| Nepal: Focus of Maternal and Child Services |
Nepalese women constitute slightly more than half of the country's total population of 25.7 million. According to Ministry of Health estimates, pregnancy-related complications.... Read More >>
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| Target Group: |
| The Kendra is targeted to all women, children and families especially poor and underserved families with middle-low and low-level income residing around the Kalanki, Kriitpur, Thankhot and others from both inside and outside the valley who are beyond the access to costly maternity services in the private modern hospitals, maternity home and clinics to break the economic barrier to access and utilisation of maternal and child health services. |
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| Services and Facilities |
APS Kendra provides seven days a week, “women-friendly” specialized maternity and family planning services by qualified and experienced nurse-midwives and nurses; the compassion, devotion and commitment of the nurse-midwives; nurses give mothers the confidence and belief that they are receiving the best maternal and child health care and services; and culturally sensitive and affordable to all families;.
The specialization services available in this Kendra from both out patient department and inpatient department are listed below which cover almost all the areas of maternal and child health services. These include family planning services, maternal and child health care, conduction of deliveries and proper referral services . |
| Out Patient Department (OPD) |
| APS Kendra Out Patient department provides maternal and child health services, reproductive health services, and well baby clinics that take care of by trained nurses and nurse-midwives. The services include antenatal and postnatal services, family planning services, immunization and routine child growth monitoring for under three-year children. The OPD is open from 8:00 A.M. to 7:00 P.M. Once a week women’s health clinic and child’s health clinic are run by specialists. These clinics are open from 7:00 A.M. to 10:00 A.M. in the morning and 4:00 P.M. to 7:00 P.M. in the evening. The registration and booking for the out patients is done at the main reception in the lobby area. |
| Inpatient Department (Birthing Centre) |
As an inpatient service APS Kendra has 10 beds free-standing birthing centre, staffed by nurse-midwives and nurses, to conduct safe normal deliveries for mothers in labour. The mothers are admitted only when the concerned nurse-midwife feels and identifies it is low-risk pregnancies and labours thus natural birth will take place. A prerequisite for admission to the Birthing Centre is that a woman should have received antenatal care (at APS Kendra or elsewhere), and should have had routine antenatal tests: heamatocrit, blood ABO and rhesus grouping and syphilis serology. If these criteria are met, the admitting midwife performs a checklist screen that includes the findings of history of examination. Women are found to be at low-risk and confirmed to be in labour are admitted. Women who are determined to be a high-risk, or who develop intra-partum risk factors, are referred to the hospitals. Such admitted cases are taken care of very effectively for the proper natural birth of a baby. Dedicated and caring nurse-midwives nourish such mothers. Round the clock attention is given till the mother is discharge from the birthing centre.
A birthing center presents a more home-like environment than a hospital labour ward, typically with more options during labor: food/drink, and the attendance of husband, family members and friends if desired. The decor is meant to emphasize the normality of birth. In a birthing center, women are free to act more spontaneously during their birth, such as squatting, walking or performing other postures that assist in labour. Active natural birth is encouraged.
In a birthing centre, a woman could have her own advocate, such as her husband, mother, sister or friend, with her to provide support before, during and after the childbirth. The nurse-midwives monitor the labour and the well-being of the mother and foetus during the birth. Should additional specialist medical care be required the mother can be transferred or referred to another hospital or call an obstetrician.
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| Referral Service |
A free-standing birthing center requires hospital backup in case there are complications requiring more complex care. Recognising this need APS Kendra has establish close collaboration with Patan Hospital and Maternity Hospital, Thapathali for transfer or referral in case of complications arises that require specialist medical care.
In the community level, community mobilization by the community health service team that consists of community volunteers (Female Community Health Volunteers), mothers group, local community based organizations (CBOs) and clubs, and APS Kendra Volunteer provide community empowerment, awareness raising activities, education and social marketing of the services.
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| Diagnostic Services |
| Laboratory facilities for basic investigations including ultrasound and pharmacy are available within the APS Kendra building managed by trained technical professional this ensures that the mothers do not have to leave the premises for an investigation. |
| Emergency Unit |
| Emergency obstetric care services are available round the clock, seven days a week. The qualified, experienced, and dedicated duty nurse-midwives render the obstetric services and nursing care to the mothers and her baby. Consultants are available in case the need arises. |
| Ambulance |
| At present ambulance service is provided only in request. However, there is a provision for an immediate transfer to the hospitals if referral is need. A nurse-midwife team is provided in case of emergencies for prompt obstetric care. |
| Home Visit and Follow-up |
| Nurses, APS Kendra health volunteers and other health professionals carry out regular home-visit in the surrounding areas to raise awareness, educate and social marketing of the services. To ensure continuity of care and services, and effective follow-up mothers will be reminded by making a phone call or visited by an APS Kendra Volunteers and Female Community Health Volunteers. |
| Health Camp |
| Bimonthly specialists run free women’s health camp is organise targeting especially to poor and underserved areas. Only charges concerning diagnostic tests will be taken in minimal amount. |
| Vaccination |
The timing for vaccinations is Mondays to Saturdays, 8:00 A.M.-7:00 P.M.
Vaccination services are provided for preventive care. Such vaccinations are:
- Tetanus Toxoid (TT) for pregnant women
- BCG
- DPT/Hepatitis B
- Oral Polio
- Measles
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| Professional services and training |
1. On-the-Job and field Placement Training to nursing students and Individuals
2. Research and Study
If you want to extend your helping hands in strengthening any of the services by providing in-kind, physical or financial support, please contact us. |
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