{"id":356,"date":"2020-12-02T10:29:35","date_gmt":"2020-12-02T10:29:35","guid":{"rendered":"http:\/\/report50khb.local\/?post_type=section&p=356"},"modified":"2021-01-07T21:02:00","modified_gmt":"2021-01-07T21:02:00","slug":"lessons-learned","status":"publish","type":"section","link":"https:\/\/50khb.internationalmidwives.org\/?section=lessons-learned","title":{"rendered":"What we learned"},"content":{"rendered":"\n
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<\/p>\n<\/div><\/div>\n\n\n\n

Interventions to improve the status of maternal and newborn health must be relevant, cost-efficient, and sustainable. During the 50,000 Happy Birthdays project we learnt what works well and could be integrated into future programming, to enable sustainable impact. <\/p>\n\n\n\n

Project design: tips for success<\/strong><\/h1>\n\n\n\n
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Include multidisciplinary healthcare providers<\/h5>\n\n\n\n

Projects benefit from having a multidisciplinary team in the planning, training, LDHF practice sessions and ongoing monitoring and evaluation of activities.<\/p>\n\n\n\n

Improved teamwork and communication between invested healthcare providers results in better understanding of each other’s role and coordinated care provision.<\/p>\n\n\n\n

Including in-service health facilities and pre-service educational institutions helps align best practice between clinicians and students.<\/p>\n<\/div><\/div>\n\n\n\n

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Support the in-country teams<\/h5>\n\n\n\n

Ensure sufficient resources to support the teams before starting training activities and frequently during implementation (West, 2017)<\/a>.<\/p>\n\n\n\n

Provide additional support to midwifery educators integrating new methods of teaching into existing curricula.<\/p>\n\n\n\n

Provide help to set realistic and achievable goals, establish communication and feedback mechanisms, conduct needs assessments, and develop a costed activity plan with target numbers of implementation sites and individuals. <\/p>\n<\/div><\/div>\n\n\n\n

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Ensure access to training resources and clinical equipment<\/h5>\n\n\n\n

To make sure training activities happen on time, resources\/equipment must be calculated, procured, shipped and distributed before the project implementation phase.<\/p>\n\n\n\n

Ensure sufficient resources to support the teams before starting training activities and frequently during implementation (West, 2017)<\/a>.<\/p>\n<\/div><\/div>\n\n\n\n

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Build a strong project team<\/h5>\n\n\n\n

Rely on an international team with cultural competence and experience working to support projects remotely.<\/p>\n\n\n\n

Adequate compensation and resources for the national teams are essential to lead the project.<\/p>\n\n\n\n

Recruit Master Trainers and Practice Coordinators with recent clinical and education experience, who are enthusiastic and focused on improving health outcomes.<\/p>\n<\/div><\/div>\n\n\n\n

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Align with existing national initiatives for increased scope<\/h5>\n\n\n\n

National mentorship or supervision program staff are good advocates for HMS and HBS training and quality improvement.<\/p>\n\n\n\n

National HMIS departments provide relevant context to guide the development of monitoring and evaluation frameworks.<\/p>\n\n\n\n

Early on, consult with other health professional associations, NGO and private sector stakeholders to align activities and share resources.<\/p>\n<\/div><\/div>\n\n\n\n

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Support sustainable quality training<\/h5>\n\n\n\n

Identify and address barriers to quality, facility-based cascade training, and LDHF practice sessions. Consider that environments with a depleted health workforce may take more time to train.<\/p>\n\n\n\n

Providing practice coordinators at implementation sites with financial incentives and tools enables communication and data collection.<\/p>\n<\/div><\/div>\n\n\n\n

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Give priority to quality<\/h5>\n\n\n\n

Digitalising the data collection tools to increase the quality improvement feedback loop between project manager and implementation sites.<\/p>\n\n\n\n

Prioritise the quality of the training given the context, time frame and budget constraints. Consider training more people in fewer modules, or fewer people in more modules.<\/p>\n<\/div><\/div>\n\n\n\n

<\/div>\n\n\n\n
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“The project has the potential to bring about widespread improvements to quality of care if the investment can be sustained and expanded.” <\/p>\n\n\n\n

(Novametrics, 2020)<\/a><\/p>\n\n\n\n

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