Introduction

Previous Change

For

Against

Strategy

Unfreeze - Stage 1

Tactics

Change

Re-freezing

Conclusion

References

Bibliography

Appendix

Ground Rules

Background Work

Plan of Teaching Sessions

Home Page

Tactics

• Awareness to the wider community of plan to change, posters, leaflets, letters will be distributed in schools, ante-natal clinics and hospital. The posters will be designed in such a way that no offence is taken by anyone, so an ethnically sensitive approach shall be taken (Baxter, 1999)
• A survey will be carried out to see whether how people involved have accepted the proposal for change, via interpreters in order to see if the proposal has been accepted (Booth, 1995)
• Call for a meeting consisting of manager, midwives, interpreters representing the views of the women and also community members, 'Rocky' change agent and Volunteers from Ammy Ki Baji project to discuss current situation.

1. 
   The managers at the meeting will be presented with a cost analysis
2. 
   They will be also made aware of the women's opinions and views from the community
3. 
   Appoint a professional co-ordinator to organise and deliver the training programme, education programmes for midwives for re-launching the bus idea, plus variety of information about the Pakistani culture
4. 
   A proposal shall also be put forward about the emergence of the two services, provided with a detailed plan of action, cost analysis, benefits to the women.

• Form a committee, after a general consensus
• Plan to hold regular meetings, to motivate people towards the change and the unfreezing of old attitudes, ideas and beliefs; this may happen through discussion of problem area. It is essential, at this stage, that trust is developed between those suggesting change and those who will implement it (Haynes, 1992 & Simpson & Knox 1999). A dedicated, motivated and experienced midwife, along with volunteers of the Ammy Ki Baji project and also 'Rocky' change agent will be all involved with the innovation (Lancaster & Lancaster, 1981).

Parrish (1996) argues that communication remains the key to successful implementation to any change. All the people that are involved should be informed of exactly what the change process is, what it means, and how this change would impact on others services and departments. Lack of communication between health professionals. women and the community was the pitfall for the change in Alum Rock. The idea of the bus was an excellent one and it would have still be ongoing if communication problems were resolved initially.

To put the mind of midwives at ease, the proposal of extra midwives shall be put forward with a good rationale or maybe just two midwives dedicated to carry out the bus service, but close collaboration with networks can minimise workload.

• It will be suggested that the bus service should run on a trial basis of 6 months, evaluating at the end of each month by everyone, this will save costs if it fails again
• Present a plan of sessions that the women would want information on.
• Lay ground rules after general consensus.