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CHEPS - CHE Perinatal Support

CHEPS = Community Health Evangelism Perinatal Support



Timeline for Perinatal Health Education Lessons


First Trimester: 0 – 13 weeks

Second Trimester: 14 – 27 weeks

Third Trimester: 28 – 40 weeks

Postpartum: After Delivery – 6 weeks


First Trimester

• Anatomy and Physiology of Reproduction

• Conception and Signs of Pregnancy

• Fetal Growth and Development

• Nutrition – Balanced Diet: 3 Food Groups

• Developing 3 Food Groups into Family Meals

• Nutrition for Pregnant and Breastfeeding Women

• Pregnancy Discomforts


Second Trimester

• Harmful Substances

• Breastfeeding

• Complications of Pregnancy

• Prevention of Complications in Pregnancy

• Family Planning - How to Help a Family (available in CHE lessons)


Third Trimester

• Childbirth Stage 1

• Childbirth Stage 2

• Pain Control

• Postpartum Care

• Newborn Care

• Family Planning - Methods of Contraception (available in CHE lessons)


Postpartum

• Postpartum Care

• Newborn Care

• Preventing Maternal and Newborn Tetanus


Optional Lessons (available in CHE lessons)

• Basic Hygiene and Hand Washing

• Christian Family I – The Requirements of Married Partners

• Fertility Cycle and Natural Family Planning

• Sexually Transmitted Diseases

• Vertical AIDS Prevention

• Women’s Hygiene

• What is HIV? What is AIDS?


Implementation of Community Health Evangelism Perinatal Support 

(CHEPS) Lessons


The Community Health Evangelism Perinatal Support (CHEPS) program was designed to address the problem of high maternal/infant morbidity and mortality rates in developing countries.


Yearly 60,000 women die from pregnancy related causes.

54 million have complications from pregnancy.

99% of this mortality occurs in developing countries.

In developing countries, the average is 1 in 48 women die from pregnancy

related causes. In Africa it is as high as 1:16 dies.

This is compared to Europe where 1:4,000 deaths occur from pregnancy

related causes.


The Community Health Evangelism Perinatal Support (CHEPS) material was

developed to be used by CHE Trainers to train experienced CHEs at existing project sites. The establishment of CHEPS will greatly increase the CHEs abilities to minister to the whole village in a very practical and needy area.


A CHEPS is a CHE who has been trained in prenatal care and support. She (or he)

will be able to meet regularly with pregnant women in their homes for the purpose of

physical, emotional and spiritual preparation in prenatal care, childbirth and infant

care. The goal is to affect women and their families to make behavioral changes that

will benefit the pregnancy both physically and spiritually. The subjects addressed are

related to the prevention of pregnancy and infant complications. CHEPS are the

answer to the need.


Desirable Elements to Begin CHEPS:

Following principles for development of the CHE program, the following need to be in place before implementing CHEPS:


1. Trainers experience in training CHEs.

2. A community with an existing CHE project and recognition that they have a

need to help pregnant women and their infants.

3. A committee that catches the vision to implement CHEPS in their area.

4. Experienced, responsible CHEs with interest in following women through their

pregnancy.

5. Workable relationship with existing curative care clinic and/or midwives in the

area.


Training for CHEPS:

1. Trainers should survey villages to determine best sites for CHEPS. Area

should have a large proportion of child bearing age women.

2. Trainers meet with committees of favorable projects to share results of survey

and get their buy into project.

3. Trainers chose CHEs for training of CHEPS with some of the following

characteristics:

a) Experienced, active CHE

b) Committed Christian

c) Able to learn basic anatomy of pregnancy and basic CHEPS lessons

d) Compassionate, non-judgmental

e) Good listener and observer

4. The Trainers should meet weekly for 1-2 hours with the chosen CHEPS for

training in CHEPS lessons until basic topics are covered.

5. CHEPS training should be in the LePSAS or participatory format.

6. Trainers should hold regular CHEPS training sessions after the initial basic

topics are covered to introduce the remaining topics.

7. The CHEPS should learn to use the prenatal home-visit log included in

lessons and submit timely reports to the committee and trainer. These reports

are to be completed monthly.

8. Trainers and CHEPS should initiate a relationship with the providers at the

existing curative care clinic and/or midwives in the area. Every effort should be

make to include them and be of assistance to them in their care of women.


Basics of the CHEPS Home-Visit:

1. The heart of an effective CHEPS program is the home-visit.

2. CHEPS should be assigned from 5-10 homes to visit recurrently. The

workload assigned depends on the available time of the CHEPS volunteer and

if their case load is comprise of only prenatal or a mix. The committee is

consultation with the trainers assigns the work load and homes.

3. Each assigned home should be visited at least every two weeks or more often

if visits start late in pregnancy.

4. Each home-visit should consist of the presentation of a physical and spiritual

topic.

5. Each CHEPS should keep an up-to-date prenatal home-visit log (in manual)

recording the spiritual and physical lessons presented along with other

important information (i.e. spiritual status, special physical problems, etc.).

6. Each CHEPS should have his own personal Bible and access to an adequate

supply of Bibles for new converts.

7. Trainers should make regular home-visits with each CHEPS and give

constructive criticism after the visit (not in the home). A Trainer should make a

home-visit with each CHEPS at least once every three months (more

frequently when the CHEPS first begins to visit).

8. The CHEPS should have a model home, which should include appropriate

sanitation, hygiene, clean water, etc. The CHEPS should model healthy living

for the community. Trainers should regularly visit each CHEPS home and

encourage improvement when necessary.

9. In order to cover more topics in a short period of time the CHEPS may decide

to conduct a prenatal group class once a week for a month addressing

Complications, Childbirth, Pain Control, and Newborn Care. But this does not

take the place of the home-visit.

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