anatomy of an effective vtt

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2013 RI CONVENTION GLOBAL GRANT VTT TO SIKKIM Districts 1120 & 3240 PDG Dr.Himansu Basu,MD,PhD Consultant Obstetrician Gynaecologist Programme Director, CALMED Team Leader Rtn Denise Collins Dr. Ippokratis Sarris, Dr. Haider Jan, Dr. Vinita Nair,Dr. Radhika Viswanata, Dr. Sangeetha Devarajan

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Page 1: Anatomy of an Effective VTT

2013 RI CONVENTION

GLOBAL GRANT VTT TO SIKKIMDistricts 1120 & 3240

PDG Dr.Himansu Basu,MD,PhDConsultant Obstetrician Gynaecologist

Programme Director, CALMEDTeam Leader Rtn Denise Collins

Dr. Ippokratis Sarris, Dr. Haider Jan,Dr. Vinita Nair,Dr. Radhika Viswanata,

Dr. Sangeetha Devarajan

Page 2: Anatomy of an Effective VTT

2013 RI CONVENTION

FROM GSE TO VTT

FROM A VISIT TO A PROGRAMME

FROM ANY TOPIC TO AN AREA OF FOCUS

FROM EVOLUTION TO REVOLUTION

Evolution of Vocational Rotary Service

Page 3: Anatomy of an Effective VTT

2013 RI CONVENTION

1. BIGGER – BENEFITS LARGE COMMUNITIES

2. BETTER –EVIDENCE BASED

3. BOLDER PROGRAMME WITH EMPHASIS ON IMPACT AND SUSTAINABILITY

Evolution of Vocational Rotary Service

Page 4: Anatomy of an Effective VTT

2013 RI CONVENTION

The Problem

Every 5 Minutes • Three mothers die

• Sixty suffer from severe disabilities following birth injuries

• Twenty babies die at around birth

Page 5: Anatomy of an Effective VTT

2013 RI CONVENTION

The Tragedy

• These occur mostly in low resourced countries

• These are mostly preventable

• A collaborative action is needed

Page 6: Anatomy of an Effective VTT

2013 RI CONVENTION

Maternal Mortality – a case of being in the wrong place !

A practical solution in low resourced countries

Page 7: Anatomy of an Effective VTT

2013 RI CONVENTION

• Collaborative

• Actions in

• Lowering of

• Maternity

• Encountered

• Deaths

CALMED MODELProtecting Mothers’ and Babies’ Health

Page 8: Anatomy of an Effective VTT

2013 RI CONVENTION

C.A.L.M.E.D. CASCADE

Monitoring & Evaluation

Training the Trainers

T

Rotarians on Resources

Raising Awareness by

Women’s Groups

Two further visits at 12 and 24 months

Page 9: Anatomy of an Effective VTT

2013 RI CONVENTION

OUR COLLABORATORS OUR COLLABORATORS

Page 10: Anatomy of an Effective VTT

2013 RI CONVENTION

At the foothills of the Himalayas !

Page 11: Anatomy of an Effective VTT

2013 RI CONVENTION

Preparatory Phase Team Selection - 6 Ob-Gyn and LeadGlobal Grant Application -Budget $ 50,000

- DDF $25,000 - World Fund $ 25,000

Team Visit Follow Up –Visits , Monitoring and

Evaluation – it works !

VTT CORE ACTIVITIES - 5 Stages

Page 12: Anatomy of an Effective VTT

2013 RI CONVENTION

We were invited and visited Sikkim twice before VTT !

Page 13: Anatomy of an Effective VTT

2013 RI CONVENTION

The Team in Sikkim

Page 14: Anatomy of an Effective VTT

2013 RI CONVENTION

• A- 7 train 13 local Faculty –Adapted WHO Manuals ,Simulators ,Role Play and Interaction with Trainees – Pre and Post Course Tests.

• B- 13 train 19 workers –supported by 7 VTT members –Same method of Training and Tests

VTT TRAINING CASCADE A to ESIKKIM –APRIL 2013

Page 15: Anatomy of an Effective VTT

2013 RI CONVENTION

• C ─ All 20 participate in awareness training of 39 primary “carers”- Charts ,Posters , DVDs, Interaction

• D ─ Discussion with 19 from Women’s Groups(8) including 8 IW Members – way forward with ASHAs and NRHM

• E ─ Legacy - Training Materials, ─ Mentoring, Return Visits

VTT TRAINING CASCADE A to ESIKKIM –APRIL 2013

Page 16: Anatomy of an Effective VTT

2013 RI CONVENTION

Please listen carefully ………….

Page 17: Anatomy of an Effective VTT

2013 RI CONVENTION

A case of a collapsed pregnant woman!

Page 18: Anatomy of an Effective VTT

2013 RI CONVENTION

Please Concentrate !

Page 19: Anatomy of an Effective VTT

2013 RI CONVENTION

Could you show that again please ?...................

Page 20: Anatomy of an Effective VTT

2013 RI CONVENTION

Oops ! Please be careful –it hurts !

Page 21: Anatomy of an Effective VTT

2013 RI CONVENTION

Team Meeting with Government

Rotary’s Advocacy role

Page 22: Anatomy of an Effective VTT

2013 RI CONVENTION

May we please join you, ladies ?

ASHA’s Advocacy role

Page 23: Anatomy of an Effective VTT

2013 RI CONVENTION

Well Done Teams – You can Smile too!

Page 24: Anatomy of an Effective VTT

2013 RI CONVENTION

Why is CALMED VTT important ?• Comprehensive sustainable

programme –hits at the root causes

• Incorporates monitoring and evaluation as parts of the programme

• Collaborative action with 7 other organisations –within and outside Rotary

Page 25: Anatomy of an Effective VTT

2013 RI CONVENTION

Why is CALMED VTT important ?• Based on knowledge and evidence• Empowers professionals,

communities, Rotary and partners • VTT with TOT has multiplying

effects.• Return visits ,mentoring ,legacy of

equipment and other resources

Page 26: Anatomy of an Effective VTT

2013 RI CONVENTION

Why is CALMED VTT important ?

• It is Collaborative• It is Comprehensive• It Cascades to the grass roots

It is a Revolution saving lives of mothers and babies - It works !

Page 27: Anatomy of an Effective VTT

2013 RI CONVENTION

Next Steps

• District 1120 is going to Bihar, District 3250 in December,2013 ……