Key outputs from the Project

1. Ellard DR, Shemdoe A, Mazuguni F, Mbaruku G, Davies D, Kihaile P, et al. 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.  BMJ Open. 2016;6(2); e009000 doi:10.1136/bmjopen-2015-009000.

2. Ellard DR, Shemdoe A, Mazuguni F, Mbaruku G, Davies D, Kihaile P, et al. Can training non-physician clinicians/associate clinicians (NPCs/ACs) in emergency obstetric, neonatal care and clinical leadership make a difference to practice and help towards reductions in maternal and neonatal mortality in rural Tanzania? The ETATMBA project.  BMJ Open. 2016;6(2); e008999 doi:10.1136/bmjopen-2015-008999.

3. Ellard DR, Chimwaza W, Davies D, Simkiss D, Kamwendo F, Mhango C, et al. Up-skilling associate clinicians in Malawi in emergency obstetric, neonatal care and clinical leadership: the ETATMBA cluster randomised controlled trial.  BMJ Global Health. 2016;1(1); e000020 doi: 10.1136/bmjgh-2015-000020.

4. Ellard DR, Chimwaza W, Davies D, O'Hare JP, Kamwendo F, Quenby S, et al. Can training in advanced clinical skills in obstetrics, neonatal care and leadership, of non-physician clinicians in Malawi impact on clinical services improvements (the ETATMBA project): a process evaluation.  BMJ Open. 2014;4(8); e005751 doi:10.1136/bmjopen-2014-005751.

5. Ellard D, Simkiss D, Quenby S, Davies D, Kandala NB, Kamwendo F, et al. The impact of training non-physician clinicians in Malawi on maternal and perinatal mortality: a cluster randomised controlled evaluation of the enhancing training and appropriate technologies for mothers and babies in Africa (ETATMBA) project.  BMC pregnancy and childbirth. 2012;12(1):116.

UK

March 2012: University of Warwick. David Ellard gave a presentation  of the project to his research group.

October 2012: Global Women’s Research Conference, Liverpool. Organised by the Royal College of Paediatrics and Child Health. Saliya Chipwete attended and gave a poster presentation of the ETATMBA study.

May 2014: University of Warwick. David Ellard presented the ETATMBA project at the Sub-Saharan Africa Research Network Symposium "Can up-skilling non-physician clinicians (NPCs) make a difference to practice and help towards reductions in maternal and neonatal mortality, in Malawi and Tanzania?" 
 

June 2014: Liverpool School of Tropical Medicine. Mselenge Mdegela presented the ETATMBA project at the LSTM conference with a poster "Evaluating the benefit of training Non-Physician Clinicians for Maternal and Newborn Care"

July 2014: Presentation by David Ellard: "Can up-skilling non-physician clinicians (NPCs) make a difference to practice and help towards reductions in maternal and neonatal mortality, in Malawi? The ETATMBA Project" at the Health Services Research Conference on Evidence-based practice held in King's College, London.

Tanzania

June 2011: an African conference on educational development and training took place in Ifakara, Tanzania. It included partners and expert educationists and has allowed contacts and networks to be established that has helped to sustain the development of the project and to bring together the common educational themes in the programmes in Malawi and Tanzania that will be applicable across Africa.

November 2012: Africa Network for Associate Clinicians Conference, Arusha, Tanzania. Attended by David Davies and by representatives from Tanzania and Malawi attended. The meeting established the networking group and began to develop its professional status, which relates to the key objective of WP3.

May 2013: Staffan Bergström presented by invitation “Experiences of balloon tamponade in the ETATMBA project in Tanzania” at a national level workshop on postpartum haemorrhage, NMCHC, Phnom Penh, Cambodia.

March 2016: Publication from the Tanzanian team: Nyamtema AS, Mwakatundu N, Dominico S, Mohamed H, Pemba S, Rumanyika R, Kairuki C, Kassiga I, Shayo A, Issa O, Nzabuhakwa C. Enhancing Maternal and Perinatal Health in Under-Served Remote Areas in Sub-Saharan Africa: A Tanzanian Model.  PloS One. 2016 Mar 17;11(3):e0151419; doi:10.1371/journal.pone.0151419.

Malawi

May 2012: National Stakeholder meeting in Lilongwe. This brought together key individual from the Ministry of Health, College of Medicine, Medical Council of Malawi, Christian Hospitals Association of Malawi and funding organisations together with the ETATMBA team to plan and commit to a sustainable model of training for NPCs in Malawi that will involve developing accredited BSc programmes for NPCs in areas of specialist interest. The drive to achieve this has come from the ETATMBA training programme working in partnership with the COSTA EEC funded programme that is developing a surgical training programme for NPCs as a BSc.

September 2012: 5th annual International Academy of Physicial Associate Educators (IAPAE). Workshop and conference in Johannesburg, South Africa. Francis Kamwendo presented a paper on ETATMBA and the planned BSc programmes for the Clinical Officers "Enhancing Training of Clinical Officers and Appropriate Technologies for Mothers and Babies in Malawi" 

November 2013: Chisale Mhango and Godfrey Mbaruku attended the Glow conference on 1 November 2013 in Birmingham, UK, which is an annual conference on maternal health, and participated in a group discussion on ‘Leveraging resources to Low Income Countries’, contributing the experiences of the ETATMBA project in Malawi & Tanzania.

Sweden

August 2011: the annual Gotland (Sweden) two-week advanced course “Enhancing access to human resources for maternal and neonatal survival through task-shifting by training of non-physician clinicians for comprehensive emergency obstetric care in low-income countries: from scientific evidence to action” was implemented with focus on topics and problems addressed in the ETATMBA project. Lecturers active in courses within WP1 in Tanzania and Malawi and specialists active in the work on Guidelines in WP2 were also actively participating in the Gotland course. The dissemination of methodology and results from the ETATMBA project to all participants was central in the course and this information reached out not only to participants from Tanzania and Malawi but also to those from a large number of other African countries.

In October 2011 Staffan Bergström was invited to Maputo, Mozambique, to present methodology and preliminary results from the ETATMBA at the ECSAOGS (Eastern, Central and Southern Africa Association of Obstetrics and Gynaecological Societies) meeting. The specific ETATMBA focus on the crisis in human resources was given much attention as was the concept of “task-shifting” of major obstetric surgery to NPCs in the context of CEmOC (comprehensive emergency obstetric care).

May 2013: Staffan Bergström attended by invitation the “Women Deliver” World Conference in Kuala Lumpur and presented on the management of postpartum haemorrhage in Tanzania in the ETATMBA project.

May 2013: Staffan Bergström spoke at a national level workshop on postpartum haemorrhage in Phnom Penh, Cambodia.

October 2013: Staffan Bergström attended the BITs 2nd International Congress of Gynaecology and Obstetrics (ICGO-2013) in Dalian, China, submitting an abstract “Caesarian sections where there is no doctor: successful experiences from rural Tanzania” and chairing a session on perinatal medicine.

Global

November 2011: the 4th Global Health Supply Chain Summit, University of Southern California, Los Angeles - Staffan Bergström was invited to speak about the human resource crisis in maternal and newborn care and to discuss the ETATMBA project methodology against the background of the current NPC situation in Tanzania and Malawi. A broad multinational audience participated in this summit and the ETATMBA project attracted much interest.

January 2012: lecture by Staffan Bergström at the University of Nairobi and at Aga Kahn University in Nairobi, at which ETATMBA was discussed.

July 2012: lecture by Staffan Bergström on ETATMBA, at the request of the Minister of Health in Mozambique, Dr Alexandre Manguele.

February 2011: the 2nd International Round table China-Africa Health collaboration in Beijing. Dr Godfrey Mbaruku attended and discussed the project

September 2011: African Centres of Excellence in Research summit, Kampala, Uganda. Dr Godfrey Mbaruku attended and reported on the project.