The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania
BackgroundThe Maternal Mortality Rate (MMR) in Tanzania is 78 times higher than that of the UK. Obstetric haemorrhage accounts for two-thirds of these deaths in Mbeya, Tanzania. A lack of healthcare providers' (HCPs') competencies has been the key attribute. This study measured the impact...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-12-01
|
| Series: | Frontiers in Global Women's Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1270261/full |
| _version_ | 1797399959184605184 |
|---|---|
| author | Bernard Mbwele Bernard Mbwele Amani Twaha Kasia Maksym Matthew Caputo Delfina D. Mkenda Helen Halpern Sylvia Berney Elias A. Kaminyoge Mpoki S. Kaminyoge Mandeep Kaler Soha Sobhy Sara L. Hillman |
| author_facet | Bernard Mbwele Bernard Mbwele Amani Twaha Kasia Maksym Matthew Caputo Delfina D. Mkenda Helen Halpern Sylvia Berney Elias A. Kaminyoge Mpoki S. Kaminyoge Mandeep Kaler Soha Sobhy Sara L. Hillman |
| author_sort | Bernard Mbwele |
| collection | DOAJ |
| description | BackgroundThe Maternal Mortality Rate (MMR) in Tanzania is 78 times higher than that of the UK. Obstetric haemorrhage accounts for two-thirds of these deaths in Mbeya, Tanzania. A lack of healthcare providers' (HCPs') competencies has been the key attribute. This study measured the impact on HCP's competencies from a blended training programme on obstetric haemorrhage.MethodsA “before and after” cohort study was undertaken with HCPs in 4 hospitals in the Mbeya region of Tanzania between August 2021 and April 2022. A multidisciplinary cohort of 34 HCPs (doctors, nurses, midwives, anaesthetists and radiologists) were enrolled on a blended face-to-face and virtual training course. The training was delivered by a multidisciplinary team (MDT) from London, UK, assisted by local multidisciplinary trainers from Mbeya, Tanzania and covered anaesthetic, obstetrics, haematology and sonographic use.ResultsThere were 33 HCP in the cohort of trainees where 30/33 (90.9%) of HCPs improved their Anaesthesia skills with a mean score improvement of 26% i.e., 0.26 (−0.009 −0.50), 23 HCPs (69.7%) improved obstetric skills 18% i.e., 0.18 (−0.16 to 0.50), 19 (57.6%), (57.6%) improved competences in Haematology 15%.i.e., 0.15 (−0.33 to 0.87), 20 out of 29 HCPs with ultrasound access (68.8%) improved Sonographic skills 13%.i.e., 0.13 (−0.31 to 0.54). All 33 HCPs (100%) presented a combined change with the mean score improvement of difference of 25% i.e., 0.25 (0.05–0.66). The deaths attributed to obstetric haemorrhage, the mortality rate declined from 76/100,000 to 21/100,000 live births. Actual number of deaths due to obstetric haemorrhage declined from 8 before training to 3 after the completion of the training.ConclusionThis comprehensive blended training on anaesthetic surgical, haematological, and sonographic management of obstetric haemorrhage delivers a significant positive impact on the detection, management and outcomes of obstetric haemorrhage. |
| first_indexed | 2024-03-09T01:48:41Z |
| format | Article |
| id | doaj.art-317923874441481498d10577e6b4778b |
| institution | Directory Open Access Journal |
| issn | 2673-5059 |
| language | English |
| last_indexed | 2024-03-09T01:48:41Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj.art-317923874441481498d10577e6b4778b2023-12-08T15:18:43ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592023-12-01410.3389/fgwh.2023.12702611270261The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, TanzaniaBernard Mbwele0Bernard Mbwele1Amani Twaha2Kasia Maksym3Matthew Caputo4Delfina D. Mkenda5Helen Halpern6Sylvia Berney7Elias A. Kaminyoge8Mpoki S. Kaminyoge9Mandeep Kaler10Soha Sobhy11Sara L. Hillman12Department of Epidemiology and Bio-Statistics, University of Dar es Salaam—Mbeya College of Health and Allied Sciences, UDSM-MCHAS, Mbeya, TanzaniaProgramme Development, Vijiji Tanzania, Mbeya, TanzaniaObstetrics Department, Mbeya Zonal Referral Hospital (MZRH), Mbeya, TanzaniaMedical School Building, UCL EGA Institute for Women’s Health, London, United KingdomDepartment of Statistics, Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesObstetrics Department, Mbeya Zonal Referral Hospital (MZRH), Mbeya, TanzaniaProgramme Development, Tanzania UK Healthcare Diaspora Association, London, United KingdomProgramme Development, Tanzania UK Healthcare Diaspora Association, London, United KingdomObstetrics Department, Mbeya Zonal Referral Hospital (MZRH), Mbeya, TanzaniaProgramme Development, Vijiji Tanzania, Mbeya, TanzaniaWomen’s Health Research Unit, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United KingdomWomen’s Health Research Unit, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United KingdomMedical School Building, UCL EGA Institute for Women’s Health, London, United KingdomBackgroundThe Maternal Mortality Rate (MMR) in Tanzania is 78 times higher than that of the UK. Obstetric haemorrhage accounts for two-thirds of these deaths in Mbeya, Tanzania. A lack of healthcare providers' (HCPs') competencies has been the key attribute. This study measured the impact on HCP's competencies from a blended training programme on obstetric haemorrhage.MethodsA “before and after” cohort study was undertaken with HCPs in 4 hospitals in the Mbeya region of Tanzania between August 2021 and April 2022. A multidisciplinary cohort of 34 HCPs (doctors, nurses, midwives, anaesthetists and radiologists) were enrolled on a blended face-to-face and virtual training course. The training was delivered by a multidisciplinary team (MDT) from London, UK, assisted by local multidisciplinary trainers from Mbeya, Tanzania and covered anaesthetic, obstetrics, haematology and sonographic use.ResultsThere were 33 HCP in the cohort of trainees where 30/33 (90.9%) of HCPs improved their Anaesthesia skills with a mean score improvement of 26% i.e., 0.26 (−0.009 −0.50), 23 HCPs (69.7%) improved obstetric skills 18% i.e., 0.18 (−0.16 to 0.50), 19 (57.6%), (57.6%) improved competences in Haematology 15%.i.e., 0.15 (−0.33 to 0.87), 20 out of 29 HCPs with ultrasound access (68.8%) improved Sonographic skills 13%.i.e., 0.13 (−0.31 to 0.54). All 33 HCPs (100%) presented a combined change with the mean score improvement of difference of 25% i.e., 0.25 (0.05–0.66). The deaths attributed to obstetric haemorrhage, the mortality rate declined from 76/100,000 to 21/100,000 live births. Actual number of deaths due to obstetric haemorrhage declined from 8 before training to 3 after the completion of the training.ConclusionThis comprehensive blended training on anaesthetic surgical, haematological, and sonographic management of obstetric haemorrhage delivers a significant positive impact on the detection, management and outcomes of obstetric haemorrhage.https://www.frontiersin.org/articles/10.3389/fgwh.2023.1270261/fullobstetric haemorrhageblended trainingmultidisciplinary obstetric carematernal deathssimulationMbeya |
| spellingShingle | Bernard Mbwele Bernard Mbwele Amani Twaha Kasia Maksym Matthew Caputo Delfina D. Mkenda Helen Halpern Sylvia Berney Elias A. Kaminyoge Mpoki S. Kaminyoge Mandeep Kaler Soha Sobhy Sara L. Hillman The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania Frontiers in Global Women's Health obstetric haemorrhage blended training multidisciplinary obstetric care maternal deaths simulation Mbeya |
| title | The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania |
| title_full | The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania |
| title_fullStr | The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania |
| title_full_unstemmed | The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania |
| title_short | The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania |
| title_sort | impact of a blended multidisciplinary training for the management of obstetric haemorrhage in mbeya tanzania |
| topic | obstetric haemorrhage blended training multidisciplinary obstetric care maternal deaths simulation Mbeya |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1270261/full |
| work_keys_str_mv | AT bernardmbwele theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT bernardmbwele theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT amanitwaha theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT kasiamaksym theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT matthewcaputo theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT delfinadmkenda theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT helenhalpern theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT sylviaberney theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT eliasakaminyoge theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT mpokiskaminyoge theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT mandeepkaler theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT sohasobhy theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT saralhillman theimpactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT bernardmbwele impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT bernardmbwele impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT amanitwaha impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT kasiamaksym impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT matthewcaputo impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT delfinadmkenda impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT helenhalpern impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT sylviaberney impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT eliasakaminyoge impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT mpokiskaminyoge impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT mandeepkaler impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT sohasobhy impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania AT saralhillman impactofablendedmultidisciplinarytrainingforthemanagementofobstetrichaemorrhageinmbeyatanzania |