Reverse Linkage

68 REVERSE LINKAGE The project Running from 2017 to mid-2019, the project aims to improve the quality of healthcare surveillance for high-risk preg- nancy and childbirth. The main activities are: • Developing a specific set of Training of Trainers (TOT) modules adapted to the local context and providing TOT for Djiboutian maternal health specialists • Developing the capacity of Djiboutian nurses, midwives and medical doctors in monitoring high-risk pregnancy and childbirth through a series of training workshops • Formulating and implementing protocols and standard operating procedures for monitoring high-risk preg- nancy and childbirth in the Maternal and Healthcare Centres in Djibouti • Equipping selected maternal and healthcare centres in the country with cardiotocography machines and upgrading the technician’s skills in the maintenance of the equipment • Sensitising decision makers and the public on the impor- tance of electronic monitoring of high-risk pregnancy. Experts from the RHC, Morocco and the Mother and Child Centre of the Ministry of Health in Djibouti are supervis- ing the project. A joint coordination committee, comprising representatives from these institutions, AMCI and IsDB, meets periodically to review progress. Wins for all The development of electronic monitoring of risky preg- nancy and childbirth used in the referral maternity cases in Djibouti is in line with the Ministry of Health’s strat- egy. It constitutes a tool for early diagnosis of complications and better management of them, resulting in the reduc- tion of maternal and neonatal mortality. The project will also help to build the capacities of nurses, midwives and medical doctors in various areas, which will be beneficial to the overall maternal and child healthcare capabilities of the country. By contributing to the project, the Kingdom of Morocco is realising, through AMCI, its SSC strategy – capitalising on its expertise and know-how to help other countries. The RHC will also strengthen its already existing collaboration with the Mother and Child Centre of Djibouti and improve its reputation as a resource centre in maternal health. From IsDB’s perspective, the project is an efficient and effective way of improving SSC among its member coun- tries, helping the bank to realise its vision and 10-Year Strategic Framework. Image: MARDI A visit to the maternity unit at Dar El Hanan, Djibouti to evaluate the trainers’ capacity to deliver in-situ training with the coaching of Moroccan experts