{"id":6051,"date":"2022-04-12T16:23:41","date_gmt":"2022-04-12T16:23:41","guid":{"rendered":"https:\/\/kmtraining.org\/skilled-birth-attendants-the-last-mile-link\/"},"modified":"2026-04-28T12:54:17","modified_gmt":"2026-04-28T12:54:17","slug":"skilled-birth-attendants-the-last-mile-link","status":"publish","type":"post","link":"https:\/\/kmtraining.org\/fr\/skilled-birth-attendants-the-last-mile-link\/","title":{"rendered":"Skilled Birth Attendants: The Last Mile Link"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\" ><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Safe Delivery Safe Mother aims to address high fertility and reduce maternal mortality in Pakistan. Recently, the group implemented a pilot project that trained over 160 government-deployed Skilled Birth Attendants (SBAs) in the Multan district of the Punjab province. The six-month pilot project concluded in February. The Safe Delivery Safe Mother team is in the process of sharing recommendations on how to increase the use and acceptance of post-partum family planning with the Pakistani government and other partners.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 15px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3>Safe Delivery Safe Mother<\/h3>\n<p>Saima Faiz, from Jalalpur Khaki, Pakistan, says that women in her community have an average of 12 to 14 children. She works in her community\u2019s Basic Health Unit but has felt uncertain about how to help women who want to have safe and affordable family planning choices. After attending a recent training on post-partum family planning methods presented by <a href=\"https:\/\/www.safedeliverysafemother.com\/\" target=\"_blank\" rel=\"noopener\">Safe Delivery Safe Mother<\/a>, her confidence has increased. She found learning how to use the <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241549158\">Medical Eligibility Criteria for Contraceptive Use (MEC)<\/a>, a tool created by the World Health Organization to prescribe suitable family planning methods, particularly helpful. Safe Delivery Safe Mother translated it into her native Urdu, which enabled her to easily incorporate it into her daily clinical practice. The MEC is now an integral part of her counseling toolkit.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 20px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: center\">Watch the video to view Safe Delivery Safe Mother&#8217;s field trainings. Credit: Safe Delivery Safe Mother.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 20px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Pakistan has the highest fertility rate in the South Asian region, with 3.6 children per woman and an annual population growth rate of 2.4%. While Safe Delivery Safe Mother believes strongly that women must be able to choose the size of their families, we also know that women and their families are healthier <a href=\"https:\/\/knowledgesuccess.org\/2020\/05\/05\/the-open-birth-interval-tells-a-story\/\">when births are spaced<\/a>. However, in some rural areas, such as Jalalpur Khaki, people believe that family planning prevents births altogether.<\/p>\n<h3>Training Accomplishments<\/h3>\n<p>To address high fertility and maternal death rates, Safe Delivery Safe Mother implemented a pilot project funded through <a href=\"https:\/\/knowledgesuccess.org\/the-pitch\/season-1\/\" rel=\"noopener\">The Pitch regional competition<\/a>, a knowledge management innovation created by Knowledge SUCCESS and sponsored by USAID. The project trained over 160 government-deployed Skilled Birth Attendants (SBAs) in the Multan district, located in the Punjab province (the most populous in Pakistan, with a population of over 110 million). SBAs are often a community\u2019s only source of skilled care, seeing women at a time in their lives when they are most focused on childbearing and health.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 20px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_center wpb_content_element  img-margin-bottom-0\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper  \"><\/div><figcaption class=\"vc_figure-caption\"><\/figcaption>\n\t\t<\/figure>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>The six-month activity concluded in February; now, the Safe Delivery Safe Mother team is in the process of sharing recommendations on how to increase the use and acceptance of post-partum family planning with the Pakistani government and our partners. We learned many valuable lessons during this project, including:<\/p>\n<ul>\n<li>Skilled Birth Attendants are eager to learn about long-acting reversible contraceptive methods and how to administer various forms of post-partum family planning within 48 hours of birth.<\/li>\n<li>It is integral to develop and translate training curricula, materials, and tools into local languages. This increases acceptance by both SBAs and their patients at primary health care facilities. As our materials are in the local language, they serve a dual purpose: training SBAs and being used for counseling and raising awareness for patients at primary health care facilities and community clinics.<\/li>\n<li>It is challenging to do this work in rural environments with low literacy levels and limited accessibility. It is particularly difficult to conduct outreach and follow-up monitoring. In order to address these challenges, we collected data by visiting health facilities and received manual reporting on the tracking tools\u2014which were regularly checked, corrected, and updated. While it isn\u2019t easy to do in these settings, we worked to ensure the most thorough data reporting from SBAs, with the highest quality and accuracy.<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"vc_empty_space\"   style=\"height: 20px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>[rs_blockquote class=&#8221;blockquote-hide-citation&#8221;]It is integral to develop and translate training curricula, materials, and tools into local languages. This increases acceptance by both SBAs and their patients at primary health care facilities.[\/rs_blockquote]<div class=\"vc_empty_space\"   style=\"height: 20px\"><span class=\"vc_empty_space_inner\"><\/span><\/div>\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3>Looking to the Future<\/h3>\n<p>Despite challenges, it is clear that SBAs and women who give birth are interested in the <a href=\"https:\/\/knowledgesuccess.org\/2021\/12\/29\/promoting-maternal-health-care-through-community-sensitization\/\">benefits of postpartum family planning<\/a>. Developing materials for specific stakeholders\u2014including pictorial guides in local languages\u2014increases the uptake of various family planning methods.<\/p>\n<p>The Safe Delivery Safe Mother approach is easily replicated in other regions and provinces, and we hope that our partners will seek out more information <a href=\"https:\/\/www.safedeliverysafemother.com\/\" target=\"_blank\" rel=\"noopener\">on our website<\/a> or by <a href=\"https:\/\/www.safedeliverysafemother.com\/copy-of-contact\" target=\"_blank\" rel=\"noopener\">contacting us<\/a>. Women must have the ability to plan their families, space their children, and ensure healthier births. Data is not the story\u2014people are.<\/p>\n<p><em>Tamar Abrams contributed to the development of this post.<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Safe Delivery Safe Mother aims to address high fertility and reduce maternal mortality in Pakistan. Recently, the group implemented a pilot project that trained over 160 government-deployed Skilled Birth Attendants (SBAs) in the Multan district of the Punjab province. The six-month pilot project concluded in February. The Safe Delivery Safe Mother team is in the process of sharing recommendations on how to increase the use and acceptance of post-partum family planning with the Pakistani government and other partners.<\/p>","protected":false},"author":12,"featured_media":6052,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[248,63,61,250,56,77,94],"tags":[52,204,208,266,98,328],"class_list":["post-6051","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-asia","category-equity-and-empowerment","category-fp-rh","category-pakistan","category-project-news","category-service-delivery","category-workforce","tag-access","tag-asia","tag-pakistan","tag-postpartum-family-planning","tag-service-delivery","tag-the-pitch"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - 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