Northern Cape Department of Health

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Northern Cape Department of Health
Kimberley Hospital Complex Ms ZPP Tantsi
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BACKGROUND

• RURAL PROVINCE
• Poverty Stricken
• Unemployment Rate
• Literacy Rate
• Malnutrition rate
• Infant Mortality
• Socio-economic backgrounds

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KIMBERLEY HOSPITAL COMPLEX

• Only Referral hospital in the Province
• Renders Level 2 and 3 care
• Provides Paediatric Care
• Medical and Surgical
• Neonatal Care
• Kangaroo Mother Care
• Breastfeeding Mothers Lodge
• High and intensive care

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Why the initiative?

• On average admit /- 90 babies with extreme low
  birth weight monthly
• Bed Management
• - Average length of stay
• - Bed Occupancy
• Quality of care
• - Readmission of neonates
• - Infection rate
• Nutritional status of Neonates
• Perinatal death

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BREASTFEEDING MOTHERS LODGE (BML)

• Initially supported and sponsored by UNICEF
• 30 Bed unit
• Accommodates breastfeeding mothers of Neonates
• Managed by a Health Promoter
• Catering provided for mothers
• Security is also provided for mothers
• Has basic amenities
• Health Promotion breastfeeding
• Breastfeeding
• Promotion of basic hygiene
• Skills programme
• Sewing and knitting
• Food gardening

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BREASTFEEDING MOTHERS LODGE (BML)
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WHY BML ?

• Improve access of the child to specialist
• care
• Mother to be closer to the baby
• Participation of the mother in the speedy
  recovery of the baby
• Improve access of the mother to the child during
  hospitalisation
• Improve the nutritional status of the babies and
  the mothers.

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BREASFEEDING MOTHERS LODGE
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KANGAROO MOTHER CARE
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BREASTFEEDING MOTHERS LODGE
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RESOURCES

• Place to accommodate mothers
• Budget to provide meals
• Personnel to manage the lodge
• Commitment of Managers
• Support of clinicians and nursing staff
• Maintenance of the facility
• How are mothers going to be engaged during their
  stay at the lodge - resource

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ROLE PLAYERS

• Management
• Clinicians and Nursing personnel
• Dieticians
• Departments of Agriculture
• Nutrition Department
• Business partners

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CURRENT STATUS

• Breastfeeding ML institutionilised
• Two nurses manage
• Meals booked on line
• Information Management and Reporting
• Quality Assurance
• Linked to Mindset

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BENEFITS

• Better Bonding
• Breastfeed Longer
• Fewer Infections
• Physiologically More Stable
• Empowerment of Mothers

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IMPACT

• Decrease stress in both mothers and baby
• Communication between them
• Positive impact on the growth and development of
  the babies
• Empowerment of the mother

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CHALLENGES

• Proximity of Lodge to the ward
• Security
• Continuous support for the Skills Programme
• Sustainability after discharge
• Configuration of the Lodge
• Compliance of mothers with the breastfeeding
  schedules

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HUMAN RIGHTS

• Kangaroo Mothers Care and Breastfeeding
• is a Basic Right of the newborn and should
• be an integral part of the Management of
• low Birth Weight and full term newborn,
• in all settings and all levels of care in all
  countries.
• Bogota declaration of Kangaroo Mother
• Care 1998

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• TO CURE SOMETIMES,
• TO CARE ALWAYS.

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• Thank you