1. 16 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    This session focused on increasing midwifery skills in high burden countries. Campbell began the session by discussing the resources existing, the current needs in certain areas, and the assumed future need in high risk countries given assessments of health clinics. Turkmani described training in Afghanistan with the Afghan Midwives Association. Midwives there were given two pre-service trainings on hospital practice and Community Midwifery Education program (CME). Outcomes included great satisfaction by both the midwives and the women they served as well as an increase in midwives graduating in the field. AMCA from Tanzania presented their findings from assessing the health staff on the community level. They reported that there were great vacancies in positions within the areas they assessed and therefore more policy work needs to be done to learn more and fill these vacancies.

    Moderator: Luc de Bernis, UNFPA

    The midwifery workforce assessment
    Jim Campbell, ICS Integrare
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/a_1%20JimCampbell_HBCI_Overview_15Jan13.pdf

    Program evaluation of the pre-service midwifery education in Afghanistan
    Sabera Turkmani, Afghan Midwives Association
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Turkmani%20430.pdf
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/b_2%20Sabera_Afghanistan_HBCI_16Jan13.pdf

    HBCI: Increasing access to midwifery skills
    Petra ten Hoope-Bender, ICS Integrare
    Abdallah Mwinchande, AMCA
    Neema Rusibamayila, MoHSW, Tanzania
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/c_3%20HBCI%20National%20Assessment%20of%20Midwifery%20workforce%20at%20community%20level%20Processes%20and%20Methodology%202.pdf

    # vimeo.com/58636712 Uploaded 54 Plays 0 Comments
  2. 17 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    (Poor audio quality on both videos.) Nurse midwives provide a unique opportunity to provide services to those that may be unable to access other types of practitioners. In Afghanistan, Turkmani described the evaluation of two midwifery training programs for hospital and community based work. Osur presented the evaluation of Uganda's training program for midwives on post-abortion care which was found to strengthen referrals. In Bangladesh, Momtaz studied the knowledge of nurses on obstetric and neonatal complications, finding low skills tests necessitating further training. Also in Bangladesh, Akhter discussed the need to improve technical competencies in MNH after assessments of knowledge.

    Moderator: Shamima Akhter, ICDDR,B

    Results from a program evaluation of the Afghanistan pre-service midwifery education strategy
    Sabera Turkmani, Afghan Midwives Association
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Turkmani%20430.pdf
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/a_1.Sabera%20Turkmani-GMHC-17-Jan2013_SC.pdf

    Training private Ugandan midwives in post-abortion care: An evaluation of an intervention
    Joachim Osur, Ipas Africa Alliance
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/b_2.Joachim%20Osur.pdf

    Role of nurses in maternal and neonatal health care programmes in Bangladesh
    Dalia Momtaz, ICDDR,B
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Momtaz%20840.pdf
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/c_3.Presentation%20Nursing-Dalia_sul.pdf

    Technical competency of health care providers in delivering maternal and newborn health care services in selected districts of Bangladesh
    Shamima Akhter, ICDDR,B
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Akhter%201087.pdf

    H4+ High Burden Countries Initiative—Midwifery workforce assessments
    Anna Marie Speciale, ICS Integrare

    # vimeo.com/59167959 Uploaded 79 Plays 0 Comments
  3. 17 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    (Poor audio quality on both videos.) Nurse midwives provide a unique opportunity to provide services to those that may be unable to access other types of practitioners. In Afghanistan, Turkmani described the evaluation of two midwifery training programs for hospital and community based work. Osur presented the evaluation of Uganda's training program for midwives on post-abortion care which was found to strengthen referrals. In Bangladesh, Momtaz studied the knowledge of nurses on obstetric and neonatal complications, finding low skills tests necessitating further training. Also in Bangladesh, Akhter discussed the need to improve technical competencies in MNH after assessments of knowledge.

    Moderator: Shamima Akhter, ICDDR,B

    Results from a program evaluation of the Afghanistan pre-service midwifery education strategy
    Sabera Turkmani, Afghan Midwives Association
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Turkmani%20430.pdf
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/a_1.Sabera%20Turkmani-GMHC-17-Jan2013_SC.pdf

    Training private Ugandan midwives in post-abortion care: An evaluation of an intervention
    Joachim Osur, Ipas Africa Alliance
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/b_2.Joachim%20Osur.pdf

    Role of nurses in maternal and neonatal health care programmes in Bangladesh
    Dalia Momtaz, ICDDR,B
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Momtaz%20840.pdf
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/c_3.Presentation%20Nursing-Dalia_sul.pdf

    Technical competency of health care providers in delivering maternal and newborn health care services in selected districts of Bangladesh
    Shamima Akhter, ICDDR,B
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Akhter%201087.pdf

    H4+ High Burden Countries Initiative—Midwifery workforce assessments
    Anna Marie Speciale, ICS Integrare

    # vimeo.com/59166359 Uploaded 22 Plays 0 Comments
  4. 15 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    Full title: Linking health systems with communities to deliver for vulnerable women: Innovative local solutions for improving equity, access to and demand for quality maternal care
    This session focused on innovative programs and projects to better deliver maternal health care to those who are unable to access quality care. Kureshy started the session by describing USAID projects that use CHWs and local INGOs to develop different types of programs, including those programs with public-private partnerships. Hermida focused on Ecuador's Cotopaxi province where they targeted TBAs and integrated local customs and community beliefs to target pregnant women and encourage use of facility care for antenatal, delivery and postnatal visits. Altobelli told participants about their project in Peru in which primary health care workers were encouraged to work with and within the community, along with the CHWs already working in the area. They found that those trained in 'sharing pregnancy histories' were more able to refer and encourage mothers to seek positive behavior changes. Diallo described a program in Liberia where they implemented Maternity Waiting Homes for all mothers, not just those that were high-risk. The midwives in these facilities were trained not only in clinical skills, but were also able to use SMS systems for patient records and tracking. Noorani's work in Pakistan showed how a targeted impact on a specific health facility (focused on EmONC services) allowed the whole facility to better provide maternal health services. The intervention included personnel changes as well as availability of equipment and supplies.

    Moderator: Nazo Kureshy, USAID

    Why health systems must align with community systems to deliver for vulnerable women: Innovative local solutions for improving equitable access to and demand for quality maternal care across three regions
    Nazo Kureshy, USAID
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Arusha_Introduction_NazoKureshy_GMHC2013.pdf

    Aligning two health systems to improve access and quality of maternal care for the most vulnerable: Linking formal care and traditional birth attendants in Ecuador
    Jorge Hermida, University Research Co., LLC
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Hermida%201289.pdf

    Testing an innovative method for teaching female community health workers within a replicable strategy to strengthen health system linkages with communities for maternal, neonatal and child health in Peru
    Laura Altobelli, Future Generations
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Altobelli%201289.pdf

    Improving access to skilled birth attendant services in post-conflict Liberia through community-led maternity waiting homes linked to primary health care facilities
    Nene Diallo, Africare
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Diallo%201289.pdf

    Experience of a public private partnership arrangement to provide standard package of services at a remote rural health centre in Chitral district of Pakistan
    Qayyum Noorani, Aga Khan Foundation Pakistan
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Noorani%20918.pdf

    # vimeo.com/59986461 Uploaded 97 Plays 0 Comments
  5. 15 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    Comprehensive Emergency Obstetric Care (CeMOC) is a leading part of the reduction of maternal mortality. This panel highlighted the targeted work in Tanzania which including training of non-doctors at health clinics for emergency events, including surgery. Non-physicians, assistant medical officers, nurse-midwives and clinical officers managed these clinics, as CeMOC was rolled out in an effort to decentralize from referral hospitals. Results after 18 months included a 30% reduction in MMR, and a 42% reduction in referring women to upper level hospitals.

    Moderator: Staffan Bergstrom, Karolinska Institutet/World Lung Foundation
    Panel Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Bergstrom%20panel%20overview%20539.pdf

    The “virtual classroom” for enhanced maternal survival at remote health centers by distance e-learning in Tanzania
    Staffan Bergstrom, Karolinska Institutet/World Lung Foundation
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Bergstrom%20abstract%20539.pdf

    Why are assisted vaginal deliveries and vaginal births after previous caesarean section forgotten management options of childbirth?
    Jos van Roosmalen, VU University Medical Center Amsterdam, Netherlands
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Roosmalen%20539.pdf

    Major obstetric surgery by non-physician clinicians at Kibiti Health Center
    Jonas Chagi, World Lung Foundation
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Chagi%20539.pdf

    Anesthesia training of midwives for cesarean sections at health centers in Tanzania
    Omar Issa, World Lung Foundation
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Issa%20539.pdf

    Provision of CeMOC at health center level: Experiences from 16,179 deliveries
    Hamed Muhammed, World Lung Foundation
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Muhammed%20539.pdf

    # vimeo.com/59983078 Uploaded 68 Plays 0 Comments

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Midwives are often the first point of prenatal contact for millions of women around the world. Midwives can often reach those that are overlooked, giving broader access to many women who otherwise would have gone without care.

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