Evidence map›Paper›PMID 39681971›Full record

ArticleBMC global and public health2024

Exploring the long-term impact of a nurse-midwife mentorship intervention in Neno district, Malawi: a secondary data analysis of maternal and neonatal complications.

Miranda Rouse, Isaac Mphande, Nelson Mwale, Sitalire Kapira, Mphatso Sayenda, Mc Geofrey Mvula, Maria Openshaw, Esnath Kapito, Martha Kutsamba, Daniel Maweu and 5 more

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Article in BMC global and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

15 authors.

Miranda RouseUniversity of California, San Francisco, Institute for Global Health Sciences, Mission Hall, 550 16Th Street, Third Floor, Box 1224, San Francisco, CA, 94158, USA. miranda.rouse@ucsf.edu.
Isaac MphandePartners In Health/Abwenzi Pa Za Umoyo, P.O. Box 56, Neno, Malawi.
Nelson MwaleGAIA Global Health, P.O. Box 51428, Limbe, Malawi.
Sitalire KapiraPartners In Health/Abwenzi Pa Za Umoyo, P.O. Box 56, Neno, Malawi.
Mphatso SayendaPartners In Health/Abwenzi Pa Za Umoyo, P.O. Box 56, Neno, Malawi.
Mc Geofrey MvulaPartners In Health, 25 Saquee Drive, Off Wilkinson Road, Freetown, Sierra Leone.
Maria OpenshawMGH Institute of Health Professions, School of Nursing, 36 1St Avenue, Boston, MA, 02129, USA.
Esnath KapitoKamuzu University of Health Sciences, Private Bag 360, Chichiri, Blantyre 3, Malawi.
Martha KutsambaNeno District Health Office, Ministry of Health, P.O. Box 52, Neno, Malawi.
Daniel MaweuPartners In Health/Abwenzi Pa Za Umoyo, P.O. Box 56, Neno, Malawi.
Ashley MitchellUniversity of California, San Francisco, Institute for Global Health Sciences, Mission Hall, 550 16Th Street, Third Floor, Box 1224, San Francisco, CA, 94158, USA.
Madhavi DanduUniversity of California Global Health Institute, 1111 Franklin Street, Oakland, CA, 94607, USA.
Anna MullerSeattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA, 98105, USA.
Alden Hooper BlairUniversity of California, San Francisco, Institute for Global Health Sciences, Mission Hall, 550 16Th Street, Third Floor, Box 1224, San Francisco, CA, 94158, USA.
Kimberly BaltzellUniversity of California, San Francisco, School of Nursing, N431Y, 2 Koret Way, Box 0606, San Francisco, CA, 94143, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is critical need to strengthen the global nursing and midwifery workforce. This is especially true in Malawi where they are the primary providers of obstetric and neonatal care. In Neno district, Malawi, in 2017, we implemented an intensive training and longitudinal bedside mentorship intervention for nurses and midwives. From inception, there was a pre-planned project target completion after 5 years, including a staged handover to local ownership after 3 years. The objective of this study was to assess differences in reported maternal and neonatal complications following project completion and handover to local leadership.

methodsThe project was a partnership between an academic institution and local nongovernmental organization. In October 2020, the intervention was handed over and maintained by the local organization with limited support from the academic institution. Data from January 2019 to May 2023 were extracted from the Malawi District Health Information Software 2. Bivariate analyses explored differences in the pre- and post-handover periods for all government-collected, birth-related variables. The "pre-handover" period encompassed January 2019 to September 2020 and "post-handover" from October 2020 to May 2023. Multivariate linear regression explored outcomes while controlling for health facility.

resultsData were collected from 10 health facilities in the district and included a total of 23,259 births. Overall, there were few significant changes between periods. Exceptions were in reporting of antepartum hemorrhage (p < 0.01), maternal sepsis (p = 0.01), and manual removal of the placenta (p < 0.01), where we observed decreases in reporting. There was a significant decrease in the reporting of neonatal sepsis (p = 0.01) in the bivariate analysis, which remained only borderline significant in the multivariate model (p = 0.05). Where differences occurred, they were associated with improvements in reported identification of complications and provision of associated emergency care.

conclusionsFew differences in reported maternal and neonatal complications between the periods suggest positive impact of the intervention was sustained following project handover and transition of activities to local leadership. These findings strengthen support for longitudinal mentorship as a pivotal component for skill retention after training. Transparent partnerships which include pre-determined end points and time for handover of activities to local ownership are crucial components for sustainability.

Indexed as

Data reportingMidwiferyNeonatal complicationsNursingObstetric complicationsSub-Saharan Africa

Identifiers

PMID39681971
PMCPMC11622972

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.