health volunteers in two municipalities, Urique and Guachochi. To date, we are pleased to report that we have already trained 90 of them. Community health volunteers are such an essential part of the "Network of Safety" model, functioning as our Foot Soldiers of Change to provide outreach to the remote communities of the Canyon. We are increasing the number of community health volunteers we train because the more we train, the greater number of women we will reach. These Foot Soldiers are trained in basic life saving skills, basic prenatal care and emergency evacuation and stabilization. All of the 90 people that have been trained take the responsibility to spread messages about the benefits of receiving adequate maternal health care to their communities. It is because of this, that more women are now accessing care on time, have increased their visits to a doctor in a clinic, and feel more comfortable delivering in a clinic near their home.
In addition to having made a requirement for health staff to receive a Cultural Sensitivity training, we are also providing doctors and nurses with receiving training in emergency obstetrics and neonatal resuscitation. So far this year, we have trained 44 nurses and doctors, and are expecting to train another 40 in May. We make sure that all staff that is trained has direct contact with rural areas of the Copper Canyon to ensure that pregnant women in the greatest need receive most of the benefits from these of trainings, which are designed specifically for high risk areas.
We are proud to also announce that for the first time since we arrived to Mexico, we were able to bring some of our supporters to visit the Copper Canyon and to get a first hand look at how we develop and implement our programs for the safety of mothers and newborns. We must say that it was an unforgettable experience and are hoping to do it again next year.
Happy New Year!
First we would like to say thank you for a fantastic 2012. That said, with your help, we are looking forward to an even better 2013!
So much was accomplished in Mexico over the course of 2012. In Urique we were able to bring health facility-based deliveries among women covered by our programs up from 5% to 40%, increase the number of women receiving appropriate prenatal care from less than 10% to 80%, and increase attendance of a skilled provider at deliveries among women in OHW care from less than 5% to 40% as well. We trained 65 health care providers on neonatal resuscitation and emergency obstetrics, in addition to 56 indigenous community health volunteers. Because of severe drought and resulting food shortages, we also went outside of our usual frame of work in order to provide 542 families with pregnant women and newborns (among the most vulnerable during times of food shortages) with food aide in order to help them survive the harsh conditions and period of crisis.
Due to the success of our work in Urique and with the support of the local communities and health system, we began planning for our next site within Mexico – in Guachochi. Some of our US-based staff is currently in Guachochi leading our first training sessions there and meeting with key players who will be involved in the development of the new program over the course of this coming year. Our first-ever Cultural Sensitivity Training is underway, in addition to our trainings for Traditional Midwives, Helping Babies Breathe, Basic Life Support Obstetrics, and Advanced Life Support Obstetrics.
This year, in addition to continuing our programs in Urique, we plan to train a new Master Trainer in our Guachochi site, train 130 health care providers on basic life support obstetrics, advanced life support obstetrics, ultrasound use, and neonatal resuscitation, and 100 community outreach providers within the municipality of Guachochi. We will also be expanding our reach by training the entire network of health auxiliaries overseen by the Department of Health on prenatal care and detection of emergency warning signs. We will be including a new training on cultural sensitivity for all providers as well.
All of this will enable us to help provide adolescent girls and women in the Copper Canyon with vital information and services that will enable them to have healthier pregnancies, safer deliveries, and brighter futures.
We will be sharing more information and photos with you when our Mexico Program Administrator returns from his trip. Thanks for your support and stay tuned!
Want to find out more? “Like” us on Facebook, follow us on Twitter, sign up for email updates, and check out our 2012 Newsletter and Annual Report.
Project Reports on GlobalGiving are posted directly to globalgiving.org by Project Leaders as they are completed, generally every 3-4 months. To protect the integrity of these documents, GlobalGiving does not alter them; therefore you may find some language or formatting issues.
If you donate to this project or have donated to this project, you will get an e-mail when this project posts a report. You can also subscribe for reports via e-mail without donating or by subscribing to this project's RSS feed.