Trad Angaise Du Projet

8/9/2019 Trad Angaise Du Projet

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Association Mdicale Franco Ymnite

AMFYAssociation loi de 1901. N 3218 du 24 septembre

1990,

et N2337 du 12 juillet 1995.

N SIRET 433 186 020 00015

Project MOTHER CHILD HEALTH in TAZ REPUBLICAN HOSPITAL,In TAZ and the REGION

OBJECTIVE OF THE PROJECT

Target s : Contribute to the reduction of children mortality during pregnancy and delivery in TAEZ andsurrounding areas.

General target : improving taking in charge pregnancy and normal or pathological delivery in TAEZsRepublican Hospital.

Specific targets:

- increasing the proportion of women being medically followed and delivering in the Republican Hospital

-Teaching mothers about basic hygiene and care in motherhood together with spreading these

informations all around.-Training all medical staff concerned by pregnancy and delivery, together with pregnant women in Taiz in

order to detect, prevent and take in charge pathological or risky pregnancies.

-Improving the training of Yemenis health professionals in prevention and taking in charge pregnancy

toxemia , delivery bleeding and new borns medical care.

ACTION PLAN

The means

Suppliance of non existing materiel at the hospital:

- Fetal monitoring equipment which is absolutely necessary in order to attend first targets. Latter on, themanagement would like to have five others monitors (one for each delivery room.

- An ultrasound colour Doppler that is absolutely necessary for the monitoring of normal or risky pregnancies.

Experts missions in TAEZ

Sige social : chez le Dr Hiance, 2 sente des chemines 95300 Pontoise

Secrtariat :[email protected] Site :http://www.amfy.fr
mailto:[email protected]:[email protected]://www.amfy.fr/http://www.amfy.fr/mailto:[email protected]://www.amfy.fr/


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1990,


N SIRET 433 186 020 00015

- Twelve expert missions for a period of one week (1 mission of 5 expert, 1 mission of three experts, 2missions of 1 expert, 1 final evaluation mission of 2 experts) are scheduled over a period of one year

(October 2009-May 2010) to ensure minimal training of hospital professionals.

a) monitoring clinical and ultrasonographic pregnancy, delivery, using fetal monitoring, prevention

and management of pathological bleeding deliveries

b) taking in charge pregnancy toxemia and prevention

c) mothers and new borns healthcare and hygiene .

The experts French trainers are multi-sided in their professions: obstetricians, midwives, sonographers,

pediatricians, nephrologists. All of them are trained and experienced in working with developing countries.Each mission will include at least one doctor familiar with Yemen and Taiz and who has already practiced

under the French Yemen Medical Association.

First mission : from 2 till 12 October 2009, five experts

o Participants :

- M.D. Hlne BERSENEFF, former medical internal of Hospitals, gynecologist

obstetrician, Hospital Practitioner at the Hospital of Pontoise (France), member of

FYMA and coordinator of this project.

- M.D. Benoit MENNESSON, former medical internal of Hospitals, gynecologist

obstetrician, Hospital Practitioner at the Hospital of Pontoise (France), specialist in

obstetrical ultrasound.

- M.D. Jean-Michel MURAY, former medical internal of Hospitals, former CCA,

gynecology and obstetrics Head of Department at the Hospital of Pontoise (France).

Experiences in Togo and Vietnam.

-Mme Christine TAUZIN, midwife, Hospital of Pontoise (France).

- M.D. Jean-Franois HIANCE, former medical internal of Hospitals, former CCA,

Cardiologist who has been working for 7 years in TAEZ President of FYMA.

o Topics : training of midwives and gynecologist of the unit

1) Monitoring of normal pregnancies:




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1990,


N SIRET 433 186 020 00015

Establish a repository of knowledge for clinical, biological and ultrasound used by midwives and doctors

of the unit;

Theoretical and practical courses together with training for midwives in screening of diseases :

Hypertension, Diabetes

2) Normal delivery :

c

Using a diagram for labour and delivery

Training for using fetal monitoring

Detection of abnormal delivery and post-partumPrevention of delivery bleeding.

3) Post-Partum

Theoretical and practical courses for midwives on quality of healthcare and hygiene for mothers and new

borns.

4) Training of doctors

To Ultrasound scan

To forceps, instrumental extraction and caesarean section

To take in charge delivery bleeding.

Estimated forecast of the mission: (the program presented on 5 full days can be broken down intoseveral half days in order to accommodate half-time activity of most hospital doctors Yemeni)




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1990,


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Day 1:-Morning: Check up of available skills and means, number of births and caesarean sections.

-Beginning AM: Presentations

M.D. Muray: point on mortality in delivery from bleeding in Taiz

M.D. Mennesson: general principles of fetal echocardiography : principles evaluations of the reports of

ultrasound

Mrs. Tauzin: universal precautions and hygiene rules. Developing a plan for delivery at a hospital and at

home

Day 2:- Morning : Presentations / Workshops practices

M.D. Muray : reminder about the risk factors of delivery bleeding

M.D. Mennesson : ultrasound of fetal heart Mme Tauzin : pregnant woman consultation, normal and pathological

- Miday, afternoon

M.D. Muray : hemorrhagic shock and its specificity concerning young women

M.D. Mennesson : consultations and practical demonstrations

Mme Tauzin : consultation with midwives

Day 3 :Morning: Presentations / Workshops practices

M.D. Muray : taking in charge obstetrical bleeding : resuscitation, medicines, using simple small ways,

basic surgical techniques

M.D. Mennesson : cephalic and renal fetal ultrasound

Mrs Tauzin : beginning of delivery signs, danger signs, how to get ready to face complications.Afternoon :

M.D. Muray: practical discussions in delivery rooms

M.D. Mennesson ultrasound demonstration and consultation

Mrs Tauzin: following up with midwives of women in labor

Day 4 :Morning: Presentations / Workshops practices

M.D. Muray : Prevention of obstetric hemorrhages: delivery third time and OMS recommendations.

M.D. Mennesson : normal fetal cardiac rythm (monitoring)

Mrs Tauzin: patient examination during labor and complications stage detection

Day 5:

Morning: Presentations / Workshops practices M.D. Muray: management of pregnancy anemia

M.D. Mennesson: pathologic fetal cardiac rythm

Mrs Tauzin: Managing complications and difficulties during labor and delivery

Afternoon :

M.D. Muray and Mrs Tauzin: establishing protocols for full work that took place on days before and

display it in work rooms.

M.D. Menneson: fetal cardiac rythm analysis in work rooms

Second mission : from 4 till 10th of January 2010, three experts




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1990,


N SIRET 433 186 020 00015

o Participants :

- M.D. Patrick de BOISSE, pediatrician, former medical internal of Hospitals, former CAA, member of FYMA,

President of the association Around AMFY, mother and child health in TAEZ, Yemen Republic and leader

of a similar project in Burkina-Fasso since over five years

- M.D. Camille JAUFFRET, gynecologist obstetrician former medical internal of Hospitals,

experienced in similar works with the association Around the child

-Mme Paule PUEYO, field supervisor, health lawyer, experienced of the theme in Burkina Faso with the

association "Around the Child".

o Topics : midwives nurses and doctors training for taking care of newborns and infants. Prevention of

nutritional and infectious problems. Training mission assessed on site.

Estimated forecast of the mission : (the program presented on 5 full days can be broken down intoseveral half days in order to accommodate half-time activity of most hospital doctors Yemeni)

Day 1 :inventory, number of births and cesarean sections

checking equipments and needs in local area

competence of nurses, midwives and doctorsif possible workshop practice

examination of normal new born

Day 2 :training in basic hygiene, maintenance and checking of equipment

nursing (simple protocols)

taking in charge a new born in breathing distress. Presentation

workshop practice

Day 3: Training on:

fetal -mothers infections (prevention, taking in charge)fetal distress (prevention, taking in charge)

Day 4: Training onmanaging and nursing fever, paludism and diarrhea

Day 5: managing a premature baby

Third mission :one expert, 2 missions in December 2009 and 1rst quarter of 2010 (to be confirmed




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1990,


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o Participants:

- M.D. Yves TURPIN, nephrologist department of nephrology and medical internal at the hospital of

Angoulme, former medical internal of hospitals, former CCA, former VSNA of FMM in Yemen, member of

FYMA, experienced in hospital partnership on same theme in SEGOU, Mali (Ministry of Foreign and

European Affairs)

o Topics :

-taking in charge hypertension due to pregnancy toxemia

-prevention, detection and taking in charge hypertension due to pregnancy toxemia-prevention, detection and taking in charge eclampsia

o Trying to organize a three steps mission :

Inventory /Surgery or transfer of knowledge/Evaluation of results.

Only the two first steps will take place in this project, wishing all these actions will be perpetuated after

June 2010 without FSD financing.

o Estimated forecast of the mission taking in charge pregnancy toxemia: (the program presented on 5full days can be broken down into several half days in order to accommodate half-time activity of mosthospital Yemeni M.D.)

Day 1:Morning: meeting with the manager and head of department

Visit of the unit in order to meet the full staff

General exposition about pregnancy toxemia

Specificity of the Republican Hospital of TAEZ

Afternoon: Clinical Files

meeting with the biology laboratory of the hospital

Day 2:Morning:

Risk Factors of pregnancy toxemiaResearch and quantification of proteinuria

Pregnant women hypertension

Afternoon:

Pregnant women oedema syndrome

Day 3:Morning: pre eclampsia support: Check up, clinical and laboratories follow up.

Afternoon: looking through all files

Outlines for a general protocol

Contacts with other obstetrical structures of TAEZ

Day 4:




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1990,


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Morning: urgent treatment of eclampsiaAfternoon: clinical files

Epidemiological indicators making up.

Day 5:Morning: Check up, and pregnancy toxemia follow up

Afternoon: pregnancy toxemia referees appointment

Unit protocols: choice and establishment

Conclusionand critical reviewFi nal mission and evaluation : two experts, one week mission in april-may 2010

o Participants :

- M.D. Hlne BERSENEFF, former medical internal of Hospitals, gynecologist

obstetrician, Hospital Practitioner at the Hospital of Pontoise (France), member of

FYMA and coordinator of this project.

- M.D. MENNNESSON or M.D. MURAY, gynecologist, obstetricians, hospital of Pontoise (France)

o Topics :

-Evaluation and improving taking in charge normal and pathological pregnancies, pregnancy toxemia, right

monitoring using (fetal monitoring, ultrasound). Monitor provided for this project.

-Evaluation of pregnant women received in Republican Hospital of TAEZ and, if possible, mother-infant

mortality in the obstetric unit.

-Setting up and functioning of the local association: structures, activities and number of professionals and

women contacted and trained.

-Check up and prospects : extension of hospital actions to other obstetrical structures of the town and

surroundings (Ibb, Mokha) and eventually to first care centers located in rural zones that are part of Taez

Calendar- 2009-06-20 : submission of the project to the FSD (Fonds de dveloppement Social)

-July 2009 first week : agreement signature

-July 2009 : purchase of equipment (ultrasound colour Doppler available, cardiotocography

material to be ordered)

-July-August 2009 : shipment equipment to Yemen, customs clearance, transport to TAEZ, setting up

and testing

-2 till 10 October 2009 : First mission of five experts. Theoretical and practical training for pregnancy follow

up, delivery, and for using fetal monitoring. Workshop practice about obstetric

ultrasound Doppler.

-7 till 13 Decem. 2009 : M.D. Yves Turpins mission. Taking in charge pregnancy toxemia and eclampsia,

1rst part.

-4 till 10 January 2010 : Mission of three experts, training of Doctors, midwives and nurses for taking in

charge new born and infant, mother-child hygiene.

-11 till 17 January 2010 : M.D. Yves Turpins mission. Pregnancy toxemia, and eclampsia, 2nd part.




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1990,


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-April-May 2010 : Calendar to be settled: Evaluation mission with two expert of the hospital ofPontoise (France)one of them being M.D. Berseneff coordinator of the project.

Implementation responsibilities

1) M.D. Hlne BERSENEFF, Hospital Practitioner unit of gynecology and obstetric, at the Hospital of

Pontoise (France), is responsible and coordinator of this project.

2) M.D. Muray,de Boisse and Turpin, are responsible of contents and terms of trainings during their own

missions (workshop practices, clinical cases discussions, frame of references, courses support when needed

and evaluation indicators definitions.

3) The FYMA office (M.D. Jean-Franois HIANCE, President, M.D. Jean-Louis GEORGES, Company Secretary,M.D. Jean CAZIN, treasurer, and Mrs Christiane NASR, secretary) will be in charge of writing and sending the

project, establishing the projected budget, contact with French and Yemeni authorities, contacts with the local

Yemeni association who is partner of the FYMA, contacts with FSD, signature of contract between FYMA and

FSD. They are also responsible for necessary French customs formalities and clearance. They will also organize

logistics from France (booking flights, hotels, reimbursement of mission expenses, advances per diem if

necessary).

4) M.D. Arwa Y. BAHRAN, manager of TAEZ Republican Hospital, President of AMFYs local partner, is

responsible for receiving missionary doctors in the gynecology obstetric unit, trainings organization in TAEZ

(local medicals and paramedics timetable, premises, technical means), Yemenis customs clearing

formalities of furnished material, and taking in charge their commissioning and maintenance(organization

of maintenance and ordering consumables) and will guaranty right use of this material.The Yemeni local association office and M.D.ARWA will also:

-Checking the spreading of informations outside the hospital

-Be watchful on respecting established protocols during the missions

-Inform by email about evolution of situation in order to establish a balance sheet by the end of the year.



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