P -4- Women Friendly Care -2013

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    Federal Democratic Republic of Ethiopia

    Ministry of Health

    BEmONC LRP

    ETHIOPIA

    Best Pract ices in Maternal and Newbo rn Care

    Women-Friendly Care

    A DiscussionBy; Mignot Anley (DMRHospital)

    PRESENTATION - 4

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Session Objectives

    By the end of this session participants will

    be able to:

    Define woman friendly care.

    Describe cares which are woman friendly.

    Describe examples of cares which are not woman

    friendly.

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Divide into groups of 3-5

    Discuss the following questions:

    How would you define women-friendly care?

    Why is women-friendly care important?

    Give some examples of care you have seen that

    is not women-friendly.

    Give some examples of care that is women-

    friendly.

    How can you help ensure that your trainees/

    colleagues will value and learn to provide

    women-friendly care?3

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    After small group discussion . . .

    . . . Reconvene as a large group to share

    your thoughts, conclusions and

    recommendations . . .

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    How would you define women-friendly

    care?

    Provides services that are acceptable to the

    woman:

    Respects beliefs, traditions, and culture

    Includes family, partner, or other supportperson in care

    Provides relevant and feasible advice

    Empowers woman and her family to becomeactive participants in care

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    How would you define women-friendly

    care?; contd

    Considers the rights of the woman:

    Right to information about her health

    Right to be informed about what to expect during

    visit Obtains permission/consent prior to exams and

    procedures

    Ensures that all healthcare staff use good

    interpersonal skills

    Considers the emotional, psychological, and

    social well-being of the woman

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Why is women-friendly care important?

    Women-friendly care is life-saving as studies have

    shown that women may refuse to seek care

    from a provider who abuses them or does not

    treat them well, even if the provider is skilled inpreventing and managing of complications.

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Give some examples of care that is not

    women-friendly.

    Does not respect woman or her culture or

    background

    Rude, offensive, demeaning language by health

    personnel Physically restrains, pushes or hits the woman

    Insists on routine procedures that are convenient for

    the healthcare provider but may be shameful or

    disgusting to the woman, eg lithotomy position only,routine episiotomy, frequent vaginal exams,

    assembly-line fashion of care

    Excludes partner or companion from care

    Separates mother and baby8

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Give some examples of care that is

    women-friendly.

    Individualizes care to womans needs

    Recognizes the richness and spiritual significance

    of community and culture

    Is aware of traditional beliefs regardingpregnancy and childbirth

    Cooperates and liaises with traditional

    healthcare system when possible

    Provides culturally sensitive care

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Give some examples of care that is

    women-friendly; contd

    Respects and supports the mother-baby dyad:

    Encourages bonding

    Keeps baby with mother

    Places baby on mothers abdomen (at breast)immediately after birth

    Speaks to the woman in her own language

    Observes rules and norms of her culture as

    appropriate

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Give some examples of care that is

    women-friendly (cont.)

    Is aware of who makes decisions in her life and

    involves that person in discussions and

    decisions

    Works with traditional birth attendants when

    possible

    Learns about traditional practices:

    Promotes/builds on positive traditional practices Offers alternatives to those that are harmful

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    H h l th t

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    How can you help ensure that your

    trainees/colleagues in your facility will value

    and learn to provide women-friendly care?

    Consistent role modeling of women-friendly care

    Use of women-friendly approaches in simulated

    settings, eg with anatomic models Emphasis of women-friendly care during

    teaching of procedures and Types of care.

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    BEmONCLRP: Ethio pia

    Best Pract ices in Maternal and NewbornWomen Friendly Care

    Summary

    The women-friendly approach focuses on the

    rights of women to have access to quality care

    for them selves as individuals & as mothers, and

    for their infants. Health services can be considered women-

    friendly when they (WHO/UNICEF/UNFPA):

    Are available, accessible and affordable

    Provide safe and effective health and maternal

    care

    Motivate providers,

    Empower users and satisfy their needs13

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