our work


MOMS has teachers qualified to teach our core curriculum for birth attendants, a train-the-trainer package, business courses like grant writing and business planning, Helping Babies Breathe, and Essential Care for Every Baby. The core curriculum for training Sierra Leonean birth attendants includes the following topics:

•The role of the MOMS Community Health Worker

•Staying healthy: Sanitation and Preventing Infection

•Staying healthy: Nutrition and Hydration

•Staying healthy: Preventing Sexually Transmitted Diseases

•Staying healthy: Planning to Have Children

•Human Bodies: Overview of Anatomy and Physiology

•Human Bodies: Women’s Reproductive Anatomy and Physiology

•Human Bodies: Conception

•Human Bodies: Signs and Symptoms of Pregnancy

•Human Bodies: Fetal Development
•Prenatal Care: Gaining a Woman’s History

•Prenatal Care: Conducting a Prenatal Examination

•Prenatal Care: Supporting a Healthy Pregnancy

•Labor and Birth: Supporting Normal Labor & Delivery

•Labor and Birth: Providing Immediate Postpartum Care

•Labor and Birth: Preventing and Treating Postpartum Hemorrhage

•Postpartum Care: Examining a newborn

•Postpartum Care: Breastfeeding

•Postpartum Care: To Six Weeks

•Organizing for Change: Solving Problems
Our train-the-trainer program provides new trainers with a rich understanding of relevant learning theories, contextual depth for the content, and a lot of practice using effective methods and techniques. Some say illiterate women can’t learn this information. The women are uneducated, but they are not stupid. If health workers understand underlying concepts, they make better decisions about providing care. MOMS teaches effectively. We ask the women to prepare lessons, skits, and songs for each module. We have three goals in mind for these activities:

•To demonstrate they understand the material
•To develop a tool for teaching their neighbors
•To remind themselves of what they learned
We use humor, stories, and role plays effectively. We encourage them to try new skills. We model talking about ideas and consultation. We say, “I don’t know,” then research and return with answers. None of this is revolutionary, although it is a harder way to train. We are committed to doing the work. We schedule classroom training four days a week for 3-1/2 weeks; we spend one day each week in the clinic practicing skills and applying concepts and facts to real cases. We spend one day conducting the final examination — this is done one learner at a time, through an interpreter. Then we have a celebration that includes the entire region.

The primary references we use are published by the Hesperian Foundation These are....

•A Book for Midwives

•Helping Community Health Workers Learn
The maternal health content is also based on standard, English-language texts, including the following, among several others in specialized areas:
Mayes’ Midwifery, Henderson and Macdonald
Myles Textbook for Midwives, Fraser and Cooper
Varney’s Midwifery, Varney, Kriegs, and Gegor
William’s Obstertics
Obstetrics, Gabbe
Human Labor and Birth, Oxorn and Foote
Holistic Midwifery, Volumes I and II, Fry
Where Women Have No Doctor, Burns, Lovett, Maxwell, and Shapiro
Job’s Body, Juhan
The Female Pelvis: Anatomy & Exercises, Calais-Germain
Anatomy and Physiology in Health and Illness, Waugh and Grant