Documents for article on Task Sharing

Curriculum for obstetric clinician training

MCAI Handbook of hospital obstetrics 14.2MB

Foundation course for trainee obstetric clinicians

Bulletin WHO infers results obstetric clinician training

Curriculum for neonatal clinician training

MCAI Handbook of Hospital neonatal care September 2022 8.0 MB

Curriculum for paediatric clinician training

MCAI Handbook 1 of hospital paediatric care 15.6 MB

MCAI Handbook 2 of hospital paediatric care 14.9 MB

Obstetric clinician final group weekly teaching sessions

Marked weekly exam on caesarean section

Maternal death clinical audit form MCAI

Evaluation form for final examination obstetric clinician

Anonymised logbook of obstetric procedures from 1 obstetric clinician 

Neonatal weekly teaching sessions

Paediatric weekly teaching sessions

Paediatric procedures induction

Paediatric one day  ethics course

Paediatric foundation course

Neonatal weekly exam results

Neonatal foundation course

MNDSR maternal emergency care 6 hospitals

Neonatal resus skill assessment

MNDSR Neonatal care 2021-2022

Neonatal equipment one hospital

One day ethics course obs and neonatal

Emergency funds nurse anaesthetists Liberia

Additional training nurse anaesthetists obstetrics

3 day course medical ethics

Certificate medical ethics course

Checklist for ethical systems

Mothers plan IV paracetamol

Evidence IV paracetamol

Results of clinical trial using IV paracetamol

Foundation course obstetric training

Draft Paediatric Clinician Prescribing Guidelines

Paediatric Clinician Training  Timetable Yr 1

Year 2 Paediatric Clinician Training Timetable Yr 2

Year 2 Paediatric Clinican Training  - Weekly Exam Marks Summary

Year 1 Paediatric Clinican Training - Weekly Exam Marks Summary

End of year 2 paediatric clinician training

End of first year exam Paediatric Clinician Training 

Monitoring of fetal heart rates by mothers in labour

Obstetric outreach Liberia 2022-2023

Doctors in Liberia in 2016

Results of final examination for latest group of 9 obstetric clinicians September 2023

Maternal emergency hospital care in 6 CEmONC facilities 2021

Obstetric clinician logbook

Neonatal clinician logbook

Paediatric clinician logbook

Obstetric clinician outreach logbook

Final exam results September 2022 for the latest 8 qualified neonatal clinicians

Overview of Paediatric Admissions at Phebe Hospital August 2021-July 2022

Age of Paediatric Admissions and outcome at Phebe Hospital after onset of training Aug 2022-July 2023

Medical equipment provided by MCAI on behalf of the partnership

Emergency drug kits provided to each trainee obstetric clinician

Emergency drugs supplied to Phebe Hospital for trainee paediatric clinicians

Training birth attendants in clinics in neonatal resuscitation

Support for nurse anaesthetists in Liberia working as part of task-sharing

Paediatric unit Phebe Hospital prior to renovation

Paediatric unit Phebe Hospital after renovation

Maternal death WHO definitions.

Definitions used in this program on FHR monitoring

Abbreviations 

Anonymised Infants with Apgar scores of 3-4 at 5 minutes at MTMH n =24 

Apgar scores 3-4 at 5 minutes CB Dunbar, Tellewoyan and Sinje

Apgar scores 5 or 6 at 5 minutes MTMH Total 67 patients 

Apgar scores 5 or 6 at 5 minutes CB Dunbar 45 patients

Apgar scores 5 or 6 at 5 minutes Tellewoyan 14 patients

Apgar scores 5 or 6 at 5 minutes Sinje 13 patients

Apgar scores >6 at 5 mins with changes in FHR Tellewoyan

Apgar scores >6 at 5 mins with changes in FHR Sinje

Apgar scores at CB Dunbar with changes FHR and Apgar 5 min>6

Apgar scores at MTMH with changes FHR and Apgar 5min >6

Box 1: case study on delay

Experiences of three obstetric clinicians

Typical experience of neonatal clinicians

Neonatal units and staff CB Dunbar and MTMH

The first 12 paediatric clinician trainees

Analysis of data on mortality prior to paediatric clinician training

WHO and MOH evaluation report (summary powerpoint as PDF)

WHO and MOH evaluation report (PDF written report)

1000 books for Afghanistan

Textbooks for task sharing program in Liberia

Hassan on ward round with patient who had sustained a snake bite

Barriers to progress of the task sharing program

Paediatric clinician guidelines for prescribing

End of second year examination for paediatric clinician trainees with answers

Table of non physician associates from WHO report

Details of national and international trainers

Anonymised data on all obsetric clinicians

Figure 1 Map of Liberia

Anonymised data on all neonatal clinicians

Anonymised data on all paediatric clinicians

Definitions used in FHR monitoring paper

Table 1 mothers comments following FHR monitoring in various situations

Tellewoyan hospital maternal comments

Martha Tubman maternal comments

Table 5 comments on 12 intrapartum stillbirths

Table 4 comments on IUFDs

Table 6 comments on 31 neonatal deaths

Table comments on 13 mothers in which Apgar scores at 5 minutes were 1 or 2

Table comments on 34 mothers in which Apgar scores at 5 minutes were 3 or 4

Acnowledgments for all 56 trained clinicians

Table comments on 138 mothers in which Apgar scores at 5 minutes were 5 or 6

Table Women at CB Dunbar Hospital with changes in FHR and Apgar >6 at 5 minutes.  n = 144

Table Women at Tellewoyan Hospital with changes in  FHR and Apgar >6 at 5 minutes.  n=27

Table Women at Martha Tubman Memorial Hospital with changes in FHR and Apgar >6 at 5 minutes.    n= 164

Table Women at Sinje Major Health Centre with changes in FHR and Apgar >6 at 5 minutes. 

Table Tellewoyan Hospital  with no changes in FHR and Apgar >6 at 5 minutes n = 872 

Table Sinje no changes FHR Apgar >6 at 5 mins n = 267

Final anonymised exam results 12 paediatric clinicians

Final examination revision points paediatric clinicians

Table Apgar 7 or more no FHR changes MTMH

Table Apgar 7 or more no FHR changes CB Dunbar 

Table neonatal training program without exam results last course of 8

Table 1 FHR monitoring paper, ISBs and neonatal deaths

Draft paper on task shifting in Liberia