CARMMA Working group
PHC
16 July 2012
Good practices - support CARRMA
strategy
1. Saturation training on ESMOE (NB Family
physician) – Ekuruleni
2. Pregnancy testing for all sexually active women
patients (early registration) – Nkangala
3. Dashboard indicators for PMTCT at facility level
for monitoring of trends and services
4. Breast milk bank and Kangaroo mother care in
NC
5. Post natal care in EC
Key areas of focus to address gaps
and challenges
1.
2.
3.
4.
5.
Early booking
Post Natal Care
Strengthen EPI
Family Planning
IMCI (includes nutrition) and peads ART
– All MCH services need to be integrated into one
stop services
– Needs easy data collection tool like in PMTCT
Quick wins for rapid scale up and
what is needed
1. mHealth – use of cell phone technology
2. Contraception – training and implementation
3. Use of data (quality and use)
Priorities for next 3 years to
strengthen MCH
1. Make services available to working mothers
with extended hours e.g. use existing staff to
work shifts
2. Standardize of approaches
3. Supportive supervision
Strategies for sharing good
practices/lessons learned
1. Support CARMMA week (in November) to share good
practices – in and outside the country
2. Annual MCH forum similar to AIDS & TB conference
3. Take dedicated time per week to share a local level
the work done, to cascaded up through the levels
(facility/district/province/national)
–
–
Give feedback on performance and identify good practice
at a local level – benchmarking with counter parts
Journal clubs to share best practices within M&M
meetings
Transport in PHC
• From community to facility
– Birth preparation package – to plan for the
delivery
– Can make arrangements in the communities with
taxi’s by PHC facility committees e.g. in KZN
– Use SOP in Saving Mothers Report – order
appropriate ambulance