- What is the proposed time line for this project?
Objectives (updated OCT 2019)
YEARS EIGHT TO TEN:
- Add two new Doulas to the team.
- Establish operational budget and progress towards financial balance of local expenses with local income
- Begin fundraising for purchase of land or permanent housing for the birth center
- Achieve financial independence
- Concentrate foreign donations on scholarships for births and/or midwifery education
- Begin process of Official Recognition for our Midwifery Training Program
YEARS SIX TO TEN:
- Continue progress toward financial balance of income and expenses
- Achieve financial independence
- Celebrate transfer of birth center authority to local Mexican directorship
- Withdraw most foreign involvement; continue limited consultant relationship only
- Explore possibility of reproducing daughter birth centers in other Mexican locations
YEAR FIVE OBJECTIVES:
- Move towards goal of balancing local expenses with local income
- Begin second year of mentoring program, supervising local midwives teaching a small group of new midwife students
- Gradually transfer supervisory and teaching roles from foreign to local midwives, as skills and experience increase
- Evaluate staff and students for potential grooming of local Mexican birth center director; begin training process
YEAR FOUR OBJECTIVES:
- Increase birth volume
- Begin to offer well-woman exams
- Celebrate first graduating students from Midwifery Program
- Begin mentoring midwifery graduates into teaching positions
- Revise and implement birth center practices and policies
- Evaluate effectiveness of Midwifery Program didactic and apprenticeship training; adjust objectives and strategies for greater success
YEAR THREE OBJECTIVES:
- Continue to decrease need of foreign funding through expanded birth volume and increased dependence on local health personnel
- Streamline community outreach approach providing resources, volunteer labor, and instruction to local clinics, communities, hospitals, and health care professionals
- Begin second year of didactic midwifery training for first 2 or more midwifery students
- Continue apprenticeship of midwifery students, adding approximately 2 or more each year
- Train local personnel to co-ordinate and direct continued community outreach and home health care visits
- Implement classes for local indigenous people on basic maternal and child health
YEAR TWO OBJECTIVES:
- Expand operations to provide care for 5 births per month (prenatal care, labor & delivery care, postpartum care, well-woman care, home health care, lactation consulting, basic hygienic training)
- Initiate educational opportunities, offering workshops (“talleres”) in various settings such as Health Centers, municipality centers, village settings, etc.
- Begin Midwifery Apprenticeship Program for at least two local Mexican women
- Finalize and implement Midwifery Training Program didactic curriculum
- Begin to move toward decreased need of foreign funding through reasonable birth fees
- Set up birth center in good operating condition
- Develop operating protocols, prepare administration and documentation forms
- Establish compliance with local and federal health regulations
- Provide orientation and training for one local midwife, one doctor, 1 nurse, 2 assistants
- Research and development of Midwifery Training Program
- Provide care for approximately 1-2 births per month (prenatal care, labor & delivery care,postpartum care, well-woman care, home health care, lactation consulting, basic hygienic training)
- Initiate contact, interaction, and community service with local hospitals, clinics, and care providers