Cursuri de pregătire pentru medici, moașe, asistenți medicali din îngrijirea primară și maternități să lucreze direct cu femeile și copiii
In Romania, the medical system for women’s and children’s health is frequently under pressure, with major problems affecting health in various forms.
It is essential that health professionals in maternal and child care specialties work together and are equipped with all the necessary tools to be able to provide better care and services to pregnant women, mothers and newborns, according to best practices and evidence-based recommendations.
Cu acest obiectiv, cu sprijinul UNICEF în România, în 2022 am pus bazele unei rețele de profesioniști medicali – “Caring for Mothers” Network” – cu scopul de a realiza o mai bună conectare a nivelurilor de îngrijire între ele și de a furniza personalului medical instrumentele necesare, astfel încât femeile și copiii români, dar și cei refugiați în țara noastră să beneficieze de servicii medicale complete, sigure, ușor de accesat și echitabile.
Thus, between septembrie 2022 – martie 2023with the support of UNICEF in Romania, our association delivered in six cities in Romania ((Bucharest, Constanța, Brașov, Vaslui, Suceava, Iași) o serie de cursuri de pregătire pentru medici, moașe, asistenți medicali din îngrijirea primară și maternități – să lucreze direct cu femeile și copiii, inclusiv refugiați în România, fiind the first initiative of its kind that brings together medical professionals from primary, secondary and tertiary care..
During this period, 250 health professionals din orașele menționate – medici și asistenți medicali din cabinete de medicină de familie, moașe și medici rezidenți și asistenți medicali de obstetrică-ginecologie și neonatologie – au beneficiat de formare bazată pe cele mai noi și eficiente practici privind îngrijirea antenatală, dar și cu privire la alfabetizarea în domeniul sănătății, măsuri de sănătate publică, educație postnatală, consiliere și sprijin în domeniul alăptării, îngrijire medicală și prevenție pentru nou-născuți și copii, promovarea vaccinării pentru populația pediatrică din România, inclusiv cea refugiată, și combaterea violenței sexuale și de gen.
The training sessions were structured in three sessions of four modules each and were delivered by eight specialists - midwives, neonatologists, health literacy experts, psychologists, breastfeeding (IBCLC), public health, and sexual and gender-based violence consultants. In addition to their academic and professional training, the trainers who taught the courses also benefited from specialist training to develop skills in facilitating and promoting services for mothers and children, including refugees in Romania.
As a result of the debates and active participation in the courses, the participating health professionals and the eight specialists reiterated or identified a number of problems faced by pregnant women and medical staff on all these topics, as well as solutions that will help to solve them.
Indiferent de orașul în care profesează cadrele medicale care au participat la sesiunile de curs, de diferențele culturale sau economice din regiunile în care au fost susținute cursurile, personalul medical a semnalat, în general, subfinanțarea serviciilor de sănătate, lipsa resurselor umane, dificultatea colaborării sau comunicării interdisciplinare, între medicii din diferite specialități, asistenți, moașe, lipsa educației și a alfabetizării pentru sănătate, a cursurilor de formare continuă pentru personalul medical, de comunicare personal medical – pacient, precum și nevoia de debirocratizare și degrevare a personalului medical pentru a putea acorda mai mult timp pacientului.
One of the main benefits appreciated by our course participants has been that this is the first time that such specialists have been brought together in a training program dedicated to primary care and hospital medical teams.
In terms of access to antenatal care services,the following problems faced by health care staff or women with direct consequences on the health of pregnant women, mothers and babies emerged from the course sessions, discussions and feedback:
Following the interaction of trainers with medical professionals in training, evaluation and feedback sessions, in order to address some of the needs of medical staff so that services are patient-centered, the following solutions and directions for action were identified:
Feedback personal medical – Rețeaua „Grijă de Mamă”
Feedback received from health care staff is a critical component in learning about the challenges and issues patients and health care professionals are facing and also in helping us identify solutions so that health care professionals can provide comprehensive, safe, accessible and equitable services for pregnant women, mothers and children.
The results of the feedback questionnaires received from 76.8% of the participants in the “Courses to improve access to healthcare and support for mothers and children” sessions of the “Caring for Mothers” Network were centralized and the following data emerged:
Regarding Solutions for improving access to antenatal care for Romanian and refugee women, among the respondents to the feedback questionnaire:
Regarding olutions for increasing access to antenatal education, respondents to the feedback questionnaire proposed:
We were pleased to see in this project such a high level of commitment from medical professionals to work together to find solutions to provide better and more accessible healthcare for women and children
Therefore, in the coming period, we will organize a series of meetings at central and local level with decision-makers and representatives of the authorities to present the findings and solutions identified.
Vocea fiecărui participant este auzită în cadrul Rețelei „Grijă de mamă” și știm că este nevoie ca personalul medical să aibă nevoile împlinite și să primească toate uneltele necesare pentru a putea oferi la rândul său grijă femeilor gravide, mamelor și nou-născuților conform recomandărilor bazate pe dovezi.
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Starting August 2022, the Independent Midwives Association (AMI) provides, as part of the Project “Support Network for Reproductive Health and Increased Access to Pediatric Care for Refugee Women and Children”, implemented with the support of UNICEF in Romania, medical services for refugee women and mothers from Ukraine, consultations for newborns, pre- and post-natal education. Also as part of the project which will run until July 2023, AMI offers breastfeeding counselling, consultations and vaccination for refugee children in Bucharest, support and guidance for accessing health services, information and call center for reproductive health and prevention of gender-based violence, recreational activities for children, translation services and legal support for refugees, as well as training courses for medical staff to work directly with Romanian women and children, as well as with refugees in Romania.