Abstract

Welcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance global health, promote research, and foster the prevention and treatment of disease worldwide. Its goals are to improve the health and well-being of all people, advance health equity, and promote wise stewardship of the earth's environment. The latest journal impact factor is 3.64.Annals of Global Health is supported by the Program for Global Public Health and the Common Good at Boston College. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health. Authors of articles accepted for publication in Annals of Global Health will be asked to pay an Article Publication Charge (APC) to cover publication costs. This charge can normally be sourced from your funder or institution. We are committed to supporting authors from all countries to publish their work in Annals of Global Health regardless of national income level, and to achieve this goal, we waive the Article Publication Charge for manuscripts where all authors are from low-income or lower-middle-income countries (as defined by the World Bank). From time to time, Annals of Global Health publishes Special Collections, a series of articles organized around a common theme in global health. Recent Special Collections have included “Strengthening Women’s Leadership in Global Health”, “Decolonizing Global Health Education”, and “Capacity Building for Global Health Leadership Training”. Global health workers interested in developing a Special Collection are strongly encouraged to contact the Managing Editor in advance to discuss the project.

Highlights

  • Low utilization of prescribed maternal, newborn and child health (MNCH) services result from supply- and demand-side barriers, which are not mutually exclusive in their cause or effect

  • With a Skilled-Birth-Attendance coverage of 42% and one midwife per 1000 population, Sierra Leone qualifies for World Health Organization (WHO)’s definition of “critical shortage”, yet new policies exclude Traditional birth attendance (TBAs) from the health system

  • The new mentoring curriculum is comprised of 31 emergency obstetric and neonatal care (EmONC) simulation scenario guides, 17+ lesson plans, and 15 teamwork activities tailored to the Bihar context

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Summary

Introduction

Low utilization of prescribed maternal, newborn and child health (MNCH) services result from supply- and demand-side barriers, which are not mutually exclusive in their cause or effect. It is estimated that the maternal mortality ratio (MMR) in Bihar, India is 208 per 100,000 live births To address this high rate, PRONTO International and UCSF have partnered with CARE India to integrate simulation and team training into a mobile nurse-midwifery mentoring program. The simulation-based curriculum was designed for nurse midwife mentors to promote quality improvement in dealing with maternal and neonatal emergencies. PRONTO International developed and implemented an emergency obstetric and neonatal care (EmONC) simulation-based mentoring curriculum to improve the quality of care in low-resource settings. In Kenya, nurses form the backbone of health service and there is constant need to provide continuous training to them. Such training usually takes them out of their working stations. We describe the process of developing and implementing this course

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