Maternal and Perinatal Mortality are Obstetric and Neonatal tragedies worldwide. Of the global Maternal Mortality occurrences, the vast majority occur in low-resource settings and Nigeria accounts for nearly 20% of the global death. The lifetime risk of dying in Nigeria is 1 in 22 during pregnancy, childbirth or postpartum period compared to 1 in 4,900 in most developed countries. The causes of maternal mortality include pre-eclampsia/eclampsia (PEE), obstructed labor, postpartum hemorrhage, puerperal sepsis and abortion complications.These causes are preventable when labour is supervised by Skilled Birth Attendants (SBAs). Perinatal morbidity and mortality are closely related to events during pregnancy and labor. The high rate in Nigeria is a result of poor maternal health, sub-optimal care during pregnancy, childbirth, and in the postnatal period. The major causes of newborn deaths are birth asphyxia, neonatal sepsis and prematurity. Universal access to Basic Emergency Obstetrics and Neonatal Care (BEmONC) services is one of the strategies that can reduce these deaths and sufferings. Improving access to quality basic emergency obstetrics and newborn care is critical to reducing these preventable maternal and newborn deaths and is a top priority of the Government of Nigeria (GoN). Aligning with the commitment of the Federal Ministry of Health and Social Welfare (FMOHSW) to ensure that “no woman dies during pregnancy, childbirth and in postpartum”, Jhpiego, with funding from United States Government through the Department of States in Nigeria is providing technical assistance to GoN to bridge lingering gaps in the capacities of doctors, nurses, midwives, and Community Health Extension Workers (CHEWs) working in MCGL supported Primary Health Care (PHC) facilities with Kebbi State to provide life saving BEmONC signal functions.
This intervention aims to bridge existing gaps in the competencies of PHC facilities healthcare workers to provide BEmONC services and ultimately improve the quality of services for women and newborns during pregnancy, labour, childbirth and postnatal period.
The specific objectives include building the capacity of healthcare workers to provide quality:1. Antenatal care (ANC) services, including Group ANC, in alignment with the recent WHO guideline on ANC for positive pregnancy experience.2. Management of labour and childbirth using the national labour care guide (LCG), prevention, early identification and management of prolonged labour/labour obstruction, maternal and fetal distress.3. Provide essential care for every baby to include skin-to-skin care, delayed cord clamping, cord care using chlorhexidine gel, eye care using 0.5% erythromycin eye ointment, administration of vitamin K for prevention of haemorrhagic disease of newborn, helping baby breathe within the “golden minute” using bag and mask, screening of the newborn for congenital anomalies, support early initiation of exclusive breast feeding. 4. Care for small and low birth weight babies using immediate Kangaroo Mother Care (KMC), signs and symptoms for early identification, immediate care and prompt referral of newborn complications such as neonatal jaundice, neonatal sepsis, respiratory distress, encephalopathy, 5. Prevention and management of obstetrics complications including parenteral administration of oxytocic for the management of the third stage of labour, use of PPH bundle for early identification and prompt management of PPH, use of MgSO4 for treatment of severe pre-eclampsia/eclampsia, use of parenteral antibiotics for prevention and management of puerperal sepsis, manual removal of retained placenta, manual vacuum aspiration (MVA) for evacuation of incomplete abortion, and assisted vaginal delivery with vacuum extractor.6. Build capacity to improve two-way referral system at the facility level.
In collaboration with Jhpiego staff:1. Each ad-hoc personnel will participate in a 5-day skills standardization and pre-training planning workshop to be organized by Jhpiego.2. Conduct an advocacy visit to the SPHCDA prior to the commencement of the training and participate in a post-training debrief of stakeholders.3. Conduct a 7-day on-site capacity building of an average of 6 healthcare care workers at the PHC, which would include community health extension workers, community midwives, nurses and midwives.4. Conduct a 4-day follow-up mentoring of the trained healthcare workers to strengthen their confidence and competence in using the newly acquired knowledge and skills.5. Conduct pre- and post-test assessments for each of the modules of the training package.6. Submit a comprehensive report at the end of the training and at the end of the mentoring within 5 working days after completion of each task.
Deliverables:1. Detailed and analysed pre- and post- training scores for each of the trainees for each module of the training package.2. Detail report of the training and mentoring to be submitted within 5 working days of completion of each task.
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Jhpiego offers competitive salaries and a comprehensive employee benefits package.
Please apply at www.jhpiego.org/careers
Applicants must submit a single document for upload to include: cover letter, resume, and references.
For further information about Jhpiego, visit our website at www.jhpiego.org
Note: The successful candidate selected for this position will be subject to a pre-employment background investigation.
Jhpiego is an Affirmative Action/Equal Opportunity Employer
Jhpiego, a Johns Hopkins University affiliate, is an equal opportunity employer and does not discriminate on the basis of gender, marital status, pregnancy, race, color, ethnicity, national origin, age, disability, religion, sexual orientation, gender identity or expression, veteran status, other legally protected characteristics or any other occupationally irrelevant criteria. Jhpiego promotes Affirmative Action for minorities, women, individuals who are disabled, and veterans.
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Jhpiego is a nonprofit global leader in the creation and delivery of transformative health care solutions for the developing world. In partnership with national governments, health experts and local communities, we build health providers’ skills, and develop systems that save lives now and guarantee healthier futures for women and their families. Our aim is revolutionizing health care for the planet’s most disadvantaged people.
Jhpiego, a Johns Hopkins University Affiliate, translates decades of program experience and in-depth technical knowledge into moments of care that can mean the difference between life and death for women and families. The moment a woman gives birth; the moment a midwife helps a newborn to breath; the moment a nurse screens for cervical cancer with a simple vinegar swab; the moment a community health worker tests a man for HIV and reports he is HIV free. By embedding the know-how and skills into everyday practice, we are able to increase access to quality health services and create a healthier future for generations to come. Access to lifesaving health care for all people, whoever they are, wherever they live, that’s our mission.
Jhpiego saves lives, improves health, transforms futures.
