scholarly journals Expansion of Safe Abortion Services in Nepal Through Auxiliary Nurse-Midwife Provision of Medical Abortion, 2011-2013

2016 ◽  
Vol 61 (2) ◽  
pp. 177-184 ◽  
Author(s):  
Kathryn L. Andersen ◽  
Indira Basnett ◽  
Dirgha Raj Shrestha ◽  
Meena Kumari Shrestha ◽  
Mukta Shah ◽  
...  
Keyword(s):  
Medical Abortion ◽  
Safe Abortion ◽  
Nurse Midwife ◽  
Auxiliary Nurse ◽  
Auxiliary Nurse Midwife

Assessing antenatal depression in primary care with the PHQ-2 and PHQ-9: Can It Be carried Out by auxiliary nurse midwife (ANM)?

2020 ◽  
Vol 53 ◽  
pp. 102109 ◽  
Author(s):  
Ramdas Ransing ◽  
Smita N. Deshpande ◽  
Shreya R. Shete ◽  
Ishwar Patil ◽  
Prerna Kukreti ◽  
...  
Keyword(s):  
Primary Care ◽  
Antenatal Depression ◽  
Nurse Midwife ◽  
Auxiliary Nurse ◽  
Auxiliary Nurse Midwife

scholarly journals Increasing Access to Safe Abortion Services Through Auxiliary Nurse Midwives Trained as Skilled Birth Attendants

2012 ◽  
Vol 9 (4) ◽  
pp. 260-266 ◽  
Author(s):  
N P K C ◽  
I Basnett ◽  
S K Sharma ◽  
C L Bhusal ◽  
R R Parajuli ◽  
...  
Keyword(s):  
Quantitative Methods ◽  
Health Workers ◽  
Medical Abortion ◽  
Skilled Birth Attendants ◽  
Safe Abortion ◽  
Implementation Phase ◽  
Birth Attendants ◽  
Difficult Time ◽  
Auxiliary Nurse ◽  
Nurse Midwives

Background The use of medical abortion methods was approved by Department of Health Services in 2009 and introduced in hospitals and a few primary health centres (PHCs). Access would increase if services were available at health post level and provided by auxiliary nurse midwives trained as skilled birth attendants. Evidence from South Africa, Bangladesh, Nepal and Vietnam show that mid-level health workers can provide medical abortion safely. Objectives To determine the best way to implement the new strategies of medical abortion into the existing health system of Nepal; and to facilitateits full-scale implementation, monitoring and evaluation. Methods An implementation research involving a baseline study, implementation phase and end line study was done in ten districts covering five development regions from July 2010 to June 2011. Both qualitative and quantitative methods were used. Results Of 1,799 medical abortion clients who received service, 46% were disadvantaged Janjati, 14% were Dalit, 42% were upper caste groups and rest were advantaged Janjati (7%), Muslim (1%) and others. 14% were referred by female community health volunteers and 56% were referred by others. Complication rate of 0.3% was well below acceptable levels. Condom use increased from 8% to 28% by the end of study. Use of Pills, Depo, intra uterine devices and Implants also increased, but use of long acting family planning methods was negligible. Conclusions This model should be replicated nationwide at health posts and sub-health posts where auxiliary nurse milwifes are available 24 hours/day. Focus should be given first to those areas where access is difficult, time consuming and costly.DOI: http://dx.doi.org/10.3126/kumj.v9i4.6341 Kathmandu Univ Med J 2011;9(4):260-66

scholarly journals Social accountability and education revives auxiliary nurse-midwife sub-centers in India, reduces travel time and increases access to family planning services

2017 ◽  
Vol 4 (2) ◽  
pp. 10-18
Author(s):  
Susan Otchere ◽  
Varghese Jacob ◽  
Abhishek Anurag Toppo ◽  
Ashwin Massey ◽  
Sandeep Samson
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Travel Time ◽  
Social Accountability ◽  
Infant Mortality Rate ◽  
Contraceptive Device ◽  
World Vision ◽  
Nurse Midwife ◽  
Auxiliary Nurse ◽  
Auxiliary Nurse Midwife

Background: Uttar Pradesh (UP) is the most populous state in India. The maternal mortality ratio, infant mortality rate and fertility rates, are all higher than the national average. Sixty per cent of UP inhabitants live in rural communities. Reasons behind the poor state of health and services in many areas of UP is inadequate knowledge and availability in communities of healthy behaviors and information on available government health services. Methods: World Vision Inc. implemented a three-and-half year mobilizing for maternal and neonatal health through birth spacing and advocacy project (MOMENT), partnering with local organizations in rural Hardoi and urban slums of Lucknow districts in UP. World Vision Inc. used print, audio and visual media, and house-to-house contacts to educate communities on timing and spacing of pregnancies, the benefits of seeking and using maternal and child health (MCH) including immunization, and family planning (FP) services. This paper focuses on World Vision’s Social Accountability strategy – Citizen Voice and Action (CVA) and interface meetings – used in Hardoi that helped, educate and empower Village Health Sanitation and Nutrition Committees (VHSNCs), and village leaders to access “Government Untied Funds” to improve community social and health services. Results: 40 VHSNCs were revived in 24 months. Nine local leaders accessed government untied funds. In addition, increased knowledge of the benefits of timing and spacing of pregnancies, MCH, FP services, and access to community entitlements, led the community to embrace, work together to contribute their time to rebuild and reopen 17 non-functional Auxiliary Nurse Midwife (ANM) subcenters. 17 ANMs received refresher training to provide quality care. Sub-center data showed 1,121 and 3,156 women opted for intra-uterine contraceptive device and oral pills respectively and 29,316 condoms were distributed. Conclusion: In Hardoi, UP, education, using CVA, and interface meetings are contributing to increasing the number of government sub-centers that integrate contraceptive services with others such as immunization and antenatal care, bringing care closer and more accessible to women and children, and reducing travel time and cost to families who would have otherwise sought these services from higher level facilities. Social accountability can help mobilize communities to contribute to improving services that affect them.  

scholarly journals Community Health Officer Post – Potential Concerns

2020 ◽  
Vol 32 (4) ◽  
pp. 743-745
Author(s):  
Vishalkumar J Jani
Keyword(s):  
Community Health ◽  
Role Ambiguity ◽  
Middle Level ◽  
Multiple Roles ◽  
Health And Wellness ◽  
Roles And Responsibilities ◽  
Health Officer ◽  
Nurse Midwife ◽  
Auxiliary Nurse ◽  
Auxiliary Nurse Midwife

Under Ayushman Bharat Health and Wellness Centre (HWC) initiative, a middle-level health provider post, named Community Health Officer (CHO), is envisioned to bridge the gap between the health system and community. This cadre has multiple roles and responsibilities that mirror what used to be done by the Auxiliary Nurse Midwife (ANM) at sub-center before conversion to HWC. Owing to educational and experience requirements of CHO, and existing other cadres at the sub-center, there may be some concerns related to role ambiguity, interpersonal issues, inter- and intra-cadre conflicts, and non-cooperation challenges.

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