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

From: Tackling the hard problems: implementation experience and lessons learned in newborn health from the African Health Initiative

Activity Description
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.