International Training Programme in Sexual and Reproductive Health and Rights 2006-2010 Contact information Improving the Care of Sexual Violence Survivors at PGH, Nakuru, ITP 5: [email protected] Improving Post Abortal Care Services at Kenyatta National Hospital, ITP 7: [email protected] Kenya Lund University, Faculty of Medicine NAME OF PROJECT Improving the Care of Sexual Violence Survivors at PGH, Nakuru, ITP 5 DIRECT OUTCOME OF PROJECT • Establishment of a post rape care centre at the hospital casualty department which provides comprehensive post rape care • Improvement of documentation on sexual violence cases • Training of staff on GBV SPIN-OFF EFFECTS • Community mobilization and networking with other stakeholders in the region to form the South Rift GBV Network • Attracted further support and currently have established an expanded and fully fledged GBV Recovery Centre at the hospital which was inaugurated on Sept 2011 • Establishement of the GBVRC at the Gynaecology ward, Kenyatta National Hospital, Nairobi after direct intervention by our ITP 5 member NEXT STEPS • Create awerness to the community and other health workers • Roll out the GBV centers to other hospitals • Incorporate into the pre-service and in-service training curriculum for all health workers NAME OF PROJECT Improving Post Abortal Care Services at Kenyatta National Hospital, ITP 7 DIRECT OUTCOME OF PROJECT • The training provided good obstetrician - midwife relationship thus improving teamwork at place of work and service provision • The change project led to reduced patient turn-around time • In coorperation of adequate analgesia by cervical block during uterine evacuation/MVA • In cooperation of FP methods into post abortal care and counseling • Change of attitude among healthcare providers towards PAC services • Development and adoption of standard operating procedure (SOP) guideline in post abortal care SPIN-OFF EFFECTS • In cooperation of FP and provider initiated counseling and testing within PAC services • Improvement of pain management during uterine evacuation by use of para-cervical block • Reduction of turn-around time through comprehensive pack services offered within the same unit (acute gynae ward) • Change of attitude among health care workers of PAC following senitration seminars conducted by the ITP7 group in SRHR who are now friendly to the PAC clients • Improved knowledge and skills among the care providers in PAC/SRHR through training initiated by the change project team which created a more friendly atmosphere hence increased utilization • Direct accessibility to the SRHR services through integration of PAC, HIV testing and FP services NEXT STEPS • Scaling up from the facility to peripheral facilities • In coorperation of cervical block training into pre-service curriculum for doctors and midwives • Training of more doctors and midwives in all PAC components The childrens recovery room at Kenyatta National Hospital GBVRC reception area at Kenyatta National Hospital A midvife providing care at Nakuru PGH, GBVR center FP materials within the PAC-counseling room Training on cervical block PAC Sensitisation to midwives and student nurses