With support from USAID’s Maternal and Child Survival Project in Tanzania Annamagreth Mukwenda, John George George, Mary Rose Giatas, Agrey Mbilinyi, Gustav Moyo, and Justine Ngenda have been addressing the quality of case and services provided by midwives. Their poster at the 66th Annual Meeting of the American Society of Tropical Medicine and Hygiene is summarized below.
In sub-Saharan Africa, maternal mortality is unacceptably high accounting for 56% of all maternal deaths. Tanzania is not different. It is estimated that five in every 100 children die before their first birthdays and that four women out of 1000 live births die due to pregnancy related causes.
With prompt recognition and timely intervention most maternal and neonatal deaths can be avoided. Access to skilled care at these critical times save lives.
A new initiative is working to improve midwifery care by building capacity of training institutions to prepare highly skilled nurse-midwives to enhance on job live saving skills.
In 2014 A collaboration between the Tanzania Ministry of Health, Jhpiego through Maternal child survival program (MCSP), conducted a baseline assessment to assess the quality of midwifery pre-service education to adequately prepare students with the clinical skills to provide competent nursing and midwifery care.
Four nursing and midwifery schools from two regions of Lake Zone were assessed to identify issues affecting the schools’ ability to produce clinically competent graduates in nursing and midwifery. Among things, the assessment focused on tutors and recent graduates, with findings showing critical deficit on content/skill competencies.
To address these challenges, midwifery tutors from 9 schools (100%) were updated in high impact midwifery interventions through trainings and supportive supervision including coaching and mentorship. Skills labs were also equipped with all mannequins necessary for midwifery training.
The program is in the third year of implementation with tremendous improvement in midwifery training as evidenced by students final examination results as well as tutors’ and students’ testimonies.
Experience of MCSP approach to strengthen competencies of graduates has contributed to improve midwifery quality of care to reduce maternal deaths in Tanzania.