ArticleJournal of transcultural nursing : official journal of the Transcultural Nursing Society2022
Assessing Combined Longitudinal Mentorship and Skills Training on Select Maternal and Neonatal Outcomes in Rural and Urban Health Facilities in Malawi.
Article in Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Impact of a long-term mentorship program for childbirth providers on quality of care: A cluster randomized controlled trial.PLOS global public health · 2026Article
- Evaluating the impact of a longitudinal mentorship intervention on the documentation of maternal vital signs in Blantyre district, Malawi.BMC pregnancy and childbirth · 2025Article
- Establishment of a neonatal nursery in a rural district hospital in Malawi: a retrospective review of neonatal outcomes in Neno District Hospital (2014-2021).BMC pediatrics · 2025Article
- Characterizing the referral care continuum among complex obstetric patients in the Blantyre District of Malawi: A mixed methods study.PLOS global public health · 2025Article
- Exploring the long-term impact of a nurse-midwife mentorship intervention in Neno district, Malawi: a secondary data analysis of maternal and neonatal complications.BMC global and public health · 2024Article
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Authors and funding
8 authors.
Funding
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Abstract
introductionDespite successful efforts to improve clinical access and skilled birth attendance in Malawi, it still faces high rates of maternal and neonatal mortality. In 2017, the UCSF-GAIN partnership began a nurse-midwifery clinical education and longitudinal mentorship program. While it has received positive reviews, it is unclear whether routinely collected indicators can assess such a program's impact.
methodA longitudinal review of the Malawian DHIS2 database explored variables associated with maternal and newborn care and outcomes before and after the intervention. Data were analyzed using generalized estimating equations (GEE) to account for facility-level correlations over time.
resultsQuality issues with DHIS2 data were identified. Significant changes potentially associated with the GAIN intervention were noted. DISCUSSION: The GAIN approach appears to be associated with positive trends in maternal and neonatal care. National summary databases are problematic, however, for evaluating targeted interventions and the provision of care to specific outcomes.
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