GONDAR ETHIOPIA Collaboration with UoG, WV, LSTM and the - PowerPoint PPT Presentation

GONDAR ETHIOPIA Collaboration with UoG, WV, LSTM and the WP-ISM&RH

Unique collaboration between 4 parties

2014 Gondar hospital • Deliveries: 6166 ( 68% vaginal, 32% CS) • Perinatal mortality rate: 52 / 1000 • Maternal deaths: 8 (MMR 130/100000) • Gynecologic operations: 106 oncology, 131 benign uterine conditions, 53 Vesico vaginal Fistula

OPD/ANC 2014 • OPD: 6836 • ANC: 15.133 • Postnatal care service: 2495 • Family planning: 2335 • Abortion care 1st/2nd trim: 924

Gondar Request 2013 General objectives: To improve quality of education & quality of care in Gondar University Hospital

Action steps • Need assessment – Student projects • Capacity strengthening – Train – the- trainer in NL – Training in Gondar – Train- the – Trainer in Gondar • Follow – up – Trainings and clinical application in health centers • Research – Local staff to propose research questions

Life Saving Skills training • Emergency Obstetric and Neonatal Care training • Train the trainers • Trainees: midwives, obstetricians, residents • 3.5 days intensive course • Pre and posttests

Main topics • Resuscitation • Shock and the unconscious patient • Pre-Eclampsia and Eclampsia • Haemorrhage • Sepsis • Obstetric Complications • Preventing Obstructed Labour • Assisted Vaginal Delivery • Surgical Skills

Basic Emergency Obstetric and Neonatal Care (BEmONC) Training

Centre for Maternal and Newborn Health Liverpool School of Tropical medicine – Emergency Obstetric Care and Newborn Care training This is to certify that Successfully completed the above course in Gondar, Ethiopia September 2016 Dr Charles Ameh Dr Sisay Yifru Dr Jelle Stekelenburg Course Director Dean President CMNH Liverpool School College of Medicine and Health Working Party on International Safe of Tropical Medicine Sciences, University of Gondar motherhood and Reproductive Health �

Results Phase 1 • 3 Trainings (June – Sept 2015; March 2016) 1 training postponed due to political unrest • 57/60 trainees passed the exams • 8 staff qualified as trainer • 2 student projects

Linda Barry and Marieke Meulenbeld

Questionnaire / Interviews / FGD Objectives: A.Identify the facilitators and barriers influencing the quality of Basic Emergency Obstetric Care (BEmOC) services in rural and urban health centre in Gondar • Functioning Facilities, supplies and medication • Functioning of the referral system • Access to BEmOC training B.Explore perceptions of local health workers towards (clinical) mentorship from the University of Gondar Hospital • Respondents unanimously positive about mentorship program NEXT STEP = • implementation mentorship - advice on referrals • All staff to BEmOC training Manuscript in preparation

Evaluation of Training Manuscript in preparation

Manuscript in preparation

Situation January 2017 • March 2017 last training Phase 1 planned • MOU signed for 5 years • The first steps for the next phase: – Ongoing BEmOC training by local trainers! – Subspecialty training: oncology surgery and training urogynecology surgery and training – Research • 2017 Lustrum symposium

Research in Gondar? Yes, you can!

Summary • Unique collaboration between University Gondar, Ethiopia, Worldvision, Liverpool School of Tropical Medicine, Working party International Safe Motherhood and Reproductive Health • Results phase 1: 3 trainings, 57 trainees, 8 local trainers, 5 years MOU, 2 student projects, 1 research meeting for future projects • 2017 Results to be presented during symposium

Thank You secretariaat.wp@gmail.com https://safemotherhood.nl/