Collaborative Maternal and Perinatal Care Training

The training took place in two collaborating institutions: Tanzanian Training Centre for International Health (TTCIH) and Saint Francis Designated District Hospital (SFDDH). TTCIH is a non profit semi-autonomous institution that offers short international courses in health and a long course for AMOs. The two institutions (TTCIH and SFDDH) have had long experiences in health related training and health care service delivery. SFDDH, a hospital with a 372-bed capacity, receives referred patients from primary health facilities (dispensaries and health centres) in Ulanga and Kilombero districts. The mean annual delivery and caesarean section rates from 2005 to 2008 were 4,987 and 25% respectively. The key technical staff for the programmes included one medical curriculum expert, two obstetricians, one paediatrician, two generalist doctors and one senior AMO - all with vast experience in maternal and perinatal care. The training in anaesthesia was conducted by a consultant anaesthetist from Muhimbili National Hospital (MNH), one AMO specialized in anaesthesia and two senior anaesthetic nurses from SFDDH. The training programmes were built on the framework of human resources, pedagogical and technological materials available in the two institutions.

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Nyamtema A.S., Pemba S.K., Mbaruku G., Rutasha F.D, & van Roosmalen J. (2011). Tanzanian lessons in using non-physician clinicians to scale up comprehensive emergency obstetric care in remote and rural areas. Human Resources for Health, 9, 28.

Publication 2011

Anaesthesia Anaesthetic Anaesthetist Caesarean section Consultant Delivery Doctors Generalist Health care service delivery Human resources Maternal Nurses Obstetricians Paediatrician Patients Perinatal care

Corresponding Organization :

Other organizations : Ifakara Health Institute, Leiden University Medical Center

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Variable analysis

independent variables

Training programs at TTCIH and SFDDH

dependent variables

Annual delivery and caesarean section rates from 2005 to 2008

control variables

Human resources, pedagogical and technological materials available in the two institutions
Referral system from primary health facilities (dispensaries and health centres) to SFDDH
Expertise of key technical staff (medical curriculum expert, obstetricians, paediatrician, generalist doctors, senior AMO, consultant anaesthetist, AMO specialized in anaesthesia, and senior anaesthetic nurses)

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