HANDS has introduced Birthing Station as a best practice model to focus on the Reproductive Health (RH) needs of rural communities. The Community Midwife (CMW) trained at Community Midwifery Schools of HANDS, is placed at her respective village where a fully equipped birthing station is established to provide antenatal, natal, postnatal and neonatal services. Referral strategy is developed and applied for any high risk/complicated case.
The objectives of this model are to:
- Reduce maternal mortality and morbidity through clean and safe delivery in target population.
- Reduce neonatal mortality in target population.
- Increase contraceptive prevalence in target population.
- Cater to basic reproductive healthcare (antenatal, natal, postnatal, neonatal care, treatment of minor
- ailments, TT and EPI vaccination etc.).
All steps of the following methodology involves local Community Based Organization (CBO) which
monitors smooth functioning of the Birthing Station (BS):
- Selection of local educated girl for midwifery training
- 18 month training of selected CMW
- Identification and finalization of place for Birthing Station
- Supply of equipment/material for birthing station
- Identification and MoU signing with management of referral health facility (with comprehensive
- MNCH services)
- Arrangements (vehicle, blood donors, NARI vouchers/finances) for referrals
- NARI voucher redeeming scheme for financial support offered to complicated cases for management
- at referral health facility
- Initiation of services (antenatal, natal, postnatal, neonatal care, family planning, TT vaccination,
- treatment of minor ailments etc.) from the BR
- Conduction of health education sessions at BR and on home visits
- Liaison with local Traditional Birth Attendant (TBA) for registration of antenatal cases
- Meeting with HANDS/CBO for progress sharing and resolution of issues
- Monitoring/supervision and on-job training sessions by staff
- Advance/follow-up trainings