Department of Reproductive Health and Research (RHR), World Health Organization
Managing Complications in Pregnancy and Childbirth
A guide for midwives and doctors
Section 1 - Clinical Principles
Provider and community linkages
The district hospital should strive to create a welcoming environment for women, communities and providers from peripheral health units. It should support the worthy efforts of other providers and work with them to correct deficiencies.
When dealing with other providers, doctors and midwives at the district hospital should:
When dealing with the community, doctors and midwives at the district hospital should:
MEETING THE NEEDS OF WOMEN
To enhance its appeal to women and the community, the district hospital should be willing to examine its own service delivery practices. The facility should create a culturally sensitive and comfortable environment which:
With careful planning, the facility can create this environment without interfering with its ability to respond to complications or emergencies.
Each woman who is referred to the district hospital should be given a standard referral slip containing the following information:
The referral slip should also include the outcome of the referral. The referral slip should be sent back to the referring facility with the woman or the person who brought her. Both the district hospital and the referring facility should keep a record of all referrals as a quality assurance mechanism:
District hospitals should offer clinical training for peripheral providers that is high-quality and participatory. Participatory training is skill- focused and is more effective than classroom-based training because it:
Rapid initial assessment