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Manual Vacuum Aspiration (MVA) Refresher Outreach Module: Pilot Report

Manual Vacuum Aspiration (MVA) Refresher Outreach Module: Pilot Report. Bill Powell Ipas As told by… Wilma Doedens UNFPA 30 November 2010. Manual Vacuum Aspiration (MVA). A signal function of EmONC for basic & comprehensive facilities

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Manual Vacuum Aspiration (MVA) Refresher Outreach Module: Pilot Report

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  1. Manual Vacuum Aspiration (MVA) Refresher Outreach Module: Pilot Report Bill Powell Ipas As told by… Wilma Doedens UNFPA 30 November 2010

  2. Manual Vacuum Aspiration (MVA) • A signal function of EmONC • for basic & comprehensive facilities • A recommended method for uterine evacuation by WHO for: • Postabortion care (PAC) • Induced abortion (to the full extent of the law) • Targeted by Training Partnership for development/piloting of outreach module

  3. The MVA Outreach Module • Drawn from existing training materials • Contextualized to refugee settlement / crises settings • Designed as: • 1.5 – 2 day session • Refresher • Clinicians with previous training • Pelvic model practice, but not clinical practicum

  4. The Pilot • Kenya – May 2010 • 40 “refreshed” • Dadaab – 29 • Kakuma – 11 • Held in UNHCR compounds adjacent to settlements • Enthusiastic response and evaluations from participants

  5. Challenges / Lessons Learned • Many never trained in MVA/PAC • Escort time in Dadaab • 29 participants in Dadaab sharing only three pelvic models • Have a seasoned trainer!

  6. Recommendations / Next Steps • Strictly enforce “refresher” criteria (previous training) or increase training time • Consider pre-training & follow-up field visits • Consider content on 2nd trimester PAC and misoprostol for PAC • Re-pilot in Uganda mid-December • Finalize curriculum and tools

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