The 2nd lecture of the program was on Respectful Maternal Care (RMC) and was delivered by Dr Wilson Imongan.
A class group discussion on challenges faced in each community with respect to respectful maternal care and possible solutions was presented by a representative from each community. Some of the problem raised include; Shortage of man power in providing services, Beliefs and Taboos, Poverty, Ignorance of clients, religion and sentiments, staff inadequate knowledge, communication gap, staff attitude, poor motivations and security challenges. The most mentioned among the five group was inadequate manpower, poor motivation and salaries delay, and staff attitude. In solving this challenges, participant were of the opinion that Government should employ more skilled workers, build capacity of health care providers, and encourage staff by paying them their salaries benefits due them.
Representatives of Numan LGA (L) and Lamurde LGA (R) discussing the Group findings on challenges of respectful maternal care in the community they provide MNCH services
The 3rd lecture was on Labour and delivery and was presented by the Nurse/Midwife and Head of Department Nursing Services of Abel Guobadia Specialist Hospital, an arm of WHARC, Mrs Otobong Onyenania (BNSc, RN, RM) . She took participants through the definition of labour and how to identify true labour and false labour explaining the signs of true labour and the stages of its management. She emphasize on the use of partograph to monitor labour process. She took participants on Episiotomy and when it should be given to an expectant mother in labour and demonstrated practically via a video clip. The participants where also taught how to deliver placenta and make referrals before complication sets in.
The 4th lecture on post-partum/post-natal care (PPC) was delivered by Dr. Victor Ohehen. He stated that postpartum care begins immediately after childbirth. During this time, Health care providers especially nurses and CHEWs should assist the new mother in learning how to care for herself and her baby. He also highlighted that the child should be bathed after 24hrs of birth. Blood pressure (immediately after birth), Vaginal bleeding, Uterine contraction, Fundal height, Temperature, Heart rate (pulse), Urine output and colour for the first six hours should be assessed. He also highlighted that Health care providers should educate mothers to attend post-natal clinic at least three contact on the 3rd day of delivery, between 7–14 days after delivery, and on the sixth weeks of delivery.
He emphasized on the prompt response in care of the child and mother immediately after delivery and the importance of PPC. A quiz section followed afterwards and all participants answered correctly the questions asked.
The 5th lecture was on Immunization in Healthcare delivery and was delivered by Nurse Otonbong Each participant had the opportunity to ask question on the current WHO recommended dosage and route of administration of routine and new vaccines to children and mothers. She taught them the six killer disease of under 5 children according to WHO and they include Poliomyelitis, Measles, Tuberculosis, Tetanus, Pertussis, Diphtheria and the need for each vaccine to completely eradicate these diseases especially in the northern regions in Nigeria. The class ended with a group discussion on harmful delivery practices practiced in each community and how best to health educate their clients on best healthcare practices.
UP NEXT: Day-3 Report on A 5-Day Training of Health Care Providers on Emergency Obstetric Care (EMoC) and Antenatal Care (ANC) in Rural Communities in Adamawa State, Nigeria.
See: Day-1 Report