Title |
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
|
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Published in |
BMC Pregnancy and Childbirth, October 2012
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DOI | 10.1186/1471-2393-12-116 |
Pubmed ID | |
Authors |
David Ellard, Doug Simkiss, Siobhan Quenby, David Davies, Ngianga-bakwin Kandala, Francis Kamwendo, Chisale Mhango, Joseph Paul O’Hare |
Abstract |
Maternal mortality in much of sub-Saharan Africa is very high whereas there has been a steady decline in over the past 60 years in Europe. Perinatal mortality is 12 times higher than maternal mortality accounting for about 7 million neonatal deaths; many of these in sub-Saharan countries. Many of these deaths are preventable. Countries, like Malawi, do not have the resources nor highly trained medical specialists using complex technologies within their healthcare system. Much of the burden falls on healthcare staff other than doctors including non-physician clinicians (NPCs) such as clinical officers, midwives and community health-workers. The aim of this trial is to evaluate a project which is training NPCs as advanced leaders by providing them with skills and knowledge in advanced neonatal and obstetric care. Training that will hopefully be cascaded to their colleagues (other NPCs, midwives, nurses). |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 25% |
Nigeria | 1 | 13% |
United Kingdom | 1 | 13% |
Unknown | 4 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 88% |
Practitioners (doctors, other healthcare professionals) | 1 | 13% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Tanzania, United Republic of | 1 | <1% |
Netherlands | 1 | <1% |
Ethiopia | 1 | <1% |
Indonesia | 1 | <1% |
Brazil | 1 | <1% |
Peru | 1 | <1% |
United States | 1 | <1% |
Unknown | 151 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 40 | 25% |
Researcher | 19 | 12% |
Student > Ph. D. Student | 18 | 11% |
Student > Doctoral Student | 13 | 8% |
Student > Bachelor | 10 | 6% |
Other | 24 | 15% |
Unknown | 34 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 39 | 25% |
Nursing and Health Professions | 23 | 15% |
Social Sciences | 20 | 13% |
Biochemistry, Genetics and Molecular Biology | 5 | 3% |
Agricultural and Biological Sciences | 5 | 3% |
Other | 24 | 15% |
Unknown | 42 | 27% |