Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon

培训项目概述

This five-day professional training programme provides district health officers, maternity ward supervisors, and health ministry technical leads with the competencies required to strengthen maternal and neonatal survival across decentralised health networks. Held in Lisbon, the course addresses the operational realities of peripheral health centres and regional hospitals. Participants examine standardised clinical referral pathways, triage protocols, and the practical organisation of obstetric emergency transport to reduce delays in life-saving care, particularly across rural and hard-to-reach districts.

The curriculum centres on clinical record auditing, maternal and perinatal death surveillance and response systems, and workforce deployment management. Delegates examine established World Health Organization standards for emergency obstetric and newborn care alongside practical supervisory methodologies. Through comparative analysis of district-level workflows, participants assess how routine obstetric care documentation, clinical governance structures, and evidence-based case reviews can systematically uncover systemic bottlenecks, resolve quality gaps, and prevent avoidable maternal and newborn morbidity and mortality.

Working through real-world operational challenges, participants formulate quality improvement action plans and district clinical oversight matrices tailored to resource-constrained environments. The programme equips technical officers to manage frontline health workers effectively, balance midwife deployment across rural health posts, and align district supervisory routines with national maternal health strategies. Attendees return to their institutions prepared to implement structured clinical audits, enforce referral discipline, and enhance the accountability of emergency obstetric and newborn care services.

Strengthening primary healthcare networks and emergency obstetric readiness is critical as governments and international development financiers advance major maternal and child health operations, such as the twenty-five million US dollar Guinea-Bissau Strengthening Maternal and Child Health Service Delivery project. Investments in rural health facilities, essential medicines, and medical equipment fail to translate into improved health outcomes without rigorous clinical governance, functional emergency transport pathways, and dependable referral protocols. Public health institutions require immediate capacity to monitor clinical practices, audit fatal outcomes systematically, and optimise workforce deployment to ensure high-quality care at every level of the maternal health delivery system.

Delivered by Risalat Consultants International in Lisbon, Portugal, it combines expert-led sessions, real cases and group work, so that participants can apply what they learn in their own institution.

The Programme Strengthens Institutional Capability

• International standards for emergency obstetric and newborn care: basic and comprehensive service models
• Mapping delays in maternal care: operationalising the Three Delays model in rural district networks
• Developing structured communication and early notification protocols between primary health posts and referral hospitals
• Organising district emergency transport mechanisms and managing intermediate stabilisation before patient transfer
• Standard operating procedures for obstetric triage, rapid emergency assessment, and treatment upon facility arrival
• Establishing baseline clinical documentation standards for antenatal admissions, labour, delivery, and postpartum wards
• Methodologies for conducting retrospective and prospective obstetric and neonatal medical record audits
• Assessing the completeness, quality, and clinical utility of partograph documentation during labour management
• 舞弊风险评估与舞弊风险登记册
• 内部控制的设计与测试
• 三道防线模型与监督的作用
• 审计规划、证据与文档记录

It is designed for district health officers and regional health directors managing maternal health networks, maternity ward supervisors and senior midwife managers from regional and district hospitals, ministry of public health technical leads responsible for reproductive and neonatal health and others who want practical, current skills in fraud, audit and internal control.

The Growing Importance of Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon

公共机构和捐助方资助项目须证明资金按预定用途使用。审计师、监督机构和出资方越来越多地透过财务报表，审视其背后的控制、记录和行为。

舞弊和控制缺陷很少源于单一失误。它们往往滋生于职责不清、记录不全以及预警信号未被跟进的地方。了解舞弊如何发生以及控制如何加以阻止的团队，既能保护本机构，也能保护其所服务的民众。

各机构日益需要具备以下能力的专业人员：

• 识别并评估本机构流程中的舞弊与控制风险
• 设计适度且可测试的控制措施
• 收集并记录可靠的审计证据
• 及早识别危险信号并正确上报
• 将审计发现转化为切实可行、各方认可的行动

健全的反欺诈、审计和内部控制体系可帮助组织：

• 减少损失和不合规支出
• 以更少的审计发现通过外部审计
• 增强出资方和公民的信任
• 以公平且有据可查的方式回应指控

This Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon programme brings these elements together in a practical format, so that participants understand not only what good practice looks like but also how to introduce it in their own setting, with the people and resources they have.

Who Should Attend This Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training?

本培训项目适合：

• District health officers and regional health directors managing maternal health networks
• Maternity ward supervisors and senior midwife managers from regional and district hospitals
• Ministry of public health technical leads responsible for reproductive and neonatal health
• Quality improvement coordinators in public hospital networks and health directorates
• Maternal and Perinatal Death Surveillance and Response committee members
• Clinical supervisors overseeing peripheral and rural primary healthcare facilities
• Project coordinators and technical specialists managing donor-funded maternal health grants
• Health workforce planners tracking frontline midwife and clinical deployment in rural settings
• Monitoring and evaluation specialists focusing on maternal and neonatal health indicators
• 内部审计人员与审计经理
• 财务经理与会计人员
• 合规与风险官员

本培训项目既适合经验丰富的专业人员，也适合刚承担新职责的人员。我们鼓励来自不同机构和国家的学员组成混合小组，因为学员能从彼此的经验中获益良多。

Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training Objectives

Upon successful completion of this Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training, participants will be able to:

• Establish standardised maternal and neonatal referral pathways compliant with international emergency obstetric care frameworks
• Design rigorous clinical record audit systems to identify institutional gaps in obstetric and newborn care
• Implement World Health Organization Maternal and Perinatal Death Surveillance and Response operational cycles
• Evaluate emergency triage, assessment, and treatment systems within peripheral and referral maternity wards
• Construct district-level workforce tracking models to optimise rural midwife allocation and emergency readiness
• Formulate operational quality improvement action plans to resolve identified bottlenecks in perinatal care
• Develop integrated district clinical oversight matrices to sustain regular supervisory visits and clinical governance
• 运用公认的舞弊风险模型，阐述舞弊如何发生以及为何发生
• 针对一个真实流程开展舞弊与控制风险评估
• 运用三道防线模型将控制与风险相对应

每项目标都会在培训期间通过练习、案例或小组作业加以实践，使学员结业时不仅能够描述，更能够实际运用。

培训项目内容与结构

Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training Methodology

The training employs a participatory, adult-learning methodology grounded in real-world public health management. Participants engage in detailed case file reviews, practical clinical record auditing exercises, and simulations of Maternal and Perinatal Death Surveillance and Response committee meetings. Daily sessions combine technical briefings with small-group discussions, structured gap analyses, and guided problem-solving tasks. Delegates use their own institutional contexts to construct operational tools, culminating in peer-reviewed action plans and clinical oversight matrices that can be immediately applied within their health authorities.

本培训项目融合了：

• 专家主讲当前实践
• 区域及国际案例研究
• 小组作业与实践练习
• 视情况安排模拟演练与角色扮演
• 探讨学员自身面临的挑战
• 跨机构、跨国家的同伴学习
• 可带回工作岗位的实用工具与模板
• 每日反思与行动规划

培训开始前，简短的课前评估可帮助讲师了解每位学员的岗位职责和重点关注事项，以便根据学员群体调整案例和练习。每天结束时安排简短的反思环节，学员记录下将在工作中应用的内容。

预期成果

Upon completion of this Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training, participants will be able to:

• Participants can design and operationalise standardised referral protocols between rural health facilities and district hospitals
• Participants can lead systematic clinical record audits to evaluate obstetric and neonatal care compliance against standards
• Participants can establish and run functional Maternal and Perinatal Death Surveillance and Response review mechanisms
• Participants can map and track skilled midwife deployments across peripheral facilities to ensure continuous emergency coverage
• Participants can produce actionable, measurable quality improvement plans targeting specific clinical performance deficits
• Participants can implement a comprehensive district clinical oversight matrix to strengthen routine supervisory governance
• 评估本机构流程中的舞弊与控制风险
• 设计并测试适度的控制措施

学员结业时将获得个人行动计划和实用工具，回到工作岗位的第一周即可在机构中应用。派出多名学员的机构可借助本培训项目，在各团队之间统一方法和模板，使改进成果更易持续。

Institutional Application of Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training

本培训项目帮助机构加强：

• 舞弊与腐败风险管理
• 内部控制框架
• 审计与监督安排
• 审计发现的跟进
• 廉洁与举报渠道

学员将带着实用工具回到工作岗位，以提升：

• 风险登记册与控制图
• 审计规划与测试
• 证据与文档记录
• 向管理层和董事会报告
• 预防不合规支出

本培训项目的设计旨在让学习成果从课堂延伸至机构。学员尽可能围绕自身的流程和文件开展练习，并在结业时带走一份可供其主管审阅和支持的行动计划。

区域相关性与应用

欧洲

欧洲机构在详尽的监管框架和改革议程下开展反欺诈、审计和内部控制工作。来自欧洲的学员可以与其他地区的同行比较实践，并检验成熟方法在不同条件下的效果。

非洲

在非洲各地，反欺诈、审计和内部控制领域的部委、机构和项目团队日益与捐助方资助的项目并行运作，而这些项目要求有清晰的体系和证据。本培训项目帮助学员根据所在机构及其资源条件，灵活运用良好做法。

中东

在中东地区，国家发展战略和经济多元化计划对反欺诈、审计和内部控制提出了日益增长的要求。学员将探讨如何在公共机构和企业内部培养这些计划所需的能力。

亚洲

亚洲各国的机构在快速发展的同时，推进着雄心勃勃的现代化计划。来自亚洲的学员可以分享快速扩展系统的经验，并借鉴其他地区的做法。

太平洋地区

小岛屿国家和太平洋国家在规模、距离和能力方面面临特殊制约。本培训项目重点介绍适合小型机构、务实且相称的反欺诈、审计和内部控制方法。

Holding the programme in Lisbon, Portugal brings participants together away from their daily pressures, so they can compare how fraud, audit and internal control is handled in different settings. The same programme can also be delivered in-house for one institution, in its own country or online, with cases taken from its current work.

Host Country Profile – Portugal

Training programmes and study tours in Lisbon suit professionals focusing on public sector governance, maritime affairs, renewable energy, and urban administration. Delegates attend from across Europe, North Africa, and Portuguese-speaking nations in Africa and South America.

在本国以外学习，可让学员专心投入，以全新视角审视本机构，并有机会与其他国家的同行建立人脉网络。

Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training Deliverables

学员在培训前、培训中及培训后均可获得支持，使准备、学习与跟进形成连贯完整的体验。

培训开始前

• 学员课前评估
• Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Readiness Assessment
• Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Resource Pack
• 课前阅读资料
• 免费签证支持与咨询

培训期间

• 机场接机与欢迎协助
• 住宿（含早餐）
• 欢迎交流晚宴
• Risalat培训礼包（背包、水瓶、马克杯、T恤、帽子、护照套、笔、笔记本、冰箱贴及钥匙扣）
• Comprehensive Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon Training Manual
• 舞弊风险登记册模板
• 控制映射矩阵
• 审计证据检查清单
• 审计发现与跟进追踪表
• 实践研讨与模拟演练
• 小组讨论与同伴学习
• 每日午餐与茶歇
• 全面使用培训场地设施
• 装有数字学习资料的迷你平板电脑
• 实地考察（如适用）
• 城市休闲观光

培训结束后

• 结业证书
• Risalat培训项目参与表彰奖
• 培训后参考资料
• 舞弊风险自我评估指南
• 控制测试检查清单
• 培训后支持与跟进指导
• 培训项目报告

各机构也可申请本培训项目的定制内训版本，在其办公场所或在线举办。索取方案建议书。

Common Challenges in Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon, And How This Training Helps

机构如何识别和评定自身流程中的欺诈与控制风险？

The programme addresses this directly on the first day (Emergency Obstetric Referral Pathways and Network Design), where participants practise the methods involved and adapt them to their own institution, then build it into their action plan.

机构如何设计相称且可检验的控制措施？

The programme addresses this directly on the second day (Clinical Record Auditing and Documentation Standards), where participants practise the methods involved and adapt them to their own institution, then build it into their action plan.

机构如何收集并记录可靠的审计证据？

The programme addresses this directly on the third day (Maternal and Perinatal Death Surveillance and Response (MPDSR)), where participants practise the methods involved and adapt them to their own institution, then build it into their action plan.

机构如何及早识别危险信号并正确上报？

The programme addresses this directly on the fourth day (Midwife Deployment, Retention, and Rural Oversight), where participants practise the methods involved and adapt them to their own institution, then build it into their action plan.

机构如何将发现转化为切实可行、各方认同的行动？

The programme addresses this directly on the fifth day (Quality Improvement Plans and District Oversight Frameworks), where participants practise the methods involved and adapt them to their own institution, then build it into their action plan.

常见问题

When and where does the Maternal and Neonatal Referral Protocols and Obstetric Care Auditing in Lisbon programme take place?

It runs from 8 Nov 2027 to 12 Nov 2027, in Lisbon, Portugal. The registration deadline is shown at the top of this page.

谁应参加？

The programme is designed for district health officers and regional health directors managing maternal health networks, maternity ward supervisors and senior midwife managers from regional and district hospitals, ministry of public health technical leads responsible for reproductive and neonatal health, quality improvement coordinators in public hospital networks and health directorates, and others who want practical skills in fraud, audit and internal control.

我能获得证书吗？

能。完成本培训项目的学员将获得Risalat Consultants International颁发的结业证书。

本培训项目能否仅为我们机构单独举办？

可以。我们可以在贵机构所在地、其他城市或在线提供量身定制的内训版本，并围绕贵机构自身的案例设计内容。请使用本页面的方案建议书申请表。

我是否需要具备舞弊、审计和内部控制方面的经验？

除具备相关岗位经验外，无需其他专业背景。简短的课前评估可帮助讲师根据学员群体调整课程。

Training courses in LisbonHealthcare training courses

Other dates and cities for this subject: Financial Management for Donor-Funded Projects training courses (62 upcoming dates).

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Plan this programme in a roadmap: why it matters, why to approve it, the dates to plan and the career it builds.