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Why do we need ALARM Why do we need ALARM course ? course ? Objectives : Objectives : 1. Qualification 1. Qualification 2. Standard of care 2. Standard of care 3. Reduction of MMR&PMR through EmOC 3. Reduction of MMR&PMR through EmOC

Why Do We Need ALARM Course

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  • Why do we need ALARM course ?

    Objectives :

    1. Qualification

    2. Standard of care

    3. Reduction of MMR&PMR through EmOC

  • Political Statement

    SMI (1989) Indonesia to reduce MMR 450 half (in 2000)MPS (2001) Every pregnancy should be wantedEvery complication should have proper care90% of delivery by skilled attendants
  • Reasons

    High MMR & PMRStandard GuidelinesTraining
  • FACTS

    MMR 396/100.000CBR = 2.65.2 million deliveries/year57% CPRUnmet need 9%63% delivery by Skilled attendants75% of Hospitals have OG60.000 midwives deployed in villagesPMR 30%o150.000 Perinatal deaths/yearQUALITY OF ATTENDANTS ?POVERTY (50%)7000 HC+bed underutilized
  • Deaths could be prevented

    Pregnancy - Labour Complications mild Complications severe deathsTarget : Skilled attendants that competence in dealing with complication (EmOC)TRAINING
  • MMR

    Indonesia 396 (2000)Subang district 110Bali 88Lombok 120East Java (selected) 55
  • Technology

    Postpartum hemorrhage AM3 +MisoprostolEclampsia MgSO4 + NifedipineSepsis antibioticUnwanted pregnancy safe abortion + PACProlonged labour partogram, CS,vacuum ext.
  • Healthy Indonesia 2010

    MMR 125IMR 15ANC 1 =95%, ANC 4 =80%Skilled attendant cov. 90%80% Complications should be properly cared
  • Colaboration of Ob-Gyn & Midwives

    Improve quality of careStandard of training programExtension of training to every districts (400+)Monitoring & evaluation
  • Cooperation

    POGI 1500

    Midwifery Association

    70.000 members

    JNPK

  • Figure: ALARM certified Spesialist will be involved in the training of EmOC for Health centres nurses, doctors and midwives

    EmOC

    (BEONC)

    Midwives

    ALARM

    Course

    Ob-Gyn

  • Organization

    Headquarter5 centresMedan, Jakarta, Semarang, Surabaya & MakassarQuality control3-4 training program/centre/yearTrainers : ALARM certified faculty for EmOC (Beonc)