Rater training for standardised assessment of objective structured clinical examinations in rural Tanzania
In this study, six healthcare providers assessed and scored 42 training scenarios. Raters identified average test proficiency 50% of the time. Experts in the field of clinician-based training for frontline staff recommend that all examiners undergo rater training prior to becoming an Objective Structured Clinical Examination (OSCE) assessor. Helping Babies Breathe, Essential Care for Every Baby and Bleeding after Birth are standardised training programmes in maternal and child health care. Studies examining the reliability of assessments are rare. This study shows that rater training is critical to ensure that the potential of training programmes translates to improved outcomes for mothers and babies.
Auteur ou autrice(s) : Sigalet, Elaine L, Matovelo, Dismas, Brenner, Jennifer L, Boniphace, Maendeleo, Ndaboine, Edgar
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Langage : Anglais
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Mama na Mtoto experience : summary
Mama na Mtoto activities in Tanzania included meetings, equipment provision, facility upgrades, training, mentorship, and technical assistance to improve maternal, child and newborn health (MNCH). Health workers refreshed their basic emergency obstetric and newborn care skills, and received training and mentorship on data use and management. District health managers and facility supervisors participated in leadership training, oversaw facility-based improvements, and action planning initiatives. Carefully selected and integrated district, facility and community-level MNCH activities strengthen capacity and can significantly improve service quality and care-seeking over a short period of time.
Auteur ou autrice(s) : Matovelo, Dismas, Brenner, Jenn, Mercader, Hannah, Shabani, Girles, Khan, Sundus, Kanuti, Victoria
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Langage : Anglais
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Simulation-based training and peer-to-peer learning
The Mama na Mtoto initiative aims to improve maternal, newborn, and child health (MNCH) in Misungwi and Kwimba Districts (Tanzania) through a variety of activities, including development of clinical capacity at health facilities. Using simulation, teams can practice managing emergency cases in a safe and controlled environment with supportive coaching. Simulation events were used to refresh MNCH clinical care skills through 5-day workshops for 200 health workers.
Auteur ou autrice(s) : Matovelo, Dismas, Brenner, Jenn, Khan, Sundus, Mercader, Hannah, Shabani, Girles, Maendeleo, Boniface, Ndaboine, Edgar, Mwaikasu, Lusako, Kabirigi, Julieth
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Langage : Anglais
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Mama na Mtoto experience : outcomes and results
Project activities supported improvements to district health systems, provided training for health workers in clinical and management skills, and deployed a network of maternal, newborn, and child health (MNCH) community health workers (CHWs) to support mothers, babies, and their families. This brief outlines and reviews research and monitoring conducted throughout the implementation phases of the project.
Auteur ou autrice(s) : Matovelo, Dismas, Brenner, Jenn, Kyabakenga, Jerome, Kyomuhangi, Teddy, Shabani, Girles, Mlila, Anthony, Matutu, Tumsifu, Mwaikambo, Magdalena, Mercader, Hannah, Khan, Sundus
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Langage : Anglais
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Maximizing engagement for readiness and impact (MERI) : MERI approach technical review
System readiness approaches move towards better understanding and managing challenges that governments and development partners face in advance of programme delivery. The Maximizing Engagement for Readiness and Impact (MERI) Approach is the focus of this brief. The term “system readiness” is used in implementation science, rather than “system strengthening.” Readiness theory suggests that motivation factors are critical in implementation. For example, if there are gaps identified in leadership capacity, one would incorporate and emphasize strategies to build leadership skills within implementation activities and to encourage leader buy-in. Because general capacity and motivation are improved, beneficiaries are more ‘ready’ to take on other interventions.
Auteur ou autrice(s) : Matovelo, Dismas, Brenner, Jenn, Kyabakenga, Jerome, Kyomuhangi, teddy, Mercader, Hannah
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Langage : Anglais
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Replicating MamaToto in rural Tanzania : final process evaluation report
This project tested the replication of a comprehensive, district-wide Maternal, Newborn, and Child Health (MNCH) program. The study’s findings suggest that the tested implementation processes contributed to significant improvements in MNCH in Misungwi and Kwimba districts in Lake Zone, Tanzania. Despite successes, gaps remain around family planning, with some community resistance to changing health behaviours and care seeking. High levels of engagement are critical to project sustainability. “Mama na Mtoto,” addresses MNCH gaps at three levels: (1) district (through health system strengthening activities); (2) health facility (through training and infrastructure); (3) community (by encouraging volunteer community health workers).
Auteur ou autrice(s) : Matovelo, Dismas, Brenner, Jenn, Mercader, Hannah, Shabani, Girles, Kanuti, Victoria
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Langage : Anglais
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