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Module 1: Clinical Officers as Advanced Leaders

Module 1 took place over 5 days in November and December 2011 and included the topics and discussions below:

  • Introduction (Powerpoint Presentation) Clinical officers as advanced leaders
  • Epidemiology (Powerpoint Presentation) Traditional birth attendants; rationale for change; current dadta on place of delivery; major causes of maternal death and neonatal death
  • Antenatal care (Powerpoint Presentation)
  • Neonatal resuscitation (Powerpoint Presentation) What about the baby? What are the major causes of neonatal death and disability in Malawi?
  • Serious maternal and neonatal infections in the local context (Powerpoint Presentation) Appropriate antibiotics on local inventory? What to do when these are not available
  • Collecting the data on HIV infection and acting on it (Powerpoint Presentation) Checking HIV status of pregnant women; offering counselling and contact tracing
  • The implications of being HIV postive for preventing puerperal sepsis
  • Management of sick neonates (Powerpoint Presentation) Signs and symptoms; appropriate interventions; local settings
  • Managing bleeding and blood loss in PPH
  • Are we giving women a good start? Detecting, preventing and correcting anaemia; steps to enhance current practice
  • Life support in haemorrhage and fluid loss (Powerpoint Presentation) Optimal support for the haemorrhaging patient at clinics, during transfer and on reception at district hospitals; fluid balance considerations
  • Blood transfusion: have we got enough? If not, why not? Evidence from the most recent inventory; current guidelines for storage and administration of blood; experience of supporting women with PPH; current guidelines on blood donation
  • Bleeding in caesarean section (Powerpoint Presentation)
  • Abortion (Powerpoint Presentation)
  • Effective intervention post-abortion
  • Managing hypertension (Powerpoint Presentation) In pregnancy and antenatal care - BP checks of pregnant women; availability of sphygmomanometers; health eduction for reporting signs of pre-eclampsia; time of transfer for raised BP
  • The eclamptic patient and management (Powerpoint Presentation) Local and international practices
  • Magnesium sulphate - evidence of effectiveness (Powerpoint Presentation) Is it administered early enough - if not, why not? Local guidelines on use of magnesium sulphate
  • Puerperal sepsis (Powerpoint Presentation)
  • Active monitoring (Powerpoint Presentation) Is the partogram being used?
  • Place of delivery (Powerpoint Presentation) Where do women deliver and why? Relevance of place of delivery to incidence of infection and to PPH
  • Right place, right time? Pathways of care: transfer between healthcare localities - low birthweight and perinatal loss: what is the evidence? Should there be more guideance on place of care? Transfers in utero, time intervals for decision-making, transport, reception, operative intervention