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GONDAR ETHIOPIA Collaboration with UoG, WV, LSTM and the WP-ISM&RH
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
Course Director
CMNH Liverpool School
of Tropical Medicine
Dr Jelle Stekelenburg
President
Working Party on International Safe
motherhood and Reproductive
Health
Dr Sisay Yifru
Dean
College of Medicine and Health
Sciences, University of Gondar
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
