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Objectives: In Sub Sahara Africa, it is estimated that about 10% of pregnant mothers will develop complications that must be attended by medical staff with skills on Comprehensive Emergency Medical Operative Care (CEMOC), but their heavy shortage, specifically in rural areas, is a major cause of the high maternal and perinatal mortality in the region. Improvement of the situation was the aim of this study. Methods: In view of this, we trained 36 Non physician Clinicians (NPCs) from 18 disadvantaged Rural Health Facilities. From each of the 18 facilities, we selected one Assistant Medical Officer (AMOs) and one Nurse. The AMOs underwent a 12 weeks training on CEMOC including surgical skills while the Nurses underwent also a 12 weeks training on Anesthesia and Resuscitation of the new born. Results: By the end of the training, the AMOs did 483 C/S under supervision and no maternal death occurred while the Nurses administered anesthesia and no maternal death occurred. We are now following up the NPCs in their rural health facilities to see their impact on maternal and perinatal mortality.

Improved Maternal and Perinatal Mortalities by Trained Medical Assistant Staffs in Rural Tanzania