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Mary Ellen Stanton
Would it be helpful to structure EmONC expectations around the stages of Obstetric Transition (that I gather my be modified)?
Thanks Lynn, high time to discuss the issues you have raised, I think we need to think about time taken to reach CEmONC facilities more than the 1:500,000 ratio. Love the ideas on getting away from a very medical supply side model to a more user-focused one, capturing user experience better, comfort, and please think about including stillbirths explicitly and how to deal with them and early neonatal deaths in terms of bereavement care. Thanks!
The project is definitely looking at question of whether guidance should be different for different stages of obstetric transition
Learn more about the ACERS Project https://www.harpnet.org/project/acers/
Thank you, Yvonne. The human resource questions are surely key to planning and to functioning. We are also looking at the concept of “readiness” of a facility to provide EmONC and so the human resource questions are fundamental to readiness and ultimately to quality too.
Mary Ellen Stanton
Given the importance of the 'journeys', so nicely laid out by Loveday, does it make sense to focus on emergencies, lowering the importance of prevention of complications and/or keeping complications from becoming emergencies?
Linked to that question, it is often very difficult to get providers to focus on normal pregnancies becoming emergencies without warning and the importance of good access to CEmONC, so there can be a tendency to focus on pregnancies with complications.
Do we need to stop counting and start investing in services?
Learn more about our Care-Seeking and Referral Community of Practice here https://www.harpnet.org/care-seeking_and_referral_community_of_practice/
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Lear more about the ACERS project https://www.harpnet.org/project/acers/
There are definitely adjustments — now using GIS - to think about time to services, which helps deal with different density of population
Read more about implementation research https://www.harpnet.org/implementation-research/
Thank you & have a great day