Children by Choice Not Chance. Banja La Mtsogolo. Providing Choices in Reproductive Healthcare Services Countrywide
 
   
           
BLM ANTENATAL CARE SERVICE
  Introduction

Banja LA Mtsogolo (BLM) is a leading Malawian reproductive healthcare Non-Governmental Organization (NGO) set up with a view towards improving the Sexual and Reproductive Health (SRH) of all Malawians especially the vulnerable and under served.

 

As part of its Integrated Sexual Reproductive Health Programme (ISRHP), BLM has introduced Antenatal Care Services (ANC) in order to contribute to the reduction of maternal mortality rate in Malawi, this currently is estimated to be 1,120 per 100,000 live births.
  Aim

BLM's ANC services aim at providing medical support to a pregnant woman and her unborn baby from conception to onset of labour by:

 

• Providing high quality, evidence based antenatal care.
•

Increasing a woman's awareness and her family on birth preparedness and possible complications that could arise.
   
  Focus
Banja La Mtsogolo is registered under the Trustees Act of Malawi and has a fully incorporated Board of Trustees which is responsible for policy direction.

A management team is responsible for the day-to-day operations of the organization.

A multi-disciplinary team comprised of professionals from different fields provides support to run the organization.
  Approach

BLM is moving away from the more regular risk screening ANC visits to adopting a scientifically proven method of fewer visits focusing on provision of high quality care. Thus BLM is allowing pregnant women to have at least four (4) goal-oriented ANC visits during pregnancy. However, women with problems shall have more visits.
  Schedule

First Visit:

 

less than sixteen (16) weeks
Second Visit:

twenty (20) to twenty four (24) weeks

Third Visit:

twenty eight (28) to thirty two (32) weeks
thirty six (36) weeks
Fourth Visit:
   
  Services
•

Comprehensive history taking that includes social, medical, family, obstetric and nutrition.
• Thorough physical examination.
• Laboratory investigations that includes:

 

  1) Haemoglobin estimation
  2) Screening for Syphilis and other Sexually Transmitted Infections (STIs)
  3) Blood grouping
  4) Stool and urine for parasites
  Midwifery Intervention

BLM's ANC Centres provide the following midwifery interventions:

 

  1) Malaria Chemoprophylaxis
  2) Provision of iron and Folic Acid to treat Anaemia
  3) Tetanus Toxoid Immunisation
  4) Treatment of Sexually Transmitted Infections (STIs)
  5)

Advice on general health and behavior, birth preparedness and early recognition of

danger signs and management
  Referral System

BLM has linked with other hospitals: Private, Government, CHAM and other skilled

personnel for referrals.

 
  Follow Up

In order to ensure continuity of care, women who attend BLM ANC centres are encouraged to return after delivery for a post-natal check-up, immunisation of infant and family planning (FP)
 
  Contribution

Clients are expected to contribute some fee towards the high quality ANC services during the four (4) visits

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