Publications

Postpartum Family Planning and Data Management in Punjab – 2021/22

We designed a unique Postpartum Family Planning (PPFP) capacity-strengthening program for Skilled Birth Attendants (SBAs) to provide accessible and affordable family planning services for the largest Multan district of South Punjab. Our over 165 trained SBAs provide the newly learnt PPFP methods at primary healthcare facilities to increase access to contraception and prevent unplanned pregnancies. The second component of the program strengthened data management capacity of the Management Information Systems (MIS) staff of the Integrated Reproductive Maternal and Child Health and Nutrition program (IRMNCH & NP) in Lahore, the department responsible for collecting and analysing real-time data from all 36 districts of the Punjab province which serves a population of over 110 million.

Our project impact:

  • Pre- and post-training tests showed an increase in knowledge among the 165 participants from 58% to 89%.
  • Teaching SBAs to use clinical tools significantly increased the quality of PPFP provision and gave confidence to prescribe suitable methods.
  • IRMNCH & NP expressed interest in scaling the program to other districts of Punjab.
  • The SDSM tracker tool captured and published real-time monthly indicators that did not exist and had not previously been collected by the Punjab health department.

For a detailed view of our project findings, you can read our published report, which includes recommendations for governments, donors and partners in Pakistan and across diverse country-contexts.

Postpartum Haemorrhage Prevention and Overcoming Socio-economic Constraints in Gilgit-Baltistan - 2020/21

We conducted a Postpartum Haemorrhage (PPH) prevention, infection control and behaviour change training program for Skilled Birth Attendants (SBAs) to provide accessible and affordable maternal health services across the Gilgit-Baltistan region. Our 74 trained SBAs practice the newly learnt PPH prevention methods at primary healthcare facilities to reduce preventable maternal deaths, especially in the rural and remote areas. The second component of the program equipped SBAs with effective counseling techniques for pregnant women and their families to overcome socio-economic constraints which prevent access to skilled services. SDSM conducted the program in collaboration with the Maternal, Neonatal and Child Health (MNCH) program of Gilgit-Baltistan which serves a population of over 2 million. 

Our project impact:

  • Pre- and post-training tests showed an increase in knowledge among the 74 participants from 71% to 81%.
  • Teaching SBAs to use cost-effective and accessible methods significantly increases the provision and quality of services at facilities.
  • The SDSM tracker tool captured and published real-time monthly indicators showed a high uptake of the taught clinical and counseling methods. 
  • The MNCH program expressed interest in scaling the program to other regions of Gilgit-Baltistan as SBAs had never been trained on PPH prevention and treatment prior to SDSM led trainings. 
 
For a detailed view of our project findings, you can read our published report, which includes project sustainability and recommendations for governments, donors and partners in Pakistan and across diverse country-contexts.

 

Postpartum Haemorrhage Prevention and Treatment in Punjab – 2017/18

We designed a Postpartum Haemorrhage (PPH) prevention and infection control capacity-strengthening program for Skilled Birth Attendants (SBAs) and conducted awareness building trainings for Community Health Workers (CHWs) of the Lahore and Sheikhupura districts of Central Punjab. Our over 500 trained health staff practice our taught techniques to reduce preventable maternal deaths with safe, accessible and affordable services, while also increasing community awareness.

Our project impact:

  • Pre- and post-training tests showed an increase from 90% to 98% of the SBAs responding accurately on PPH knowledge and prevention techniques.
  • Teaching SBAs to use accessible and affordable PPH prevention techniques significantly increased the quality of services provided at primary healthcare facilities.
  • IRMNCH & NP expressed interest in scaling the program to other districts of Punjab.
  • The SDSM tracker tool captured unique maternal health indicators data from SBAs that did not exist and are essential to monitor uptake, performance and impact.

For a detailed view of project findings, you can read our published report, which includes lessons learnt and recommendations for diverse stakeholder needs.

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