Tackling childbirth sepsis in Malawi
Sepsis - when infection overwhelms & shuts down vital organs - is one of the biggest killers of mothers worldwide. We're working with clinicians, midwives, communities and policy makers in Malawi to improve early recognition and treatment of sepsis so that fewer mothers & their babies die.
March 2018 - March 2019
Charity information: Ammalife
Sepsis is a life-threatening condition triggered by infection. Childbirth is a particularly hazardous time for women and babies. Mothers are dying because systems are not in place to identify and treat sepsis quickly and effectively. We know from other countries that survival can be doubled if the right care is delivered early. Together with our colleagues in Malawi, we have devised FAST-M, a bundle of interventions to tackle sepsis - now we need to implement it for the poorest mothers.
We have supported the development and piloting of a care package to combat life-threatening sepsis in Malawi. We are now seeking to continue to support this system in our three pilot hospitals and 12 health centres. This project will continue to provide the training and resources to better identify and treat sepsis, ultimately saving mothers’ and their babies' lives. Based on our data, 15,400 lives mothers and their newborns will be the beneficiaries of this project
To continue to test and improve the maternal sepsis care package in 15 rural hospitals & clinics
Activities» Supply thermometers, fetal pinnards, blood pressure monitors & other basic medical tools to the 15 sites to support them to assess & diagnose sepsis
What success will look like
We will systematically collect data so that we can audit clinical outcomes & share our findings & recommendations among colleagues
To provide educational resources for all health workers who treat sepsis in our 15 rural sites
Activities» On-site training and education in delivery of sepsis care package for all those working in the 15 sites in collaboration with our early adopters.
» To develop & share clinical audit mechanisms so that staff may see how their practice may improve health outcomes
What success will look like
Success will be positive feedback from staff in Malawi who have used the resources and made suggestions for improving them in their local context
If the maternal sepsis care package is shown as effective in reducing death and grave illness then it will be adopted by health workers throughout Malawi. Ammalife's sister project, supporting MAOCO (a new professional association for clinicians dedicated to raising standards of practice) offers a way to disseminate good practice widely - peer to peer.
Better practice + the right tools = more mothers & babies survive childbirth
Risk: Unavailability of healthcare workers & peer educators in Malawi to work in our 15 sites. Mitigation: Healthworkers have shown that they are keen to improve outcomes and are resourceful in using even small amounts of support to do this.
Risk: That audit will be sidelined by overstretched staff.
Mitigation: MAOCO members have been using audit for 4 years & have case studies to show its effectiveness. They will offer support to colleagues.
Ammalife has an excellent track record of providing timely, informative and accurate feedback to donors. We will provide regular feedback on our progress. Information will also be published on our website www.ammalife.org and via our social media www.facebook.com/ammalife, www.twitter.com/ammalife.
Budget - Project Cost: £12,000Loading graph....
Amount Heading Description £6,000 Activity 1 To supply 3 rural hospitals & 12 satellite clinics with basic clinical monitoring equipment £2,000 Activity 2 On-site training and education in delivery of sepsis care package by early adopters in Malawi £2,200 Activity 3 To provide educational resources for all staff at 15 sites £1,200 Activity 4 Peer to peer training in clinical audit £600 Activity 5 Printing & paper costs for audit materials
Current Funding / Pledges
Source Amount Ammalife regular giving (standing orders from individuals) £6,000 Guaranteed
We plan to test and improve the maternal sepsis care package in three hospitals and 12 health centres in Malawi, a country where there are currently 510 maternal deaths per 100,000 live births. From our base at Ammalife’s Academic Department at Birmingham Women’s Hospital, we will work closely with the global maternal health research group based at the University of Birmingham which has an active research network of academics and experts and local teams based in Malawi.
Mothers who attend Dowa, Kabudula & Mitundu Hospitals and their satellite health centres will have access to an effective care package which has the potential to save their lives. Few babies survive the deaths of their mothers in such contexts which is why saving mothers will also save their children. Health professionals on the ground will also benefit as they will be equipped with robust and practical guidance on which to base their care of women with pregnancy-related sepsis
Ammalife is a specialist, research-driven organisation committed to tackling obstacles to good maternal health in the poorest parts of the world. We work closely with the global maternal health research group based at the University of Birmingham which has an active research network of academics and local teams based in Malawi. Dr David Lissauer, a member of Ammalife’s Executive Board with experience of running a major global maternal sepsis trial, is leading this project.
Read more about the Charity running this project.
Professor Arri Coomarasamy
Consultant Gynaecologist. Leads global maternal health portfolio at the School of Clinical and Experimental Medicine, University of Birmingham (UoB).
Dr David Lissauer
Clinical lecturer in Obstetrics and Gynaecology, UoB. Leads a major global maternal health trial to reduce miscarriage surgery-related infection.
“I think it will be fantastic. At the moment the challenges are the absence of clear guidance and delayed initiation of treatment. The care package is a critical development and because it has involved people on the ground, they feel part of the process and will own it and make sure it happens.”