Upon the request of Dr. Aileen T. Riel-Espina, OIC and Chief of Hospital III of Eastern Visayas Regional Medical Center (EVRMC), in coordination with Team EINC, the Bless Tetada Kangaroo Mother Care Foundation (KMCF) conducted the KMC training program at the hospital last June 6 to 10. Participants were Nelita P. Salinas, MD, FPPS [Medical Specialist II (Pediatrics)], Ma. Gemma Ramos, MD, DPPS FPPS [Medical Specialist II (Pediatrics)], Audrey Santo, MD, DPPS [Medical Specialist I (Neonatology)], Dolores Casio, RN, MAN (Head Nurse, NICU), Lea Demetria, RN, MAN (Nurse Staff, NICU), Rachel Quilario, RSW (Social Worker II), Janet Galangue, RSW (Department Head, Social Worker Services), and Susana S. Merida, MD, FPOGS [Medical Specialist II (OB-Gyn)].
Prior to the training proper, a KMC orientation was conducted, attended by about 35
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| Graduates of KMC training |
medical and administrative officers of EVRMC and representatives of the local media. At Dr. Riel-Espina’s opening remarks, she stated that the institutionalization of the KMC at EVRMC to would help in better managing the problem of housing mothers with low birth-weight babies still undergoing medical interventions. She also hoped that with this training and the eventual implementation of KMC, EVRMC would be able to satisfy the accreditation requirement of the KMC Foundation.
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 a large body of scientific evidence collected, the KMC program has contributed to the 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; and reduction of costs incurred by families and hospitals.
Dr. Mendoza also gave a brief history of KMC in the Philippines. Initially institutionalized at the Dr. Jose Fabella Memorial Hospital in 2000, it then spread to 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 and the first in the Visayas. 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 EVRMC and Ms. Annabella Guerrero of KMCF.
The five-day KMC training was divided into four major modules composed of 1) history and technical aspects of KMC, 2) values encounter workshops, 3) data documentation and security, and 4) training the KMC trainers. The output of the training, a “Re-entry Action Plan” was prepared by the trainees, enumerating the milestones of their first-year implementation of the KMC program in the Medical Center.
The first day started with a leveling of expectations conducted by Dr. Mendoza. This was followed by a focus group discussion to better understand how EVRMC is dealing with incidences of premature and low birth-weight infants and other related information. An on-site inspection of the NICU and rounds of potential areas for a KMC ward followed.
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 by on-site visits at the NICU or pediatrics 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 to themselves and the other healthcare providers and staff. The workshops touched on the values of compassion, valuing self, cooperation, and peace in the workplace.
The data documentation and security portion of the training tackled the various medical charts and forms required to record the KMC intervention protocol. These were 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 other KMC medical professionals and social workers. Differences between traditional and output-oriented training cultures, training skills and overcoming fear of presenting, and evaluation of the effectivity of the training outcome were tackled. The participants were then asked to pick an aspect of the KMC program they would like to teach the other participants, demonstrating how they would undertake the training.
To prepare the trainees who would form the core team of KMC. Dr. Mendoza introduced the topic “Re-Entry Action Plan or REAP,” a planning tool for developing their annual implementation plans and program for institutionalizing KMC. The morning of the fifth day was devoted to discussing and identifying their first-year objectives, the corresponding activities, responsibilities, budget, output required, schedules/deadlines, monitoring, and evaluation.
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 followed, 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 by the presentation of certificates of participation to the eight 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.
Dr. Mendoza also gave a brief history of KMC in the Philippines. Initially institutionalized at the Dr. Jose Fabella Memorial Hospital in 2000, it then spread to 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 and the first in the Visayas. 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 EVRMC and Ms. Annabella Guerrero of KMCF.
The five-day KMC training was divided into four major modules composed of 1) history and technical aspects of KMC, 2) values encounter workshops, 3) data documentation and security, and 4) training the KMC trainers. The output of the training, a “Re-entry Action Plan” was prepared by the trainees, enumerating the milestones of their first-year implementation of the KMC program in the Medical Center.
The first day started with a leveling of expectations conducted by Dr. Mendoza. This was followed by a focus group discussion to better understand how EVRMC is dealing with incidences of premature and low birth-weight infants and other related information. An on-site inspection of the NICU and rounds of potential areas for a KMC ward followed.
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 by on-site visits at the NICU or pediatrics 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 to themselves and the other healthcare providers and staff. The workshops touched on the values of compassion, valuing self, cooperation, and peace in the workplace.
The data documentation and security portion of the training tackled the various medical charts and forms required to record the KMC intervention protocol. These were 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 other KMC medical professionals and social workers. Differences between traditional and output-oriented training cultures, training skills and overcoming fear of presenting, and evaluation of the effectivity of the training outcome were tackled. The participants were then asked to pick an aspect of the KMC program they would like to teach the other participants, demonstrating how they would undertake the training.
To prepare the trainees who would form the core team of KMC. Dr. Mendoza introduced the topic “Re-Entry Action Plan or REAP,” a planning tool for developing their annual implementation plans and program for institutionalizing KMC. The morning of the fifth day was devoted to discussing and identifying their first-year objectives, the corresponding activities, responsibilities, budget, output required, schedules/deadlines, monitoring, and evaluation.
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 followed, 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 by the presentation of certificates of participation to the eight 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.
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