Ellard, David R., Shemdoe, Aloisia, Mazuguni, Festo, Mbaruku, Godfrey, Davies, D. A., Kihaile, Paul, Pemba, Senga, Bergström, Staffan, Nyamtema, Angelo, Mohamed, Hamed-Mahfoudh and O'Hare, J. Paul (2015) A qualitative process evaluation of training for non-physician clinicians/associate clinicians (NPCs/ACs) in emergency maternal, neonatal care and clinical leadership, impact on clinical services improvements in rural Tanzania: the ETATMBA project: Table 1. BMJ Open, 6 (2). pp. 1-10. e009000. doi:10.1136/bmjopen-2015-009000 ISSN 2044-6055.

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Abstract

Objectives

The Enhancing Human Resources and Use of Appropriate Training for Maternal and Perinatal Survival in sub-Saharan Africa (ETATMBA) project is training non-physician clinicians as advanced clinical leaders in emergency maternal and newborn care in Tanzania and Malawi. The main aims of this process evaluation were to explore the implementation of the programme of training in Tanzania, how it was received, how or if the training has been implemented into practice and the challenges faced along the way.

Design

Qualitative interviews with trainees, trainers, district officers and others exploring the application of the training into practice.

Participants

During late 2010 and 2011, 36 trainees including 19 assistant medical officers one senior clinical officer and 16 nurse midwives/nurses (anaesthesia) were recruited from districts across rural Tanzania and invited to join the ETATMBA training programme.

Results

Trainees (n=36) completed the training returning to 17 facilities, two left and one died shortly after training. Of the remaining trainees, 27 were interviewed at their health facility. Training was well received and knowledge and skills were increased. There were a number of challenges faced by trainees, not least that their new skills could not be practised because the facilities they returned to were not upgraded. Nonetheless, there is evidence that the training is having an effect locally on health outcomes, like maternal and neonatal mortality, and the trainees are sharing their new knowledge and skills with others.

Conclusions

The outcome of this evaluation is encouraging but highlights that there are many ongoing challenges relating to infrastructure (including appropriate facilities, electricity and water) and the availability of basic supplies and drugs. This cadre of workers is a dedicated and valuable resource that can make a difference, which with better support could make a greater contribution to healthcare in the country.

Item Type:	Journal Article
Subjects:	R Medicine > RG Gynecology and obstetrics R Medicine > RJ Pediatrics
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Neonatal intensive care -- Tanzania, Physicians' assistants -- Training of -- Tanzania
Journal or Publication Title:	BMJ Open
Publisher:	BMJ
ISSN:	2044-6055
Official Date:	12 February 2015
Dates:	Date Event 12 February 2015 Published 10 November 2015 Available 5 June 2015 Submitted
Volume:	6
Number:	2
Number of Pages:	10
Page Range:	pp. 1-10
Article Number:	e009000
DOI:	10.1136/bmjopen-2015-009000
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	19 February 2016
Date of first compliant Open Access:	22 February 2016
Funder:	Seventh Framework Programme (European Commission) (FP7), Birmingham Science City, Advantage West Midlands (AWM), European Regional Development Fund (ERDF)
Grant number:	266290 (FP7)
Open Access Version:	Publisher

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