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Training and Technical Assistance

Training is a core aspect of Gynuity’s work. We prepare health professionals to use reproductive health technologies where they are relatively new or underutilized and train them in research methodology to evaluate services and document the use and acceptability of technology in different contexts. Our training efforts focus on supporting introduction of medical abortion regimens, use of drugs for uterine evacuation and other obstetric indications, such as the management of postpartum hemorrhage. Results of our research naturally inform our training efforts, as we disseminate and distill new information for varied audiences. Through training and information dissemination, we ensure that recent evidence reaches policy makers and health care providers to inform national clinical guidelines and practice. Our training efforts also serve to help providers examine and optimize service provision by evaluating locally generated data.

Alongside training, Gynuity provides technical assistance to health care systems, policy makers, and advocates to incorporate reproductive health technologies into existing services and to evaluate and monitor service delivery options. We provide support to update national guidelines and essential medicines formularies. Gynuity also organizes conferences and meetings to share research findings with health care providers, decision makers and women’s health advocates.

Midwifery and task-sharing to improve maternal and neonatal health (MNH) and sexual and reproductive health (SRH) care in Mexico

Gynuity is working in multiple Mexican states since 2016 to increase awareness among clinical providers and health care administrators about best practices for low-risk pregnancies and births, and more broadly, the continuum of maternal and neonatal health (MNH) and sexual and reproductive health (SRH). In recent years, Mexico has achieved a high rate (94%)[1] of institutional births as a strategy to reduce maternal mortality. This may have led to the unintended consequence of overwhelming public health sector services with low-risk births, diverting limited human and material resources from emergencies and complicated interventions requiring higher level skills and training. The WHO, UNFPA, the International Confederation of Midwives (ICM), and other experts and professional associations  have called for using midwifery care, to ease the burden on healthcare human resources. We seek to foster an enabling environment for the entry of professional midwives and obstetric nurses into the healthcare system through the following key activities:

  • Compile and disseminate evidence-based resources on task-sharing MNH and SRH care into a resource compendium and create a one-day course based on key concepts from the resource compendium.
  • Identify and prepare multidisciplinary teams of clinical trainers and spokespersons to lead dissemination efforts.
  • Educate medical practitioners and students on best practices for low-risk pregnancy and birth and the continuum of MNH and SRH care.
  • Explore health care administrator willingness to integrate midwifery professionals in their services.

We evaluate knowledge, attitudes, and perception of course participants and will disseminate results in 2018. This effort is part of a large initiative funded by the John D. and Catherine T. MacArthur Foundation to promote professional midwifery care in health systems broadly in Mexico.

[1] Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, Romero-Martínez M, Hernández-Ávila M. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 2012.