Health Systems and Workforce | Strengthening Quality of Care Room: 1.41-1.42 Oral Abstracts
May 10, 2023 09:10 - 10:25(Africa/Johannesburg)
20230510T0910 20230510T1025 Africa/Johannesburg Improving Quality of and Access to Safer Surgical Care in Four Countries

Achievement of Elective Cesarean Following Surgical Repair of Female Genital Fistula in Uganda

Childbearing following recovery from female genital fistula in lower-resource settings is important for some women. Cesarean birth is recommended by fistula caregivers to reduce adverse outcomes, yet is inconsistently achieved. Understanding factors influencing post-repair elective cesarean may inform clinical and counseling interventions. We sought to understand perinatal experiences and care-seeking among Ugandan women who previously underwent fistula repair.

Improving Quality and Access to Safe Cesarean Section: Comprehensive Emergency Obstetric and Newborn Care (CEmONC) Mentorship and Onsite Simulation-Based Training in Developing Regional States of Ethiopia 

The World Health Organization estimates that around 295,000 women die due to complications of pregnancy and childbirth. Cesarean section (CS) is an essential part of comprehensive emergency obstetric and newborn care (CEmONC) and a life-saving intervention for women and newborns when it is done safely, timely, and with absolute indication. Access to safe CS is still suboptimal in low- and middle-income countries including Ethiopia. Nonavailability of competent providers to provide safe CS is a major barrier. The Ethiopian Society of Obstetricians and Gynecologists (ESOG) collaborated with partners and the Ministry of Health to improve CEmONC services in selected hospitals.

Post-discharge Tracking of Surgical Site Infections among Caesarean Section Clients in Makueni County, Kenya 

Most surgical site infections (SSIs) following cesarean section (CS) occur following discharge of the mother from the hospital. In Kenya, poor follow-up of the client after she leaves the faci ...

Room: 1.41-1.42 International Maternal Newborn Health Conference 2023 information@imnhc.org
43 attendees saved this session

Achievement of Elective Cesarean Following Surgical Repair of Female Genital Fistula in Uganda

Childbearing following recovery from female genital fistula in lower-resource settings is important for some women. Cesarean birth is recommended by fistula caregivers to reduce adverse outcomes, yet is inconsistently achieved. Understanding factors influencing post-repair elective cesarean may inform clinical and counseling interventions. We sought to understand perinatal experiences and care-seeking among Ugandan women who previously underwent fistula repair.


Improving Quality and Access to Safe Cesarean Section: Comprehensive Emergency Obstetric and Newborn Care (CEmONC) Mentorship and Onsite Simulation-Based Training in Developing Regional States of Ethiopia 

The World Health Organization estimates that around 295,000 women die due to complications of pregnancy and childbirth. Cesarean section (CS) is an essential part of comprehensive emergency obstetric and newborn care (CEmONC) and a life-saving intervention for women and newborns when it is done safely, timely, and with absolute indication. Access to safe CS is still suboptimal in low- and middle-income countries including Ethiopia. Nonavailability of competent providers to provide safe CS is a major barrier. The Ethiopian Society of Obstetricians and Gynecologists (ESOG) collaborated with partners and the Ministry of Health to improve CEmONC services in selected hospitals.


Post-discharge Tracking of Surgical Site Infections among Caesarean Section Clients in Makueni County, Kenya 

Most surgical site infections (SSIs) following cesarean section (CS) occur following discharge of the mother from the hospital. In Kenya, poor follow-up of the client after she leaves the facility, lack of self-care awareness of post-CS women, and delayed care seeking are major gaps in improving detection and timely management of SSIs, as well as in providing accurate estimation of SSI rates. The Johnson and Johnson-funded Obstetric Safe Surgery (OSS) project in Makueni County, Kenya, aimed to strengthen community-level follow-up of mothers and newborns at days 7 and 30 following CS.


A Multidisciplinary Team-Based Approach to Strengthen the Quality and Safety of Caesarean Sections in Makueni County, Kenya 

Women in African countries continue to suffer high complications and death from unsafe caesarean section (CS) due to lack of surgical and nonsurgical skills. A multidisciplinary team-based approach is an essential, effective, and patient-centered service delivery approach that enables positive outcomes. The Johnson and Johnson-funded Obstetric Safe Surgery (OSS) project in Makueni County, Kenya, aimed to overcome barriers to safe, timely, and quality CS by using a multidisciplinary team-based approach tailored to the local context. The interventions included improvement of nontechnical skills of surgical teams (e.g., to improve teamwork and communication), by standardizing clinical care and creating a patient safety culture.

Achievement of Elective Cesarean Following Surgical Repair of Female Genital Fistula in Uganda
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Strengthening Quality of Care
Health Systems and Workforce
Presenters Alison El Ayadi
Associate Professor, University Of California, San Francisco
Co-authors HADIJA HADDY NALUBWAMA
RESEARCH MANAGER, Makerere University College Of Health Sciences, Kampala, Uganda
Ashley Mitchell
Graduate Student Researcher, Institute For Global Health Sciences, University Of California, San Francisco
AK
Abner Korn
Professor, Department Of Obstetrics, Gynecology And Reproductive Sciences, University Of California San Francisco
FN
Florence Nalubega
Gynaecologist/Obstetrician, Kitovu Hospital
AM
Andrew Muleledhu
Medical Superintendent, Kamuli Mission Hospital
JB
Justus Barageine
Obstetrician/Gynaecologist And Urogynaecologist, Department Of Obstetrics And Gynecology, Makerere University College Of Health Sciences
Improving Quality and Access to Safe Cesarean Section: Comprehensive Emergency Obstetric and Newborn Care (CEmONC) Mentorship and Onsite Simulation-Based Training in Developing Regional States of Ethiopia
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Strengthening Quality of Care
Innovative Tools and Strategies
Presenters
RG
Rahel Demissew Gebreyohannes
Assistant Professor Of Obstetrics And Gynecology, Ethiopian Society Of Obstetricians And Gynecologists
Co-authors
MF
Mekdes Daba Feyissa
Assistant Professor Of Obstetrics And Gynecology, Ethiopian Society Of Obstetricians And Gynecologists
Alemnesh Tekleberhan Reta
Ethiopia Implementation Manager, Laerdal Global Health
Post-discharge Tracking of Surgical Site Infections among Caesarean Section Clients in Makueni County, Kenya
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Strengthening Quality of Care
Health Systems and Workforce
Presenters Mary Muthengi
Technical Officer, Jhpiego
Co-authors
JV
John Varallo
Global Director Safe Surgery, Jhpiego
FN
Freda Nyaga
MERL Manager, Jhpiego
A Multidisciplinary Team-Based Approach to Strengthen the Quality and Safety of Caesarean Sections in Makueni County, Kenya
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Strengthening Quality of Care
Health Systems and Workforce
Presenters
DR
Daisy Ruto
Project Director, Jhpiego
Co-authors
JV
John Varallo
Global Director Safe Surgery, Jhpiego
Mary Muthengi
Technical Officer, Jhpiego
FN
Freda Nyaga
MERL Manager, Jhpiego
Project Director
,
Jhpiego
Technical Officer
,
Jhpiego
Assistant Professor of Obstetrics and Gynecology
,
Ethiopian Society of Obstetricians and Gynecologists
Associate Professor
,
University of California, San Francisco
Consultant Obstetrician & Gynecologist and HoD
,
Centre Hospitalier Universitaire de Kigali – CHUK, Rwanda
Project Director, MOMENTUM Safe Surgery in Family Planning and Obstetrics
,
EngenderHealth
Attendees public profile is disabled.
Post-discharge Tracking of Surgical Site Infect...
View Submitted by Mary Muthengi 6
A Multidisciplinary Team-Based Approach to Stre...
View Submitted by Daisy Ruto 4
Improving Quality and Access to Safe Cesarean S...
View Submitted by Rahel Demissew Gebreyohannes 2
Achievement of Elective Cesarean Following Surg...
View Submitted by Alison El Ayadi 2
Program Navigator
458 hits