Greetings from Team Manyata!
We hope each of you are doing well and are safe. In these times of unprecedented challenges, caused by a pandemic
, we appreciate your efforts towards providing quality maternal care to women who are in need. We also want to take a moment to thank every healthcare worker who is currently on the frontline of this fight against Coronavirus.

In the last month, Team Manyata has been quickly adapting to ways and processes ensuring that program activities are running smoothly. Leveraging technology for Manyata trainings and to organize special sessions on dispersing information on COVID-19, our teams are ensuring that providers continue their quality care journey.
Our expert this month is Dr Jaydeep Tank, Secretary General, FOGSI. Dr. Tank shares with us some crucial guidelines released by World Health Organization (WHO), the Ministry of Health and Family Welfare (MoHFW), and FOGSI. The guidelines will enable maternity care providers to follow best practices to provide quality maternal care to all women.

Hope you enjoy reading it!
Quality care precautions during COVID-19
We are living in unprecedented times. Cases of the novel coronavirus have now crossed the 2 million mark, affecting over 210 countries and territories across the world. Amidst the pandemic, many countries have chosen to impose nation-wide or partial lock-downs, while most others have advised their citizens to practice strict social distancing. But as doctors, our work continues.
While healthcare workers battle the pandemic on the frontlines, as gynecologists, we will continue to provide care to pregnant women, new mothers, and their newborns. It is now more crucial than ever that we follow guidelines and best practices to minimize, as much as possible, the risk of exposure for our patients and ourselves, and in true Manyata spirit, strive to deliver the highest quality of care.

The World Health Organization (WHO), the Ministry of Health and Family Welfare (MoHFW), and FOGSI, have all released guidelines and protocols for healthcare professionals around pregnancy and childbirth during the COVID-19 pandemic. Based on evolving research from the afflicted countries so far, WHO has been able to identify risk factors for pregnant women, precautions that they have to take, and best practices to follow if a pregnant woman or new mother contracts the disease, amongst other things.

There are many credible resources, links to some of which you will find in this newsletter that can help answer the most important concerns and questions that women delivering at this time will ask of you, as well as those that are diagnosed with the virus while pregnant. It’s important to note that while pregnant women are a vulnerable group, they must follow the same precautions recommended for everyone: social distancing, hand hygiene, respiratory hygiene, and avoid touching the face. For healthcare workers, who at high risk of infection given their exposure risk, the most important thing is to follow all Personal Protective Equipment (PPE) guidelines, including the proper technique to wear and remove PPE.
Read on to find trusted resources around pregnancy, childbirth and COVID-19, along with the latest updates on Manyata program and how it’s evolving to meet the challenges of the COVID crisis. Kudos to all healthcare workers for their continued dedication, and stay safe!

Dr. Jaydeep Tank
Secretary General, FOGSI

Refer to the guidelines in the following links - 
Government of India Ministry of Health & Family Welfare Directorate General of Health Services (EMR Division) Revised Guidelines on Clinical Management of COVID – 19
FOGSI GCPR Good Clinical Practice recommendation on pregnancy with COVID-19 Infection
World Health Organisation (WHO) Question & Answer on COVID-19, pregnancy, childbirth and breastfeeding
Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected
The COVID-19 Risk Communication Package For Healthcare Facilities
Operational considerations for case management of COVID-19 in health facility and community
Manyata expands to Tamil Nadu
With 80 facilities registering to join Manyata, Tamil Nadu has had an impactful beginning to the program. Special thanks to Dr. Hema Divakar (National Convener, Manyata), for managing registrations and training. Providers began their Quality Improvement (QI) journey in March, here is a glimpse of the training session carried out by Karnataka Continued Skill Enhancement (CSE) center.
Leveraging technology to continue driving quality
maternal care in Rajasthan
Our partners from Rajasthan under the Utkirsht Impact Bond have started conducting virtual capacity building sessions. The sessions cover NABH certification standards and Manyata standards focusing on intrapartum practices to enhance the capacity of hospitals amid COVID-19 pandemic situation. So far, 25 hospitals with over 90 staff members have been reached out to and are being engaged by the team for capacity building sessions. The team is executing these sessions using different digital platforms. The team plans to cover over 50 hospitals and 180 health service providers in the coming months through technology based platforms.
First batch of LaQshya-Manyata facilities certified
LaQshya-Manyata program, a joint initiative between Public Health Department, Government of Maharashtra and FOGSI, launched in September 2019, assessed its first set of facilities last month. All the facilities for the first batch cleared their assessments and are now LaQshya-Manyata certified.
Multiple Manyata assessments completed by our Rajasthan partners
under the Utkrisht Impact Bond (UIB) model
Special COVID-19 Sessions for Manyata providers
Leveraging a digital platform Jhpiego conducted orientation sessions for Manyata certified private maternity facilities on best practices for pregnant women & new mothers during the COVID-19 pandemic. Providers from Uttar Pradesh, Jharkhand and Maharashtra joined this session. Along with regular trainings, a special COVID-19 session was organized for Karnataka and Tamil Nadu providers. The session was hosted by Karnataka CSE.
Manyata features on national television 
Dr. Hema Divakar joined a panel on COVID-19 for a prime time show ‘Ask the Expert’, on NDTV news channel. She responded to queries on COVID-19, and emphasized on the importance of following protocols if any individual visits a healthcare facility.  She also highlighted the Manyata training modules which focus on best practices, including hand hygiene and infection control for healthcare providers.
Ministry of Health and Family Welfare (MoHFW) Telemedicine  India Guidelines 2020
The Ministry of Health and Family Welfare (MoHFW), in collaboration with NITI Aayog and Board of Governors (BoG) Medical Council of India (MCI) have issued the guidelines for telemedicine or remote delivery of medical services.
Doctors can now consult patients via phone, video, and chat applications including telemedicine platforms and WhatsApp. The guidelines, formulated by NITI Aayog, are notified under the Indian Medical Council (Professional Conduct, Etiquette, and Ethics Regulation, 2002).
Read more
Indian Council of Medical Research
The Indian Council of Medical Research (ICMR), New Delhi, the apex body in India for the formulation, coordination and promotion of biomedical research, is one of the oldest medical research bodies in the world.

Website:  Twitter: @ICMRDelhi  Facebook: @ICMROrganisation

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