Technical Bulletin No.4 - Revision No.1

Print version

MIDWIFERY KIT - COMPLETE

Background:

The Midwifery Kit has been designed to improve maternal and neonatal care in situations of development and emergency. It is based on WHO/UNICEF policies such as: Integrated Management of Pregnancy and Childbirth; Mother-Baby Package; Implementing Safe Motherhood in Countries; Programming for Maternal Survival, and the Emergency Relief Items.

Purpose:

  • The Midwifery Kit - Complete contains basic drugs, renewable medical supplies, medical equipment and basic sterilisation and resuscitation equipment for health facilities to perform an average of 50 normal deliveries.
  • The intention of the kit is for use by trained personnel, such as midwives, nurses with midwifery skills and physicians.
  • The kit is useful in meeting the minimum requirements for obstetric care in health structures at the health centre level, referral level, and central level.
  • The kit includes basic steam sterilisation equipment to ensure foolproof sterilisation facilities in all types of environment, including emergency situations.
  • The kit includes basic resuscitation equipment to facilitate basic resuscitation of a mother and baby in all types of environment, including emergency situations.
  • The kit does not contain hospital equipment, hospital furniture, or medical clothing.
  • The kit does not contain blood transfusion supplies. For blood safety, please refer to WHO policy.
  • The Midwifery Kit - Complete can be used for the:
    - performance of normal deliveries
    - suturing of episiotomies
    - performance of local anaesthesia for suturing of episiotomies
    - stabilisation of precarious situations like eclampsia and haemorrhage (placing a drip, giving specific drugs).

The Midwifery Kit - Complete can be used along with the Interagency Emergency Health Kit 2006 in emergency situations.

Kit concept: Midwifery Kit - Complete

Contents of the kit:

A complete Midwifery Kit consists of six pre-packed kit units, which will enable the fulfilment of the objectives outlined above.

9902217 - Midwifery Kit, 1 – Drugs x 1 unit
9902220 - Midwifery Kit, Suppl.1a – Drugs x 1 unit
9902218 - Midwifery Kit, 2 – Equipment x 1 unit
9902219 - Midwifery Kit, 3 – Renewable x 1 unit
9908200 - Sterilisation Kit C x 1 unit
9908400 - Resuscitation Kit, basic x 1 unit


To review specific contents of above-mentioned pre-packed kits, please search against the catalogue numbers.

Special notes:

Midwifery Kit, 1 - Drugs and Supplementary 1a – Drugs

These 2 kits represent the basic requirements of drugs to facilitate around 50 normal deliveries.

Note:
The Supplementary 1a-drugs contains medicines that normally need import authorisations (narcotic/psychotropic substances). Since this kit is usually urgently required and needs to be shipped within 24 hours, it does not allow time to apply for import and export authorizations.

Until further notice, Supply Division will not require import authorisations for this kit. However, Country Offices ordering or receiving this kit are advised to investigate if their national authorities require an import authorisation.

For these shipments, Supply Division will complete the “Notation Form for Emergency Supplies of Controlled Substances” and forward it to the Danish Medicines Agency (DMA).

Please refer to Supply Directive: CF/SD/2008-002 Rev 01 - Ordering of narcotic and/or psychotropic pharmaceutical products

The Supplementary 1a-drugs also contains medicines that need to be stored at controlled temperatures (cold chain). The Supplementary 1a-drugs is therefore only supplied via air shipment.

 

Midwifery Kit, 3 - Renewable

This kit represents the basic requirements of renewable medical supplies (consumables) to facilitate around 50 normal deliveries. Most of the items are sterile and disposable.

Midwifery Kit, 2 - Equipment

This kit consists of basic medical equipment (initial investment) for one delivery room and/or one maternity ward.

Sterilisation Kit C

This kit consists of basic steam sterilisation equipment to ensure foolproof sterilisation facilities in all types of environment, including emergency situations.

Resuscitation Kit, basic

This kit consists of basic resuscitation equipment to facilitate resuscitation in all types of environment, including emergency situations.

Ordering a Midwifery Kit - Complete

The complete Midwifery Kit consists of 6 pre-packed kits, all of which must initially be ordered. It has to be ordered using the following catalogue numbers in the UNICEF Supply Catalogue.

A Midwifery Kit - Complete

9902217

Midwifery Kit, 1 – Drugs

1 unit

9902220

Midwifery Kit, Supplementary 1a – Drugs

1 unit

9902218

Midwifery Kit, 2 – Equipment

1 unit

9902219

Midwifery Kit, 3 – Renewable

1 unit

9908200

Sterilisation Kit C

1 unit

9908400

Resuscitation Kit, basic

1 unit

 

Note:

It is possible to order each individual pre-packed kit separately. The type of pre-packed kits selected and the quantities requested should be based on need assessments in the field. The ability to re-order these pre-packed kits separately gives the necessary flexibility to adapt supplies to needs, limits the risk of overstocking equipment and running short of consumables, and allows for fast replenishment.


UNICEF Supply Division
Contact: customer@unicef.org
Copyright © the United Nations Children's Fund (UNICEF), Supply Division - October 2002; Revised 2008

 

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