1. ACHIEVING RESPECTFUL CARE THROUGH BUILDING CAPACITY OF HEALTH WORKERS
AND COMMUNITY MEMBERS

2. STRUCTURE OF PRESENTATION
Background
Description of the Intervention
Successes
Lessons learnt
Recommendations

3. ISSUES ADDRESSED
Preventable maternal deaths unacceptably high in area; 398/100,000(National), 139/100,000 (Copperbelt Province)
Factors contributing; poor quality of services due to inadequate skills, and disrespectful, non-responsive care especially during labour and delivery

4. Closing the gap project is implemented in Kitwe and Ndola Districts, Copper belt Province
Main goal is to contribute to the reduction of preventable maternal deaths
Implemented in twenty (20) Health facilities; 2 being referral and training centres

5. DESCRIPTION OF THE INTERVENTION
Building the capacity of skilled birth attendants (SBA) and Community Health Workers (CHWs) to deliver Respectful Maternity Care ( RMC)
Done through training/mentorship/ support supervision
Enhancing collaboration and mutual accountability between the communities and formal Health sector; joint meetings
Supportive supervision and mentorship was conducted on quarterly
joint meetings between CHWs and Health Facility staff to promote mutual accountability in the Health service delivery

6. Baseline was done
Reviewed late ANC booking and home deliveries, due to history, perception of disrespect and abuse during child birth

7. SUCCESSES/RESULTS
400 Skilled Birth Attendants ( Kitwe/Ndola) have been trained in Respectful Maternity Care ( RMC)
160 CHWs trained in Respectful Maternity Care
Maternal mortality has dropped from 78 in 2017 to 53 in 2018
Health care workers report being confident and capable of delivering RMC
Community health workers are raising awareness of RMC

8. SUCCESSES/RESULTS

9. SUCCESSES/RESULTS
“During my pre- service training, I never heard of the term Respectful Maternity Care. After receiving the training in RMC, I feel more Confident to attend to MCH clients bearing in mind that I
Have to uphold RMC principles of Woman friendly care at all times”
says Daisy Bwalya a 26 Year old Midwife of Kitwe, Zambia who has been practicing midwifery for 6 years.
ULTS
SUCCESSES/RESULS

10. SUCCESSES/RESULTS
“Before I underwent training in Respectful Maternity Care, I had no idea about Universal Child Bearing Rights . Now that I am trained in these rights, I have become a better midwife. Management has recognized my style of care and I have been encouraged to mentor my colleagues so as for RMC to be practiced by all nurses and midwives at my facility.” Says Matthews Chipoya a Midwife at Chimwemwe clinic in Kitwe, Zambia
ULTS
SUCCESSES/RESULS

11. SUCCESSES/RESULTS
“ I delivered all my 3 babies from the health facility but my experience 6 weeks ago was best in the sense that I received warm and friendly care at the health facility. Through out pregnancy, a Community health volunteer visited me regularly to encourage me and educate me on issues related to my pregnancy and care of the newborn” says Gertrude Kapopo a Post natal mother of Twatasha compound in Kitwe
ULTS
SUCCESSES/RESULS

12. LESSONS LEARNT/RECOMMENDATIONS
Poor understanding of the need for RMC by the health workers and the community members is a key driver to disrespect and Abuse during Child birth.
Awareness raising and skills building are crucial to promoting RMC
Advocating for Institutionalization of RMC
Need for more SBAs & CHWs to be oriented in RMC
Integration of RMC component in Emergency Obstetrics and Newborn Care (EmONC) Curriculum to be advocated for