Table 3 GEHIP participatory information feedback and clinical training interventions in Ghana PHIT intervention areas

Audits for Information Feedback

• Audit of referral system for pregnant or recently pregnant women and newborns in 16 facilities over a six-month period in 2011; midwife-led teams tracked 446 referred women until receipt of definitive treatment.

• Maternal and newborn death audits conducted for every newborn and obstetric death in region; monthly feedback to all levels of the health system.

Sustainable Emergency Referral Care

• Emergency referral and transport system for remote CHPS zones

• Ambulances and trained volunteer drivers from the community work closely with CHPS nurses

Emergency Delivery Skills for Frontline Community Health Workers

• 60 CHOs placed in maternity and delivery wards to observe deliveries and enhance their confidence in managing emergency deliveries

Neonatal Resuscitation

• All frontline workers equipped and trained in provision of neonatal resuscitation using the Helping Babies Breathe curriculum.

• Regional trainers and district nurse supervisors trained in neonatal resuscitation to support long-term sustainability.

• Newly qualified and existing midwives trained annually in neonatal resuscitation.

Kangaroo Mother Care

• Newly qualified and existing CHPS midwives trained annually in kangaroo mother care.

Proper Management of the Sick Newborn

• CHOs, Physician Assistants, midwives, and staff nurses trained in facility and community-based newborn care.

• Emphasis on postnatal visits on day 6 or 7 including assessment of the neonate for danger signs, treatment, referral, and counseling on child care practices.