HBLSS Training is Fun!

Community Foundation

Haitian Health Foundation: 24 years in JeremieHealth workers selected by village104 villages: 200,000 populationHigh level of community ownershipHealth “posts” for rural women and childrenCensus based and computerized health

information systemFeedback and decision-making with

communitiesVillage health committees, mothers’,

fathers’ and youth groups

Getting to HHF Villages

Sant Espwa

First Maternal Waiting Home in Haiti, 2000

HBLSS Training

24 community trainingsOver 1000 people

Adaptation

Negotiation based on existing capacity and feasibilityNeeds assessment incorporated in

Facilities AssessmentEvaluation incorporated in ongoing data

collection system for HFFReduced consultation and costs

Adapting training cascade and modules

Pregnancy Postpartum Newborn0

10

20

30

40

50

60

70

2004

2009

Danger Sign Recognition

%

Increased Care

Skilled Birth Attendance Postpartum in 3 days0

5

10

15

20

25

30

FY 04 FY 09

%

Community Planning — Emergencies

72 Evacuation Committees

Emergency Evacuation

Before

PBS NOW Series“Saving Haiti’s Mothers”

In 18 months600 women/newborns transported

Mortality Reviews

Committee meets 4 times/year

MoH Director HHF staff Ministry of the Condition

of Women Health Agent Head Nurse Hospital

Maternity Traditional Birth Attendant Community

Representatives

Annual Regional Review

Feedback to local communities

Post Partum and Newborn Care

CRS and private donor food support during

pregnancy and lactation

Health Agent home visit within 3 days

Nurse consultation in clinic and village sites

Challenges

Increased facility deliveries Respectful treatment at delivery Unstable political environment Maintaining activities in ongoing

crises Cost of training

Integration

Sustainability Community mobilization Combined with

MWHEmergency EvacuationMortality Review Training, supervision,

improvementFacilities improvement

Surprises andRecommendati

ons Community adoption and vigilance Evacuation and health committee

member observation at delivery Integrate Incorporate in other MNH activities One of most sustainable

interventions

HBLSS is an important part of the continuum of CARE for mothers and newborns!