Conference abstract

Locally tailored clinical guidelines and reoccurring training aimed to improve care at birth in Tanzania

Pan African Medical Journal - Conference Proceedings. 2024:21(53).29 Apr 2024.
doi: 10.11604/pamj-cp.2024.21.53.2383
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Clinical guidelines, reoccurring training, care at birth
Oral presentation

Locally tailored clinical guidelines and reoccurring training aimed to improve care at birth in Tanzania

Rashid Saleh Khamis1,2,3,&, Dan Wolf Meyrowitsch3, Nanna Maaloe3, Natasha Housseine3,4, Salma Abdi Mahmoud1

1State University of Zanzibar (SUZA), Zanzibar, Tanzania, 2Mnazi Mmoja Hospital, Zanzibar, Tanzania, 3University of Copenhagen, Copenhagen, Denmark, 4Aga Khan University Dar es Salaam, Tanzania

&Corresponding author

Introduction: SUZA and Aga Khan University partnered with healthcare professionals at Mnazi mmoja Hospital's Obstetrics Department in Zanzibar to develop The PartoMa Guide. Inadequate pre-service and in-house labor care training hamper healthcare providers' abilities and adoption of evidence-based practices. Our intervention aims to assess the impact of PartoMa seminars on knowledge, skills, motivation, and seminar attendance perceptions among birth attendants and final-year health students in two Tanzanian settings, focusing on intrapartum knowledge and partograph skills.

Methods: this study covers March 2022 to March 2023 and focuses on peripheral hospitals in Kivunge and Makunduchi, Zanzibar, Tanzania. Using a prospective cross-sectional design, data were collected through anonymous pre- and post-seminar knowledge-skill tests. IBM SPSS Statistics 28.0.0.00 was used for analysis, employing descriptive and inferential statistics, including Paired-sample T-tests.

Results: the study included 186 participants across three seminar sessions. Pre-seminar mean test scores rose from 16.69 to 17.49 post-seminar. Statistical analysis revealed a notable increase in scores post-seminar, with a test score difference of 0.80 (95% CI: 0.32 – 1.27). Participants demonstrated increased knowledge between pre- and post-seminar assessments, with over 80% expressing continued interest in attending future seminars.

Conclusion: birth attendants’ knowledge fills gaps in low-resource settings lacking routine refresher courses. Regular seminars ensure safer maternal care, improving health outcomes for mothers and newborns in surrounding communities. To maintain and enhance the observed positive trend, diversify seminar formats with workshops, case studies, interactive discussions, and guest speakers. Continuous feedback collection is crucial for understanding participants' needs and areas for improvement.