Midwife

Partners in Health and Development (PHD)

Responsibilities & Context

Background:     

Bangladesh government is yet to develop urban primary healthcare (PHC) like rural PHC in Bangladesh. Hence, urban PHC is dependent on the Out Patient Department (OPD) of public and private secondary/tertiary/specialized hospitals. Hence, a huge portion of the urban dwellers especially vulnerable community remain deprived of getting healthcare. Eventually, them Out of Pocket (OOP) expenditure on health is exceeding the limit for receiving healthcare from almost unregulated private sector.  At this backdrop, Model Urban PHC Clinics (Aalo Clinics) project has been in place designed and developed by a group of experts. Based on the model, Partners in Health and Development - PHD (along with two implementing partners; CMED and NARI MAITREE has been assigned by UNICEF as the lead organization to implement a sustainable system to manage GP centers focused on performance-based payment (P4P) system by the empaneled GPs and allied health workers. The objective is to deliver all components of ESP service both in PHC clinic and community level with a view to promote urban PHC to government for wider scale-up.

Workplace-Aalo Clinics at Dhaka, Gazipur

Key responsibilities:

• Perform ANC and PNC for all pregnant woman at Aalo clinics
• Assess general condition and progress of a pregnancy for normal vaginal delivery
• Conduct uncomplicated normal vaginal delivery independently
• Perform pre-natal, peri-natal and post-natal care
• Pharmacological management of pregnancy and labor
• To apply medical induction of labor as needed
• Identify risk pregnancy, danger sign of pregnancy and consult with GP (if available/needed)
• Document record for each of the pregnancy including physical findings manually in a register (Till digital device/TAB available)
• Efficient use of partograph, fetal monitor and other allied equipment’s
• Provide basic EmOC and neonatal care
• Provide newborn resuscitations and management
• Perform duty as per duty roster
• Manage complications of pregnancy to ensure prompt and timely referral
• To coordinate with GPs and other clinical staffs for proper management of pregnancy and labor
• To adopt necessary procedures following the principles of infection prevention and control (IPC)
• Ensure standard sterilization techniques including use of autoclave
• Ensure early initiation of breast feeding (EIB) and exclusive breast feeding (EBF) following national protocol
• Provide post-partum family planning
• Ensure regular and proper waste disposal
• Follow all national protocol during service delivery ex. NVD, IYCF, IMCI, MCH nutrition etc.
• Ensure Kangaroo Mother Care (KMC) for a Low Birth Weight (LBW) neonate