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Adeleye A, Wirihana L, Jennings B, Ferguson B, Capper T, Chee R, Ritchie K, Smith R, Williamson M. Supporting Timor-Leste midwives and nurses through an educational program: An evaluative study. Women Birth 2024; 37:101673. [PMID: 39151377 DOI: 10.1016/j.wombi.2024.101673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Revised: 08/04/2024] [Accepted: 08/08/2024] [Indexed: 08/19/2024]
Abstract
Little is currently known about the impacts of participation in a five-week Australian maternal and newborn health training program for Timorese midwives and nurses. BACKGROUND The maternal mortality rate in Timor-Leste is estimated to be around 204 per 100,000 live births, and there is a correlation between safe and quality maternal and newborn health services. Hence, there is a need to develop the nation's maternity workforce. Whilst numerous training programs have been geared towards improving the knowledge and skills of Timorese midwives and nurses, to date, no published study has evaluated their impact on participants. AIM To describe satisfaction of an Australian maternal and newborn health training program for Timorese midwives and nurses and its impact based upon the participants survey and qualitative evaluations. METHODS An evaluative study was conducted using a survey to explore the impacts of a five-week Australian residential training program on 12 Timorese midwives and one nurse. FINDINGS The survey data demonstrated an increase in the participants knowledge and skills required to provide enhanced maternal and newborn care; post-training, most participants demonstrated increased knowledge of obstetric emergencies. The participants showed the most pronounced increase in Advanced Clinical Skills in the subjects of fetal assessment, neonatal resuscitation and obstetric emergencies. The qualitative data identified two main themes and six subthemes related to professionalism, communication, and connections. CONCLUSION An Australian residential training program, provided in collaboration with local Rotary clubs can enhance the development of maternal and newborn healthcare skills for midwives and nurses from Timor-Leste.
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Affiliation(s)
- Adeniyi Adeleye
- School of Nursing, Midwifery and Social Sciences, Mackay City Campus, CQUniversity, 90-92 Sydney Street, Mackay, Queensland 4740, Australia.
| | - Lisa Wirihana
- School of Nursing, Midwifery and Social Sciences, Rockhampton Campus, CQUniversity, 554-700 Yaamba Road, North Rockhampton, Queensland 4702, Australia
| | - Belinda Jennings
- College of Medicine and Public Health, Darwin campus, Flinders University, University Drive North, Darwin, Northern Territory 0909, Australia
| | - Bridget Ferguson
- School of Nursing, Midwifery and Social Sciences, Rockhampton Campus, CQUniversity, 554-700 Yaamba Road, North Rockhampton, Queensland 4702, Australia
| | - Tanya Capper
- School of Nursing, Midwifery and Paramedicine, Brisbane, Australian Catholic University, 1100 Nudgee Road, Banyo, Queensland 4014, Australia; School of Nursing, Midwifery and Social Sciences, Brisbane, CQUniversity, Level 20, 160 Ann Street, Brisbane, Queensland 4000, Australia
| | - Rachelle Chee
- School of Nursing, Midwifery and Social Sciences, Brisbane, CQUniversity, Level 20, 160 Ann Street, Brisbane, Queensland 4000, Australia
| | - Kathryn Ritchie
- CQUniversity Library Service, Rockhampton campus, CQUniversity, 554-700 Yaamba Road, North Rockhampton, Queensland 4702, Australia
| | - Rachel Smith
- Burnet Institute, Melbourne, Victoria, Australia
| | - Moira Williamson
- School of Nursing, Midwifery and Social Sciences, Brisbane, CQUniversity, Level 20, 160 Ann Street, Brisbane, Queensland 4000, Australia
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Griffin G, Bradfield Z, Than KK, Smith R, Tanimizu A, Raina N, Homer CSE. Strengthening midwifery in the South-East Asian region: A scoping review of midwifery-related research. PLoS One 2023; 18:e0294294. [PMID: 38100488 PMCID: PMC10723687 DOI: 10.1371/journal.pone.0294294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Accepted: 10/29/2023] [Indexed: 12/17/2023] Open
Abstract
Improving sexual, reproductive, maternal, newborn, and adolescent health outcomes necessitates greater commitment to, and investments in, midwifery. To identify future research priorities to advance and strengthen midwifery, we conducted a scoping review to synthesise and report areas of midwifery that have been explored in the previous 10 years in the 11 countries of the World Health Organization's South-East Asia region. Electronic peer-reviewed databases were searched for primary peer-reviewed research published in any language, published between January 2012 and December 2022 inclusive. A total of 7086 citations were screened against the review inclusion criteria. After screening and full text review, 195 sources were included. There were 94 quantitative (48.2%), 67 qualitative (34.4%) and 31 mixed methods (15.9%) studies. The majority were from Indonesia (n = 93, 47.7%), India (n = 41, 21.0%) and Bangladesh (n = 26, 13.3%). There were no sources identified from the Democratic People's Republic of Korea or the Maldives. We mapped the findings against six priority areas adapted from the 2021 State of the World's Midwifery Report and Regional Strategic Directions for Strengthening Midwifery in the South-East Asia region (2020-2024): practice or service delivery (n = 73, 37.4%), pre-service education (n = 60, 30.8%), in-service education or continuing professional development (n = 51, 26.2%), workforce management (n = 46, 23.6%), governance and regulation (n = 21, 10.8%) and leadership (n = 12, 6.2%). Most were published by authors with affiliations from the country where the research was conducted. The volume of published midwifery research reflects country-specific investment in developing a midwifery workforce, and the transition to midwifery-led care. There was variation between countries in how midwife was defined, education pathways, professional regulation, education accreditation, governance models and scope of practice. Further evaluation of the return on investment in midwifery education, regulation, deployment and retention to support strategic decision-making is recommended. Key elements of leadership requiring further exploration included career pathways, education and development needs and regulatory frameworks to support and embed effective midwifery leadership at all levels of health service governance.
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Affiliation(s)
- Georgia Griffin
- Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia
- Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Zoe Bradfield
- Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Kyu Kyu Than
- Burnet Myanmar Program, Burnet Institute, Yangon, Myanmar
| | - Rachel Smith
- Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia
| | - Ai Tanimizu
- Family and Gender through the Life Course, South-East Asia Regional Office, World Health Organization, New Delhi, India
| | - Neena Raina
- Family and Gender through the Life Course, South-East Asia Regional Office, World Health Organization, New Delhi, India
| | - Caroline S. E. Homer
- Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia
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Jiang M, Li CL, Zhang SY, Gao X, Yang XF. The incidence of brain trauma caused by road injuries: Results from the Global Burden of Disease Study 2019. Injury 2023; 54:110984. [PMID: 37922833 DOI: 10.1016/j.injury.2023.110984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 06/21/2023] [Accepted: 08/05/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND Road collisions are a significant source of traumatic brain injury (TBI). We aimed to determine the pattern of road injury related TBI (RI-TBI) incidence, as well as its temporal trends. METHODS We collected detailed information on RI-TBI between 1990 and 2019, derived from the Global Burden of Disease Study 2019. Estimated annual percentage changes (EAPCs) of RI-TBI age standardized incidence rate (ASIR), by sex, region, and cause of road injuries, were assessed to quantify the temporal trends of RI-TBI burden. RESULTS Globally, incident cases of RI-TBI increased 68.1% from 6,900,000 in 1990 to 11,600,000 in 2019. The overall ASIR increased by an average of 0.43% (95% CI 0.30%-0.56%) per year during this period. The ASIR of RI-TBI due to cyclist, motorcyclist and other road injuries increased between 1990 and 2019; the corresponding EAPCs were 0.56 (95% CI 0.37-0.75), 1.60 (95% CI 1.35-1.86), and 0.75 (95% CI 0.59-0.91), respectively. In contrast, the ASIR of RI-TBI due to motor vehicle and pedestrian decreased with an EAPC of -0.12 and -0.14 respectively. The changing pattern for RI-TBI was heterogeneous across countries and regions. The most pronounced increases were observed in Mexico (EAPC = 3.74), followed by China (EAPC = 2.45) and Lesotho (EAPC = 1.91). CONCLUSIONS RI-TBI remains a major public health concern worldwide, although road safety legislations have contributed to the decreasing incidence in some countries. We found an unfavorable trend in several countries with a relatively low socio-demographic index, suggesting that much more targeted and specific approaches should be adopted in these areas to forestall the increase in RI-TBI.
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Affiliation(s)
- Meng Jiang
- Emergency and Trauma Center, The First Affiliated Hospital, Zhejiang University School of Medicine, #79 Qingchun Road, Hangzhou, Zhejiang Province 310003, China.
| | - Chang-Li Li
- Department of FSTC Clinic, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
| | - Shao-Yang Zhang
- Emergency and Trauma Center, The First Affiliated Hospital, Zhejiang University School of Medicine, #79 Qingchun Road, Hangzhou, Zhejiang Province 310003, China
| | - Xin Gao
- Emergency and Trauma Center, The First Affiliated Hospital, Zhejiang University School of Medicine, #79 Qingchun Road, Hangzhou, Zhejiang Province 310003, China
| | - Xiao-Feng Yang
- Emergency and Trauma Center, The First Affiliated Hospital, Zhejiang University School of Medicine, #79 Qingchun Road, Hangzhou, Zhejiang Province 310003, China.
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