ArticleEvaluation and program planning2025
Participatory simulation training design: The MAMA interprofessional team-training program for obstetric care of pregnant individuals living with HIV in Tanzania.
Article in Evaluation and program planning, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03600142 (A Stigma Reduction Intervention at Time of Entry Into Antenatal Care to Improve PMTCT Services in Tanzania), which is not on this map. Cited by 2 papers.
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Stigma Reduction Intervention at Time of Entry Into Antenatal Care to Improve PMTCT Services in Tanzania (Maisha)
Who cites it
2 citing papers in PubMed.
- Digital and data capabilities for sexual and reproductive health: a participatory interdisciplinary approach to workforce transformation.BMC health services research · 2026Article
- Protocol for the INSPIRE Study: A Training Package for the Intrapartum Team to Promote Respectful and Non-stigmatizing Care for Patients with Substance Use Disorder.Substance use & addiction journal · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
introductionStigma towards women living with HIV (WLHIV) during childbirth can lead to suboptimal care and clinical outcomes. In this paper we describe the design of MAMA, a simulation team-training curriculum for labor and delivery (L&D) providers to reduce HIV stigma, provide more respectful maternity care (RMC), and improve clinical empathy.
methodsIn order to adapt the PRONTO model of simulation training, we integrated and applied the ADAPT-ITT framework for systematic adaptation of evidence-based interventions (EBI) and participatory design principles to create a responsive and innovative program. This process ensured we met local needs through continuous and iterative input from stakeholders, enabling those who would benefit from the intervention to drive its creation.
resultsThe final intervention is a 2.5 days workshop, followed by a 2-hour in-situ refresher in the providers' clinical setting. The training centers simulation scenarios, teamwork and communication activities, and interactive lessons on principles of RMC, HIV stigma, prevention of mother-to-child transmission, implicit bias, teamwork, clinical empathy, and coping with burnout.
conclusionThe ADAPT-ITT model, augmented by participatory design strategies, provides a systematic yet flexible process to adapt and contextualize EBIs. The use of these complementary approaches resulted in a locally grounded intervention to build provider confidence and skills caring for WLHIV giving birth and to improve RMC in facilities in Tanzania.
trial registrationNCT03600142.
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