Advanced Life Support in Obstetrics (ALSO) course in sudan - Success Story 2004 t0 2014

ALSO® SudanDr. Sami Mahmoud Abdelkhair

Clinical MD Consultant OBGYNKhartoum , Sudan

Salzburg Medical Leadership Seminar 2014

New map of Sudan

Sudan at a glance

• Poor health according to Millennium Development Goals (MDG)*– Life expectancy: 56 years– Low coverage & access to primary health care services: 45-60% (2004)– Maternal mortality rate (MMR): 1140 per 100000 live births– Infant mortality rate (IMR): 68 per 1000 live births– Children under 5 years mortality rate (U-5 MR): 104 per 1000 live

births

• Low level of health expenditure: less than 0.9% GDP

• Health scene is dominated by communicable diseases

*United Nations Millennium Development Goals are eight goals that all 191 UN Member States have agreed to try to achieve by the year 2015

Recognition


ReferralRecognition


ResponsivenessReferralRecognition


What is the objective?What are we trying to change?


Obstetric Emergency Training


ALSO® Sudan• Advanced Life Support in Obstetrics (ALSO®)

Sudan was established in 2004.

• ALSO® courses in Sudan are run under license from the American Academy of Family Physicians (AAFP), which is leased to the Faculty of Medicine, University of Khartoum.


ALSO Sudan team Dr. Abubakr Elmardi , Dr. Hassan Shehata, Dr. Badrelldin Ahmed, Dr. Hisham Mirghani , Dr. Siddig Adam. Dr. Reem Mansour , Dr. Nayla Abusalih , Dr.Abdelrahman Mageed , Dr.Basheer Elgaily , Dr. Atif Fazari


ALSO® Provider and Instructor Courses

• 53 ALSO® Providers courses– 1487 candidates trained since implementation

• 8 ALSO® Instructor courses– 230 trained instructors since implementation


Other Training in Sudan• Parallel to the ALSO® course, our instructors

usually organize one-day course for midwives in Arabic language.

• Often performed in remote states of Sudan where midwives lack training in many fields like: Episiotomy & perineal repair, emergency obstetric care (EMOC) & infection control.


Our Successes• We have accomplished our training goals in

terms of number of courses & candidates.• Managed to buy new sets of six mannequins

(6000 sterling).• Updated new ALSO® manual 2012 edition.• More states were covered in the peripheral

parts of Sudan.• We reduced the tuition fees for the candidates

(US$200).Salzburg Medical Leadership Seminar 2014

Challenges/Barriers• Instructors are working on voluntary basis – not

paid at all.• ALSO® is not yet incorporated in the formal

training for all residents by the Sudan National Specialization board.

• Many candidates cannot afford tuition (US$40).• Some paramedics cannot take the course

because it is only in English language.


Future Forward• Wider coverage of all Sudan states (e.g. ALSO®

in Darfur state is a real challenge).• More collaboration with other African countries

to exchange expertise.• Incorporate ALSO® as a mandatory program in

the curriculum of different medical schools.• ALSO® course in Arabic language.• Adoption of ALSO® by Federal Ministry of

Health.Salzburg Medical Leadership Seminar 2014

What were the results?

What did we learn?Salzburg Medical Leadership Seminar 2014

Maternal Mortality Rate

• 260 per 100000 live births???

• Country is now in two parts and Southern Sudan had higher MMR than Northern Sudan


The Impact of ALSO® on our Performance

Shahad Mahmoud Hussien, MRCOGSami Mahmoud Abdel-Khair, MD


Impact of ALSO® on Instructor’s

Attitude



Two Sudanese Midwives attending a training course in UK in 1954

Advanced Life Support in Obstetrics (ALSO) course in sudan - Success Story 2004 t0 2014

Health & Medicine

Transcript of Advanced Life Support in Obstetrics (ALSO) course in sudan - Success Story 2004 t0 2014