Upon the request of Dr Aileen R. Espina, OIC and Chief of Hospital III of Eastern Visayas Regional Medical Center (EVRMC), the Bless Tetada Kangaroo Mother Care Foundation (KMCF) conducted the KMC training program at the hospital last June 6-10, 2011. Eight (8) healthcare professionals were chosen to undergo the 5-day intensive course and become the KMC core team of the hospital. The team was composed of the following:
DOLORES CASIO,RN, MAN - Head Nurse, NICU
LEA DEMETRIA, RN, MAN - Staff Nurse, NICU
JANET GALANGUE, RSW - Department Head, Social Service
RACHEL QUILARIO, RSW - Social Worker II
SUSANA S. MERIDA, MD, FPOGS - Medical Specialist II (Consultant, OB-Gyn)
GEMMA RAMOS, M.D., DPPS - Medical Specialist II (Consultant, Paediatrics)
NELITA P. SALINAS, MD, FPPS - Medical Specialist II (Consultant, Paediatrics)
AUDREY SANTO, MD, DPPS - Medical Specialist I (Consultant, Neonatology)
Prior to the training proper, a KMC orientation was presented to 35 medical, paramedical and administrative officers of EVRMC and representatives of the local media. At Dr Aileen R. Espina’s opening remarks, she reiterated that KMC is very much needed at EVRMC to help reduce infant morbidity and mortality in the Region, which is one of the MDG commitments of the government. Furthermore, she also mentioned that the institutionalization of the KMC program at the Medical Center will help improve their problem of overstaying mothers awaiting discharge of their low birth weight babies from the NICU. She also hoped that with this training and the eventual implementation of KMC, EVRMC will be able to satisfy the accreditation requirement of the KMC Foundation to be the KMC Center for Region 8. She envisions that through KMC, the hospital will be able to better serve the needs of the people of the region.
At the press conference that followed, Dr Socorro Mendoza, President of Bless-Tetada Kangaroo Mother Care Foundation-Philippines and Dr. Espina were interviewed about the concept and benefits of Kangaroo Mother Care. Dr Mendoza mentioned that based on worldwide experiences and scientific evidences collected, the KMC program has contributed to the following:
Reduction in the risk of death among the low birth weight babies
Higher rates of breastfeeding among mothers
Adequate infant growth, especially head circumference
Better mother–child bonding
Less cost to family as well as to the hospitals
She also mentioned that the program was institutionalized in the Philippines initially at the Dr. Jose Fabella Memorial Hospital in 2000, followed by Don Mariano Marcos Memorial Hospital in 2010, and Southern Philippines Medical Center in Davao City in May 2011. EVRMC is the fourth Hospital to implement KMC. Highlights of the press conference were broadcast over the local media.
At the end of the orientation and press conference, the Memorandum of Agreement (MOA) for the implementation of KMC in EVRMC was signed by Dr Espina, representing EVRMC and Dr Mendoza, representing KMCF. Witnesses to the signing were Dr Rhodora Angulo of Chair of the Department of Pediatrics, EVRMC and Ms Annabella Guerrero Board Secretary of the KMCF.
The 5 day KMC training was divided into 4 major modules composed of 1) history, concept, processes and technical aspects of KMC, 2) values encounter workshops, 3) data documentation and security, and 4) training the KMC trainers.Output of the training is a “Re Entry Action Plan”, prepared by the trainees, enumerating the milestones they envision to achieve after their first year implementation of the KMC program in the Medical Center.
The KMC technical lectures covered the history and origin of Kangaroo Mother Care, the KMC concept and protocol, enrolment of qualified infants to KMC, in-patient and out-patient KMC interventions, discharging protocol and home follow-ups. The topics were introduced with a lecture, followed with on-site visits at the NICU or paediatrics ward for hands-on experiences. A group discussion ensued to solicit concerns or anticipated problems on the topic.
The values encounter sessions tackled the importance of values in the delivery of quality healthcare, not just to their clients, but also for themselves and for the other healthcare providers and staff of EVRMC. The workshops touched on the values of compassion, valuing self, cooperation and peace in the work place.
The data documentation and security portion of the training tackled the various medical charts and form required to record the KMC intervention protocol to be implemented in the Medical Center. These are composed of the in-patient profile and chart, the ambulatory chart, the contract, and the evaluation of the preparedness of the mother and the family to adapt the KMC technique.
The training of KMC trainers underscored the need to develop skills to become competent trainers of the KMC program among the medical professionals and social workers who will be tasked with implementing KMC intervention in the Medical Center. The training topics touched on:
Differences between traditional and output-oriented training cultures
Training skills and overcoming fear of presenting
Evaluation of effectivity of training outcome
To assess the participants’ grasp of the training module, they were asked to pick an aspect of the KMC program they would like to teach and demonstrate to the other participants how they will undertake the training.
To prepare the trainees, who will form the core team of KMC in the Medical Center, Dr Mendoza introduced the topic on “Re-Entry Action Plan or REAP” a planning tool they can use to develop their annual implementation plans and program for institutionalizing KMC.
The morning of the 5th day was devoted to discussing and identifying their first year objectives, the corresponding activities, responsibilities, budget, output required, schedules/deadlines, monitoring and evaluation. The core team was divided into 2 groups.One group developed the training programs required, while the other group developed the service implementation plan.
The afternoon of the last day was devoted to presenting the core team’s REAP to Dr Espina, and other heads of the EVRMC administration and services, including Dr Rama, the head of training. A lively discussion ensued, participated in by all present, to fine tune or to suggest activities and output required.
All in all, the 5-day training course ended with a generous expression of thanks and good feelings for the achievement of the objectives identified on the first day. Dr. Espina closed the training session with high hopes for the implementation of the KMC program in the Medical Center, followed with the presentation of certificates of participation to the 8 members of the KMC Core Team. Part of the commitment of the KMC Foundation is to provide guidance and expert advice to the KMC Core Team of EVRMC, by way of quarterly visits.