Program Information

Use the links below to view information about our programs

– AIM Malawi
– ESOG-ACOG Collaboration
– Surgical Skills and Operative Obstetrics
– Survive & Thrive Global Development Alliance
– Strengthening Medical Education in Central America   
– UBT in Zambia 
– USAID ASSIST Zika Project 

 

Alliance for Innovation in Maternal Health (AIM) Malawi

The AIM-Malawi 18-month demonstration project resulted in the effective implementation of AIM protocols in three facilities in Lilongwe, reducing incidents of maternal mortality and morbidity and improving team-based care and referral networks for maternal health care.

The AIM Malawi program targeted obstetric hemorrhage, one of the leading causes of maternal mortality and morbidity in sub-Saharan Africa. ACOG Fellow and Baylor College of Medicine (BCM) staff physician Joseph Sclafani, MD, managed the program with technical support from AIM staff and ACOG experts. Dr. Sclafani worked closely with the district health officials, hospital director, chair of the Department of Obstetrics and Gynecology and other leadership at the facilities to foster collaboration and catalyze local ownership of the program for sustainability.  

In partnership with the Malawi Ministry of Health and BCM, ACOG tailored the successful US-based AIM program to reduce maternal deaths from postpartum hemorrhage (PPH) in Malawi. AIM Malawi was implemented in three facilities: Kamuzu Central Hospital (KCH), Area 25 Health Center and Bwaila Maternity Hospital, all in Lilongwe.

AIM Malawi participants were trained in emergency leadership, communication skills and the obstetric hemorrhage protocol. Nursing staff and clinical officers received training in the placement of uterine balloon catheters, non-pneumatic shock garments and other life saving measures. Hospital housekeepers, nurses’ aides, ambulance drivers, and even family members are sometimes incorporated into the emergency team.

The successful results from the first 18-months include:

  • 395 staff were trained in team communication and PPH at KCH and Area 25
  • 14 skills labs were conducted to train staff in emergency procedures
  • Use of instant messaging application to facilitate team communication within facilities and to strengthen the referral network between KCH and Area 25 during patient transfer
  • Teams co-developed tailored PPH recognition, readiness, response and reporting materials
  • Obstetric hemorrhage carts were equipped and in use

Read the AIM-Malawi Impact Report

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ESOG-ACOG Collaboration

The American College of Obstetricians and Gynecologists (ACOG) is supported by the Center for International Reproductive Health Training (CIRHT) at the University of Michigan to implement a capacity building collaborative program with the Ethiopian Society of Obstetricians and Gynecologists (ESOG) to enhance medical education, residency training and medical services in obstetrics and gynecology in Ethiopia. ACOG and ESOG are collaborating to develop the capacities of ob-gyns in Ethiopia to improve the quality of and increase women’s access to reproductive healthcare throughout the country. 

ACOG is collaborating with ESOG in the following eight thematic areas:

  • Standardize obstetrics and gynecology residency training with minimum core competencies and educational objectives;
  • Develop high quality, up-to-date continuing medical education for ESOG members;
  • Advance the academic discipline of obstetrics and gynecology and to revitalize the Ethiopian Journal of Reproductive Health;
  • Collaborate on the development and administration of a certification examination that can be given to all graduating ob-gyns from Ethiopian Obstetrics and Gynecology Residency Programs;
  • Foster leadership development and skills among ESOG members;
  • Help advance a robust I.T. system and infrastructure for ESOG.
  • Develop ESOG’s communication/program relations strategy to educate key public and private stakeholders on their work and to advocate for ESOG’s leadership; and
  • Develop a Code of Ethics for obstetrics and gynecology practice in Ethiopia.

Read the ACOG-ESOG Year 1 Program Report

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Surgical Skills and Operative Obstetrics

The surgical obstetric training program is a critical, scalable, and sustainable solution that works to directly address reducing maternal mortality and morbidity. The program is designed to improve the management, technical, and surgical skills needed to perform Cesarean deliveries and other surgical obstetrical procedures. The program trains and certifies instructors who are available for practicum supervision and mentoring of providers. The providers are trained using three components; a series of lectures, structured simulation laboratory sessions, and a clinical practicum of six Cesarean deliveries, which are observed by an instructor. The instructors create a mentoring relationship with the providers during their first two years of service.

ACOG’s surgical obstetric training program integrates critical surgical and operative obstetrics skills training into medical education at Mbarara University of Science and Technology (MUST) and Makerere University, both in Kampala, Uganda.

A critical unmet need for preventing maternal and newborn death and iatrogenic fistula in sub-Saharan Africa is surgical training. To address the inadequate rates of Cesarean delivery and to prevent fistula and other morbidities, ACOG supports pre-service and in-service learning on surgical skills and operative obstetrics to strengthen provider skills and systems around comprehensive obstetric care and safe surgery. Increasing access to caesarean deliveries and other comprehensive EmONC services is a key part of the Government of Uganda’s Roadmap to Accelerate Reduction of Maternal and Neonatal Mortality and Morbidity.

ACOG will train close to 200 Master Trainers and over 490 Providers in advanced surgical skills by the end of 2018 at three universities and will integrate a locally-revised curriculum into pre-service education for physicians. The program has been proven qualitatively effective with over ninety-six percent of all participants reporting an increase in confidence for providing life-saving emergency operative obstetric skills.

Read more about our Surgical Obstetrics Program

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Survive and Thrive Global Development Alliance

 ACOG is a founding member of the Survive and Thrive Global Development Alliance. ACOG developed professional association strengthening guidelines in partnership with the American College of Nurse-Midwives as part of the Professional Association Strengthening Project of S&T. The PAS manual was field tested in Rwanda in September 2016 and was formally introduced to professional associations at the Women Deliver conference in Copenhagen in May 2016. Modules include: Diversity and Professional Association Strengthening; Creating and Nurturing an Organization; Strategic Planning; Functions of Professional Associations Governance and Fiscal Management;The Effect of Successful Leadership by Professional Associations; Visibility and Communication; Resource Mobilization; The Health, Growth, and Development of a Professional Association. The modules are accessible for no fee at: www.StrongProfAssoc.org.

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Strengthening Medical Education in Central America

In 2003, the Federation of Central American Association and Societies of Obstetrics and Gynecology (FECASOG) and ACOG partnered to strengthen medical education in Costa Rica, Honduras, Guatemala, Panama, El Salvador, and Nicaragua through the development of an in-service examination and residency accreditation committee. This collaboration also resulted in the creation of CAFA, the Accreditation Committee of the FECASOG-ACOG.

In 2017, CAFA successfully administered the annual residency review exam and the certification exam for Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua and Panama. Over 500 exams were taken across the six countries.

Read more about the Success of CAFA

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Uterine Balloon Tamponade in Zambia

As part of Saving Mothers Giving Life (SMGL), OGWH worked with local partners to implement Uterine Balloon Tamponade (UBT) as a low-cost complementary method to prevent death from postpartum hemorrhage (PPH) in Zambia. The work was commissioned by the Ministry of Health and conducted with ACOG’s implementing partner the Centre for Infectious Disease Research Zambia (CIDRZ). Other key stakeholders included the Emergency Obstetric and Newborn Care (EmONC) committee and the Zambian Association of Gynaecologists and Obstetricians (ZAGO).

Launched in 2012, SMGL was created to help mothers during labor, delivery, and the first 24 hours postpartum – the period when two out of every three maternal deaths and 45% of newborn deaths occur. SMGL is a public-private partnership to dramatically reduce maternal and newborn mortality in sub-Saharan African countries. The latest SMGL report shows declines in maternal mortality by 55% in target facilities in Zambia.

OGWH began working in working in 16 districts in Zambia in 2013. Key accomplishments of the UBT project include successful integration into the Zambian Emergency Obstetric and Newborn Care (EmONC) curriculum, and training 618 nurses, midwives, and medical doctors in UBT, which is a life-saving, easy-to-use, and effective option for managing severe Postpartum Hemorrhage (PPH) and preventing maternal mortality.

As part of the SMGL project, OGWH released a case study focused on the strategic engagement and advocacy efforts the led to UBT scale-up in Zambia.

Read the Case Study: Introducing Uterine Balloon Tamponade in Zambia

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USAID ASSIST Zika Project

The Zika-related activities, part of the USAID ASSIST project, wrapped up successfully. ACOG’s provided evidence-based interventions for the prevention and management of Zika infections in the Dominican Republic, El Salvador, Guatemala, and Honduras. Activities included a webinar; virtual training; participation at a scientific conference; and advising on country guidelines and technical materials.

Over 800 healthcare providers received rapid response training in the Dominican Republic, Guatemala, Honduras, and El Salvador through virtual tutoring by twenty-five clinical experts and Fellows from ACOG. The virtual trainings, held from January through July 2017, consisted of six modules: the origin of the virus and the epidemiological profile; diagnosis of the virus and case studies; counseling of family planning in the context of Zika; prenatal care; fetal congenital syndrome; and psycho emotional support.

Each country received course material tailored to their respective countries to better explain Zika prevention and management to health care providers participating in the course. We provided Zika-related ACOG publications to all four countries as additional resources.

Read more about the Zika Project

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American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998