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Association Médicale Franco Yéménite AMFY Association loi de 1901. N° 3218 du 24 septembre 1990, et N°2337 du 12 juillet 1995. N° SIRET 433 186 020 00015 Project MOTHER –CHILD HEALTH in TAÏZ REPUBLICAN HOSPITAL, In TAÏZ and the REGION OBJECTIVE OF THE PROJECT Targets : Contribute to the reduction of children mortality during pregnancy and delivery in TAEZ and surrounding areas. improving taking in charge pregnancy and normal or pathological delivery in TAEZ’s Republican Hospital. General tar
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  Association Médicale Franco Yéménite AMFY Association loi de 1901. N° 3218 du 24 septembre1990,et N°2337 du 12 juillet 1995.N° SIRET 433 186 020 00015 Project MOTHER –CHILD HEALTH in TAÏZ REPUBLICAN HOSPITAL,In TAÏZ and the REGION OBJECTIVE OF THE PROJECT Target s : Contribute to the reduction of children mortality during pregnancy and delivery in TAEZ andsurrounding areas. General target : improving taking in charge pregnancy and normal or pathological delivery in TAEZ’sRepublican Hospital. Specific targets: - increasing the proportion of women being medically followed and delivering in the Republican Hospital-Teaching mothers about basic hygiene and care in motherhood together with spreading theseinformations all around.-Training all medical staff concerned by pregnancy and delivery, together with pregnant women in Taiz inorder to detect, prevent and take in charge pathological or risky pregnancies.-Improving the training of Yemenis health professionals in prevention and taking in charge pregnancytoxemia , delivery bleeding and new borns medical care. ACTION PLAN The meansSuppliance of non existing materiel at the hospital: - Fetal monitoring equipment which is absolutely necessary in order to attend first targets. Latter on, themanagement would like to have five others monitors (one for each delivery room.- An ultrasound colour Doppler that is absolutely necessary for the monitoring of normal or risky pregnancies. Experts missions in TAEZ Siège social : chez le Dr Hiance, 2 sente des cheminées 95300 PontoiseSecrétariat :  jgeorges@ch-versailles.frSite : http://www.amfy.fr  Association Médicale Franco Yéménite AMFY Association loi de 1901. N° 3218 du 24 septembre1990,et N°2337 du 12 juillet 1995.N° SIRET 433 186 020 00015 - Twelve expert missions for a period of one week (1 mission of 5 expert, 1 mission of three experts, 2missions of 1 expert, 1 final evaluation mission of 2 experts) are scheduled over a period of one year(October 2009-May 2010) to ensure minimal training of hospital professionals.a) monitoring clinical and ultrasonographic pregnancy, delivery, using fetal monitoring, preventionand management of pathological bleeding deliveriesb) taking in charge pregnancy toxemia and preventionc) mother’s and new born’s healthcare and hygiene .The experts’ French trainers are multi-sided in their professions: obstetricians, midwives, sonographers,pediatricians, nephrologists. All of them are trained and experienced in working with developing countries.Each mission will include at least one doctor familiar with Yemen and Taiz and who has already practicedunder the French Yemen Medical Association. First mission : from 2 till 12 October 2009, five experts o Participants :- M.D. Hélène BERSENEFF, former medical internal of Hospitals, gynecologistobstetrician, Hospital Practitioner at the Hospital of Pontoise (France), member of FYMA and coordinator of this project.- M.D. Benoit MENNESSON, former medical internal of Hospitals, gynecologistobstetrician, Hospital Practitioner at the Hospital of Pontoise (France), specialist inobstetrical ultrasound.- M.D. Jean-Michel MURAY, former medical internal of Hospitals, former CCA,gynecology and obstetrics Head of Department at the Hospital of Pontoise (France).Experiences in Togo and Vietnam.-Mme Christine TAUZIN, midwife, Hospital of Pontoise (France).- M.D. Jean-François HIANCE, former medical internal of Hospitals, former CCA,Cardiologist who has been working for 7 years in TAEZ President of FYMA.o Topics : training of midwives and gynecologist of the unit1)Monitoring of normal pregnancies: Siège social : chez le Dr Hiance, 2 sente des cheminées 95300 PontoiseSecrétariat :  jgeorges@ch-versailles.frSite : http://www.amfy.fr  Association Médicale Franco Yéménite AMFY Association loi de 1901. N° 3218 du 24 septembre1990,et N°2337 du 12 juillet 1995.N° SIRET 433 186 020 00015 ã Establish a repository of knowledge for clinical, biological and ultrasound used by midwives and doctorsof the unit;ã Theoretical and practical courses together with training for midwives in screening of diseases :Hypertension, Diabetes 2) Normal delivery :cãUsing a diagram for labour and deliveryãTraining for using fetal monitoringãDetection of abnormal delivery and post-partumãPrevention of delivery bleeding.3)Post-PartumãTheoretical and practical courses for midwives on quality of healthcare and hygiene for mothers and newborns. 4) Training of doctorsãTo Ultrasound scanãTo forceps, instrumental extraction and caesarean sectionãTo take in charge delivery bleeding. Estimated forecast of the mission: (the program presented on 5 full days can be broken down intoseveral half days in order to accommodate half-time activity of most hospital doctors Yemeni) Siège social : chez le Dr Hiance, 2 sente des cheminées 95300 PontoiseSecrétariat :  jgeorges@ch-versailles.frSite : http://www.amfy.fr  Association Médicale Franco Yéménite AMFY Association loi de 1901. N° 3218 du 24 septembre1990,et N°2337 du 12 juillet 1995.N° SIRET 433 186 020 00015 Day 1: -Morning: Check up of available skills and means, number of births and caesarean sections.-Beginning AM: Presentationsã M.D. Muray: point on mortality in delivery from bleeding in Taizã M.D. Mennesson: general principles of fetal echocardiography : principles evaluations of the reports of ultrasoundã Mrs. Tauzin: universal precautions and hygiene rules. Developing a plan for delivery at a hospital and athome Day 2: - Morning : Presentations / Workshops practicesã M.D. Muray : reminder about the risk factors of delivery bleedingã M.D. Mennesson : ultrasound of fetal heartã Mme Tauzin : pregnant woman consultation, normal and pathological- Miday, afternoonã M.D. Muray : hemorrhagic shock and its specificity concerning young womenã M.D. Mennesson : consultations and practical demonstrationsã Mme Tauzin : consultation with midwives Day 3 : Morning: Presentations / Workshops practicesã M.D. Muray : taking in charge obstetrical bleeding : resuscitation, medicines, using simple small ways,basic surgical techniquesã M.D. Mennesson : cephalic and renal fetal ultrasoundã Mrs Tauzin : beginning of delivery signs, danger signs, how to get ready to face complications.Afternoon :ã M.D. Muray: practical discussions in delivery roomsã M.D. Mennesson ultrasound demonstration and consultationã Mrs Tauzin: following up with midwives of women in labor Day 4 : Morning: Presentations / Workshops practicesã M.D. Muray : Prevention of obstetric hemorrhages: delivery third time and OMS recommendations.ã M.D. Mennesson : normal fetal cardiac rythm (monitoring)ãMrs Tauzin: patient examination during labor and complications stage detection Day 5: Morning: Presentations / Workshops practicesã M.D. Muray: management of pregnancy anemiaã M.D. Mennesson: pathologic fetal cardiac rythmã Mrs Tauzin: Managing complications and difficulties during labor and deliveryAfternoon :ã M.D. Muray and Mrs Tauzin: establishing protocols for full work that took place on days before anddisplay it in work rooms.ã M.D. Menneson: fetal cardiac rythm analysis in work rooms Second mission : from 4 till 10 th of January 2010, three experts Siège social : chez le Dr Hiance, 2 sente des cheminées 95300 PontoiseSecrétariat :  jgeorges@ch-versailles.frSite : http://www.amfy.fr
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