Technology introduction: the safe birth example
Health Technology Directions 8(2): 1-11
1988
ISSN/ISBN: 0730-8620 PMID: 12281653 Document Number: 358443
This issue describes how well planned technology introduction programs (the process by which a technology is field tested, refined, retested, and introduced into widespread use), are essential if people are to benefit from new birth-care technologies to confront the tragedy of maternal mortality and morbidity. PATH's safe birth programs have been conducted in project sites in Bangladesh, Malawi, the Yemen Arab Republic, and Zambia. Staff in each project collected qualitative and quantitative data, reviewing existing data from research studies or service statistics, interviewing local experts, conducting focus group discussions, and carrying out small surveys. 3 effective, inexpensive, and easy-to-use technologies were introduced (Birthweight, PATHstrips, Pictorial record-keeping and referral cards). They were also culturally and politically acceptable, environmentally harmless, and could be manufactured locally. Related policies were designed in each situation: what to do when low birth-weight is detected, where to send women of complicated delivery. Safe birth program has been emphasizing solid logistical support: hands-on training of the traditional birth attendants, consistent and effective supervision, maintenance and resupply issues were addressed before national introduction begins. Antenatal technologies described include maternal records keeping, diagnostic and treatment of anemia, maternal stature determination, maternal weight gain and pre-eclampsia detecting. Delivery care technologies are also covered: delivery kits, disinfection methods, and how to deal with obstructed labor. Post partum technologies covered are how to react in case of hemorrhage, detect low birthweight, prevent sexually transmitted diseases, maintain newborn warmth, and prevent dangerous subsequent births. The issue concludes with management technologies: referral systems, transportation, and organizing of supervision visits.