Report on Maternal Health Course held at NSSC on 26th-27th September 2013

Improving maternal health is the 5th UN millennium development goal and this course was a major tool in achieving this objective. Kenya, like many other countries within Sub Saharan Africa has an infant mortality rate of 43.61 deaths per 1000 live births according to the 2012 estimate. This is a concern and more training is required especially to the health workers serving the rural population and responsible for assisting mothers during delivery. Majority of these are clinical officers, midwives, medical officers, medical interns and nurses who work with very little supervision if any  from the consultants.

This course was offered by the Agakhan University Hospital – Nairobi through an educational grant supported by Johnson & Johnson. This was facilitated by Prof William Stones FROG, (Chair Dept of Obstetrics and Gynecology – AGKUH) and coordinated by Dr Christine Murungi – Kiama who is the workshop Director – AGKUH. In addition, the faculty consisted of 4 other able Obs/Gynae residents from the same institution.

The topics covered included post partum hemorrhage, caesarean section, bladder injuries and perineal tear repairs. It involved both theory and cadaveric sessions. The course objectives included:

  • Covering surgical aspects of key obstetric surgical procedures
  • Enhancing theoretical knowledge that guide the surgical procedures
  • Undertaking practical sessions on the obstetric surgical procedures covered.

The delegates were maternal health providers drawn from government and mission hospitals and totaled to 12. They included residents obsgyn, medical officers, clinical officers and nurses.

Feedback from delegates indicated satisfaction and a big impact on PPH and perineal repairs as the most encountered scenarios. However they expressed need for training in pre-eclampsia, shoulder dystocia and antepartum bleeding.

Agakhan University Hospital thanked Johnson & Johnson for the support which made the training a huge success. We look forward to more trainings at NSSC and have 2 courses scheduled for next year.