AIPMNH’s Clinical Services Team focuses on improving the delivery of maternal and newborn services in hospitals and health centres throughout NTT. The Team works with provincial and district government partners to improve the skills of midwives, nurses and doctors - whose knowledge and skills have a direct impact on pregnant women’s and babies’ lives.
By identifying gaps in health workers’ knowledge and skills, providing training and supervision on all aspects in the continuum of care - from antenatal care (ANC) to basic delivery care, postnatal care, family planning, counselling skills and managing emergencies - improving Clinical Services is a crucial component of AIPMNH’s larger effort to strengthen NTT’s health system.
Making Services Stronger
AIPMNH aims to improve basic midwifery services through activities such as training, development of operational procedures and strengthened supervision in:
- Integrated antenatal care - including malaria prevention and developing a birth plan to deliver in a facility
- Normal delivery care (APN) – use of a partograph and use of Oxytocin to prevent haemorrhage
- Postnatal care and family planning
- Newborn care and promotion of exclusive breastfeeding, including for HIV+ women
- Communications and counselling
Improved Newborn care
Two key successes in newborn care have come as a result of trainings supported by AIPMNH, which are linked with the Sister Hospital Program. Midwives, nurses and doctors are now providing more support and counselling to new mothers for the initiation of breastfeeding following birth and exclusive breastfeeding for six months. In addition, improved care of low birth weight newborn babies is being provided through adoption of ‘Kangaroo Care,’ a simple (low technology) baby-to-mother, skin-to-skin method of newborn temperature control, which helps to provide security, emotional bonding and establish breastfeeding.
Better services for the management of maternal and newborn complications are being achieved at district hospitals and health centres, or puskesmas, including care of obstetric and newborn complications and care of low birth weight newborns.
Sister Hospital Program
Through Clinical Services’ Sister Hospital Program, AIPMNH is trying to fill in the gaps at district hospitals that lack specialists able to provide comprehensive emergency obstetric and neonatal care. The program’s long-term approach comes through advocating district governments to provide scholarships for local doctors for specialist training. The short-term approach involves tapping into Indonesia’s pool of highly skilled doctors, nurses and health support staff to improve services at health facilities in NTT.
AIPMNH supports district hospitals to contract teams of specialists to manage basic and comprehensive emergencies and develop the technical capacity of local hospital staff at 11 district hospitals in the AIPMNH program area. These teams provide training in areas such as advanced life-saving skills, anaesthetics, blood transfusion and infection control. By developing standard operational procedures, higher clinical standards can be achieved, as well as strengthened medication and medical equipment systems. Ultimately, creating a cadre of highly skilled specialists and staff at these district hospitals will help more mothers and babies in NTT survive.