1. EXPANDING BEYOND MATERNAL CLINICS AND WARDS TO IMPROVE MATERNITY AND NEWBORN CARE PSRH CONFERENCE 2013 Dr. Rita A. Mori OB/GYN,Chuuk July 2013

2. Out reach program  Improve out reach program Integration of FP and MCH services into other PH program ; TB/LEPROSY, HIV/AIDS and IMMUNIZATION to do out reach Integration of FP and MCH services into other PH program ; TB/LEPROSY, HIV/AIDS and IMMUNIZATION to do out reach More FP nurses were trained to do the health education in communities More FP nurses were trained to do the health education in communities Train the trainers (woman’s group and youth) to do health education in the community Train the trainers (woman’s group and youth) to do health education in the community

3. Collaboration  I. NGO’s Chuuk Women Council (CWC) Chuuk Women Council (CWC) About 60 registered women’s group Train trainers to do health education HIV/AIDSHIV/AIDS FP/FP methodsFP/FP methods Cx CancerCx Cancer Teenage pregnancyTeenage pregnancy Sex workerSex worker Human traffickingHuman trafficking

4. cont RHRH Exercise class every Wednesday from 3:30 to 5:00 P.M (incentive award)Exercise class every Wednesday from 3:30 to 5:00 P.M (incentive award)  II. Schools College of Micronesia, Chuuk Campus College of Micronesia, Chuuk Campus health center (provide FP methods, lecture and referral system) health center (provide FP methods, lecture and referral system)  III. Private clinics Posters information for FP and MCHPosters information for FP and MCH Available FP methods except for sterilization, implants and IUD’s with free serviceAvailable FP methods except for sterilization, implants and IUD’s with free service Immunization with free serviceImmunization with free service

5. Training Train all health assistants in the dispensaries to give FP methods, injection and implant (Jadell)Train all health assistants in the dispensaries to give FP methods, injection and implant (Jadell) All FP methods are available in the dispensaries except for IUDAll FP methods are available in the dispensaries except for IUD Educate and distribute “female” condoms (more women prefer female condoms than male condoms)Educate and distribute “female” condoms (more women prefer female condoms than male condoms)

6. More accessible services  Reproductive Health clinic every Friday in the CWC building Pap smear Pap smear STI’s test STI’s test HIV/AIDS test HIV/AIDS test ANC ANC Ultra sound Ultra sound

7. Cont.  ARH center located at the Chuuk High School Health education (FP, STI’s, HIV/AIDS, etc) Health education (FP, STI’s, HIV/AIDS, etc) Test (STI, HIV/AIDS, pregnancy) Test (STI, HIV/AIDS, pregnancy) Referral Referral

8. Wellness Center Tread millTread mill Health informationHealth information TV TV Brochure Brochure Pamphlets Pamphlets BP check up BP check up Blood sugar check up Blood sugar check up Locate in town but utilized by men only

9. THANK YOU VERY MUCH SEE YOU ALL IN FIJI 2015