GOVERNMENT OF THE REPUBLIC OF ZAMBIA (GRZ) And THE ...

Key Strategies and Major Activities:
24. The strategies that will be used to achieve this output are advocacy, institution capacity strengthening
and capacity building. Advocacy activities will include advocacy for the formation of the midwifery
association as well as for the revision of the Midwifery Act.
25. The main activities under institutional capacity strengthening will include: (i) Establishment and
dissemination of the midwifery Professional Regulatory Framework; (ii) Updating the nurses and
midwifery curricula including the provision of financial support for nurses training as Midwifery tutors
and midwives; (iii) Rehabilitation and equipping of midwifery training institutions; and (iv) Mentorship
and Supportive supervision of midwifery services.
26. Capacity building activities will include: (i) Provision of technical and financial support for the
midwifery interest group to transform into an association; (ii) Capacity building of the Midwives
Association will be provided in order to enhance their capacity and skills in advocacy, Leadership,
governance and resource mobilization; (iii) training of nurses and midwives to provide skilled care; and
iv) Support the training of midwifery tutors by Department of Nursing Sciences at UNZA.
Output 03
Strengthened National Capacity for Emergency Obstetric and Newborn Care (EmONC) including
Fistula management.
27. This output will support the strengthening of the capacity of Government and its partners to manage
and coordinate operationalization of the National Reproductive Health Policy and the MNCH roadmap.
At service delivery level, the programme will support the scaling up of reproductive health services,
including those for adolescents, by ensuring the availability of emergency obstetric and newborn care in
selected health facilities. The programme will specifically seek to address the factors that influence access
to maternal health services; these include socio-cultural factors that delay decisions to seek health care;
accessibility issues which delay reaching health facilities; and quality of care issues to ensure availability
of adequate and appropriate treatment. The programme will increase the availability and access to
EmONC by building the capacity of service providers in safe motherhood skills, family planning,
adolescent sexual and reproductive health, and elimination of mother to child transmission, fistula
prevention and management, and upgrading selected health facilities and referral hospitals to offer
BEmONC and CEmONC respectively. The programme will also help strengthen the referral system
between health facilities and communities.
Key Strategies and Major Activities
28. The output will be achieved through capacity building for service providers, institutional capacity
strengthening, policy and advocacy and health promotion efforts at national, district and community
levels in selected provinces.
29. Capacity building interventions will include (i) training health care providers in EmONC, Focused
Antenatal and Postnatal care services and Family Planning; (ii) training selected medical personnel in
fistula management including in-service training in fistula repair (iii) conducting fistula repair camps; (iv)
provision of mentorship and supervision for EmONC and (v) training SMAGs, peer educators and parent
elders in safe motherhood; and (vi) Orienting and mentoring Civil Society Organizations (CSOs) on SRH
to strengthen their capacity to advocate for SRH issues.
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