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RS 2006 GE 34 CHN Eng.Pdf (‎10.23Mb) (WP)IRPH/ICPIRPH/2.3/001/RPH(2)/2006-E Report series number: RS/2006/GE/34(CHN) English only t l REPORT CONSULTATION ON HUMAN RESOURCE DEVELOPMENT IN MAKING PREGNANCY SAFER ' Convened by: WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR SOUTH-EAST ASIA REGIONAL OFFICE FOR THE WESTERN PACIFIC Shanghai, China 26 - 28 September 2006 Not for sale Printed and distributed by: World Health Organization Regional Office for the Western Pacific Manila, Philippines April2007 CONTENTS SUMMARY .......................................................................... ............................................ 1 1. INTRODUCTION ..................................................................................................... 2 1.1 Objectives .......................................................................................................... 2 1.2 Participants ........................................................................................................ 2 1.3 Appointment of Chairperson, Vice-Chairperson and Rapporteur ..................... 2 1.4 Organization ...................................................................................................... 2 2. PROCEEDINGS ........................................................................................................ 3 2.1 Opening ceremony ................................................................................. ............ 3 2.2 Overview of the consultation ............................................................................. 3 2.3 Presentation of background papers .................................................................... 3 2.4. Presentation by WHO collaborating centres ..................................................... 5 2.5 Presentations by professional associations ........................................................ 6 2.6 Introduction to and familiarization with the IMP AC guidelines ....................... 6 2.7 Presentation of"best practices" ......................................................................... 7 2.8 The role and responsibilities of WHO collaborating centres ............................ 7 2.9 Group work ................................................................. .. ........................ .. ........... 7 2.10 Evaluation ........................................................................................................ 10 2.11 Field visit ......................................................................................................... 10 2.12 Closing ceremony ............................................................................................ 10 3. CONCLUSIONS ............................... ...................................................................... 10 ANNEXES: ANNEX 1 - LIST OF TEMPORARY ADVIERS, CONSULTANT, REPRESENTATIVES/OBSERVERS AND SECRETARIAT ........................................................................................ 13 ANNEX 2 - AGENDA AND PROGRAMME OF ACTIVITIES ................................. 19 ANNEX 3 - OPENING REMARKS OF DR HENK BEKEDAM ................................ 23 ANNEX 4 - PRESENTATIONS OF BACKGROUND PAPERS ................................ 27 ANNEX 5 - PRESENTATIONS OF WHO COLLABORATING CENTRES ............. 51 ANNEX 6 - PRESENTATIONS OF PROFESSIONAL ASSOCIATIONS ................. 93 ANNEX 7 - PRESENTATION ON INTEGRA TED MANAGEMENT OF PREGNANCY AND CHILDBIRTH (IMPACT) GUIDELINES, DR JELKA ZUPAN ...................................................... 133 ANNEX 8 - PRESENTATIONS OF COUNTRY "BEST PRACTICES" .................. 155 NOTE The views expressed in this report are those of the participants in the Consultation on Human Resource Development in Making Pregnancy Safer. This report has been prepared by the World Health Organization Regional Office for the Western Pacific for governments of Member States in the Region and for those who participated in the Consultation on Human Resource Development in Making Pregnancy Safer, held in Shanghai, China from 26 to 28 September 2006. SUMMARY A Consultation on Human Resource Development in Making Pregnancy Safer was held from 2G to 28 September 2006 in Shanghai, China. The objectives of the workshop were: (1) to share experiences and lessons on providing universal coverage of skilled attendants, capacity building and research on reduction of maternal, perinatal and newborn mortality and morbidity; (2) to familiarize the participants with the WHO global and regional strategies on making pregnancy safer, and the manuals and guidelines on integrated management of pregnancy and childbirth; and (3) to identify ways in which professional associations and WHO collaborating centres involved in maternal and newborn health can partner with governments in making pregnancy safer and in reducing maternal, perinatal and neonatal mortality. The consultation targeted seven priority countries in the Western Pacific Region: Cambodia, China, the Lao People's Democratic Republic, Mongolia, Papua New Guinea, the Philippines and VietNam. The maternal, perinatal and newborn mortality rates in these countries are unacceptably high despite strong government commitment and purposeful activities. Mortality rates can be reduced through specific and deliberate efforts that focus on providing universal access to skilled attendants during pregnancy and at childbirth. Unfortunately, the health systems of these priority countries lack competent, motivated and supported health workers. Much more needs to be done to strengthen human resources in the health systems of the priority countries. WHO has developed and disseminated several reports, strategy papers, manuals and guidelines, such as the evidence-based guidelines on the Integrated Management of Pregnancy and Childbirth (IMPAC). However, these guidelines have not been optimally disseminated and used by health professionals outside government institutions, such as obstetricians, nurses and midwives, who can contribute to making·pregnancy safer. The WHO collaborating centres involved in the areas of reproductive, maternal and child health can contribute towards human resource development in making pregnancy safer but have not been fully and directly involved in the use of these guidelines. Thus, a consultation was organized for representatives of government, professional associations and collaborating centres to discuss these reports, strategy papers and guidelines; to share experiences and ideas; and to strengthen partnerships among them. The three-day consultation was well received by the participants, and its objectives were met. The collaborating centres and professional associations (for obstetricians, gynaecologists, nurses and midwives) are now more aware of the ne~d for human resource development in making pregnancy safer, and of their roles in contributing towards this goal. - 2- 1. INTRODUCTION A Consultation on Human Resource Development in Making Pregnancy Safer was held from 26 to 28 September 2006 in Shanghai, China. The consultation focused on human resource development in Cambodia, China, the Lao People's Democratic Republic, Mongolia, Papua New Guinea, the Philippines and VietNam. In these seven priority countries, maternal and newborn health status is still unsatisfactory, and maternal and perinatal mortality rates are still unacceptably high. Much more could be done in strengthening human resources if governments collaborated with professional associations for obstetricians, gynaecologists, nurses and midwives, and with the WHO collaborating centres involved in maternal and newborn health. WHO has formulated global and regional strategies for making pregnancy safer, and has developed several manuals and guidelines for the same purpose, such as the evidence-based Integrated Management of Pregnancy and Childbirth (IMPAC) guidelines. This consultation provided a platform for professional associations and collaborating centres to identify their roles in making pregnancy safer, especially in the area of human resource development, including the use ofthe evidence-based guidelines. 1.1 Objectives (1) To share experiences and lessons on providing universal coverage of skilled attendants, capacity-building and research on reduction of maternal, perinatal and newborn mortality and morbidity. (2) To familiarize the participants with the WHO global and regional strategies on making pregnancy safer, and the manuals and guidelines on integrated management of pregnancy and childbirth. (3) To identify ways in which professional associations and WHO collaborating centres involved in maternal and newborn health can partner with governments in making pregnancy safer and in reducing maternal, perinatal and newborn mortality. 1.2 Participants The consultation was attended by 30 temporary advisers who were representatives of professional associations (e.g. obstetricians, perinatologists, midwives), national policy-makers and managers ofhealth programmes (e.g. health system reporting, human resource development, making pregnancy safer), and the directors or managers of 10 collaborating centres on maternal and newborn health care. A consultant, six observers from relevant institutions and nine WHO staff members also participated (Annex 1). 1.3 Appointment of Chairperson, Vice-Chairperson and Rapporteur Dr Wang Bin of China was appointed Chairperson; Dr Mario Festin, Board Secretary, Philippine Obstetrical and Gynecological Society, Inc., as Vice-Chairperson; and Dr Elizabeth Bennett, Key Centre for Women's Health in Society, WHO Collaborating Centre for Women's
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