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PPIUD Newsletter Issue No. 4
April-June 2016

 
Dear Friends and Colleagues,
 
We want to use this our fourth issue of the PPIUD newsletter, to highlight significant achievements and honour some of the many people who have made these happen.
 
IN THIS QUARTER WE EXCEEDED THE 10,500 MARK OF WOMEN HAVING PPIUD THROUGH THE INITIATIVE
 
Our sincere thanks go to everyone who made this happen.
 
Some other key accomplishments are:
  • Four of the six centres in India have exceeded 20% of women who deliver there choosing and receiving PPIUD
  • Over 1,550 women have accessed PPIUD in Bangladesh
  • In the first quarter of this year, over 5,300 women were counselled about PPIUD in Kenya
  • Baseline data collection has now been completed in all 3 research countries
In this newsletter we proudly present the winners of the Good Practice in PPIUD Award, showcasing the incredible work being done by individuals and teams across the world.
  • Sri Lanka
  • Increasing Follow-Up Rates

Country Focus

Counselling Training in Sri Lanka

 
In May the Sri Lanka team, supported by Prof Linda de Caestecker from FIGO HQ, organised and delivered small group counselling training workshops in four of their facilities.  The sessions were very well attended by nurses, midwives and medical staff. 

Sri Lanka is very fortunate in having community midwives who visit women at home and are in a unique position to undertake family planning counselling during the antenatal period. Facility based nurse/midwives also play a crucial role in providing family planning counselling. By providing small group trainings, providers have the opportunity to refresh their knowledge of contraception and undertake role play to become comfortable and confident in including PPIUD as part of the information they provide to all women.

The training included an update on the benefits of PPIUD and enabled participants to explore their own attitudes to this method of contraception and to ask questions from experts.  They discussed case scenarios in small groups and fed back to the larger group on issues and recommendations. There was also discussion about the use of brief interventions in busy clinics or ward rounds. 

The sessions were lively with plenty of interaction between the trainees and trainers with opportunities to learn from each other and to explore the needs of different population groups.
Community midwives engaged in small group work

Good Practice in PPIUD Award Winners

We are delighted to announce the first round of PPIUD awards for good practice in implementing the PPIUD initiative. The people and teams receiving these awards have gone far above and beyond their duty to ensure that women have access to counselling and to PPIUD enabling them to improve their health and their babies'. To make an initiative such as this a success, many people need to contribute - from those who plan and monitor implementation, to those who collect data for monitoring purposes, to the doctors and nurses who train in counselling and insertions and deliver the service.

In this round of awards we have a mix of all these different people and were certainly not short of nominations for people who have worked so hard to make the initiative a success! Our sincerest thanks to you all.

AND THE AWARD WINNERS ARE…

 
In Tanzania the awards go to Dr John France and Sr. Martina Gitte for their fantastic work at Mbeya hospital. Dr France is our master trainer and PPIUD facility coordinator at Mbeya hospital. Over the past 2 months he has run two counselling trainings involving 30 trainees and also personally delivered the service to a number of women. Sr. Martina Gitte has equally provided leadership in Mbeya Hospital for the initiative and has consistently provided an excellent PPIUD service to women in her care.
Dr John France and Sr. Martina Gitte from Mbeya Hospital, Tanzania

In Nepal the award goes to Dr Bhakta Batshal Raut from Lumbini Zonal Hospital who has delivered an excellent post-partum family planning service to his patients resulting in the highest number of insertions in Nepal. 
India has consistently delivered a very high quality service for PPIUD since the inception of the initiative and there are so many people who deserve an award from their teams that we have concentrated on team awards in this round.

The awards go to the Nair Hospital team, the Avni team and the FOGSI team. Team Nair comprises of Dr Asha Dalal, Dr Chandrashekhar Hegde, Dr Animesh Gandhi, Ms Vasundhara More, Ms Jyoti Dhuri, Ms Anushka Vedpathak and Ms Prachi Karalkar. The team has not only shown leadership in its implementation as evidenced by very impressive results on numbers of women counselled and insertion rates, but members of the team have also supported other centers, sharing learning and providing support for improvement. In the first year, Nair center counselled 1872 women and inserted 253 PPIUDs. They have also been innovative in introducing PPIUD teaching in the nursing college and developing specialised one on one counselling on family planning to HIV positive women.
PPIUD Insertion Trainers from Nair Hospital, India
The data collection team at Nair Hospital has also shown great dedication and high quality work in their interviews and recording of data. 

Team Avni comprising of Dr Thelma Sequeira, Dr Dhawal Naik and Ms Manisha Prabhudesai excelled in the planning of the initiative in India through strategising, building partnerships and effective and well-received communication with centres and individual providers. Their efforts have meant that all centres were able to commence implementation on time and are now progressing very well.

Team FOGSI comprising of Ms Jasmine, Ms Hema, Ms Dipti has worked tirelessly behind the scenes to ensure the smooth running of the initiative including management of the budget, releasing funds and greatly facilitating service delivery.
Nodal Officers and Counsellors from Nair Hospital, India

Bangladesh’s award goes to Dr K. N. Nahar from Bangabandhu Sheikh Mujib Medical University Hospital and Anika Rabbi from Khulna Medical College Hospital. Dr Nahar has shown dedication and commitment to the initiative, ensuring that the PPIUD patients are personally cared for and that face-to-face follow-up is conducted. Anika has worked hard in her role as data collection officer to increase the numbers of women accepting and receiving PPIUD and is tireless in her efforts to ensure that every woman who delivers at the facility is interviewed.

Kenya’s award goes to The Coast Provincial General Hospital team for outstanding leadership and tireless efforts in working towards more effective implementation of PPIUD project. The team has demonstrated commitment to the initiative by working within the KOGS/FIGO PPIUD initiative requirements and regulations.

Despite initial challenges at this hospital, the PPIUD team at Coast has embraced teamwork and worked very effectively with the HQ team. They have been able to promote LARC to the hospital management team, have conducted training for 59 staff and on the job training in their operating theatres with 98 successful insertions being completed in recent months. Many of the trained staff have since transferred to other facilities and it is a credit to the training that they continue to deliver PPIUD in the peripheral hospitals. The lead champion Rachel Kalia has been instrumental in realising the team's goals. 
The PPIUD Team from Coast Hospital, Kenya

In Sri Lanka, the award goes to Dr Hiranthi Solangaarachchi at Nawalapitiya Hospital for achieving the highest number of insertions and to L. A. D. Fernando at Badulla Hospital for dedication and commitment to the initiative including conducting counselling, data collection and follow-ups. 

CONGRATULATIONS TO ALL OF OUR VERY WORTHY WINNERS OF THE FIRST GOOD PRACTICE IN PPIUD AWARDS!
Data Innovation

Increasing Follow-Up Rates

Sri Lanka’s HQ team is successfully utilising the CommCare data to increase follow-up rates in the periphery clinics. The team is downloading case exports for patients specific to the MOH area of the woman. They are then sending this information directly to the periphery clinics to assist the nurse midwives in knowing which women attending their postnatal check have had PPIUD insertions. Access to this data means that the women are easily identified and are given a check-up and a follow-up form is completed for them and returned to the SLCOG for review.
 
If your team has found interesting ways to utilise the data for better monitoring and implementation of the initiative, email jennifer@figo.org and you could feature in the next newsletter!

For more information, please contact the PPIUD HQ team.
 
FACULTY OF SEXUAL AND REPRODUCTIVE HEALTHCARE OF THE ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS (2016) UK Medical Eligibility Criteria for Contraceptive Use (UKMEC). Available from https://www.fsrh.org/standards-and-guidance/uk-medical-eligibility-criteria-for-contraceptive-use/ [Accessed 16th June 2016]

Newly released guidelines from the RCOG advising on medical eligibility criteria for contraceptive use. 
 
BUSTREO, F. GORMA, R. and NABARRO, D. (2016) Knowledge for Effective Action to Improve the Health of Women, Children and Adolescents in the Sustainable Development Era. Available from http://www.who.int/bulletin/volumes/94/5/16-174243/en/ [Accessed 16th June 2016]

MOELOEK, N and ADMASU, K. (2016) Political Leadership for Women’s, Children’s and Adolescents’ Health. Available from http://www.who.int/bulletin/volumes/94/5/16-174367/en/  [Accessed 16th June 2016]

Do you have something you would like to share with the PPIUD team? Just email ppiud@figo.org with additions to the 'updates', 'peer-learning', 'research', 'events' or 'resources' sections.
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