Transforming Maternal and Newborn Health
The final year of the Quality Improvement for Integrated HIV, TB, and Malaria Services in Antenatal and Postnatal Care programme, funded by Takeda Global CSR program through The Global Fund, offers a unique opportunity to reflect on the achievements, challenges, and future directions. Building on the discussions from the the previous podcasts series "Engaging Communities in Improving the Quality of ANC/PNC in Africa" , this miniseries underscores the importance of sustainability, including the need for sustainable financing and national and sub-national ownership of programme impact. We chose this platform to actively engage stakeholders, including policymakers, health professionals, donors, researchers, academic institutions and communities, to share insights and promote sustainable actions, recognising their pivotal role in shaping the future of maternal and newborn healthcare.
Episode Title: Quality Innovations in Maternal and Newborn Health
In this first episode of our three-part miniseries, "Transforming Maternal and Newborn Health," we dive into a groundbreaking quality improvement programme that has made significant strides in integrating HIV, tuberculosis, and malaria services into antenatal and postnatal care across Kenya, Nigeria, and Tanzania.
We explore emerging evidence on how health systems can adapt and respond to changing landscapes, including the impact of COVID-19, to deliver better outcomes for mothers and newborns. Featuring insights from leading experts, we discuss the challenges, successes, and innovative approaches that have strengthened the capacity of health workers and improved access to essential care. This episode sets the stage for the next discussions on capacity building and sustainability, making it a must-listen for anyone interested in global health and health systems strengthening.
In this conversation we hear:
Dr. Rael Mutai, Regional Technical Advisor (MNH), Liverpool School of Tropical Medicine Tropical
Rael is a public health specialist with over 21 years’ experience in health and development. She is passionate about health systems strengthening, Sexual Reproductive Health and Rights and Quality Maternal and Newborn Health. Rael has been involved with the programme in the last 3 years, as the Regional Technical Adviser for Kenya and Tanzania. The Programme uses global evidence customized to country context for improved maternal and newborn outcomes. The programme has addressed gaps in ANC-PNC service delivery through capacity building of healthcare workers and integrated approaches to care.
Prof. Charles Ameh - Programme Lead, Liverpool School of Tropical Medicine
Charles led the implementation of the GF ANC/PNC quality improvement programme in the last 3 years. This involves identifying problems and co-creating solutions with stakeholders in Kenya, Tanzania and Nigeria. Key interventions designed and tested during this programme are relevant to several communities: maternity care providers, researchers, MNH programme managers, health professional associations and regulatory bodies, training institutions, women of reproductive age and their families in LMICs.
Dr. Oladipo Aremu, Consultant Obstetrician & Gynaecologist, Adeoyo Maternity Teaching Hospital , Oyo State, Nigeria
Dr Oladipo Aremu has been involved in research work relating to post-partum haemorrhage, maternal and child health for the last three years. His contribution to the post-partum haemorrhage research has helped to reduce maternal morbidity and mortality. During the period of the research, the cost of the drug administered on patients resulted in remarkable cost savings when compared to cost of blood transfusion. Previous research activities involved in also contributed to improvement in respectful maternity care and upgrading the health worker-patient relationship.
Episode Title: Strengthening the Health Workforce for Maternal and Newborn Care
Join us as we focus on how capacity strengthening in healthcare can transform maternal and newborn care outcomes, in the second episode of our three-part miniseries, "Transforming Maternal and Newborn Health". The discussion highlights the critical role of health workers, from nurses to doctors, and the importance of building skills, teamwork, and communication to improve early diagnosis and reduce complications.
Experts share insights on training approaches, challenges faced, and the transformative impact of mentorship and continuous professional development in Kenya, Tanzania, and beyond. This episode offers valuable lessons for health systems strengthening and sets the stage for our next conversation on sustainability.
Our guests in this episode are:
Dr. Rael Mutai, Regional Technical Advisor (MNH), Liverpool School of Tropical Medicine Tropical
Rael is a public health specialist with over 21 years’ of experience in health and development. She is passionate about health systems strengthening, Sexual Reproductive Health and Rights and Quality Maternal and Newborn Health. Rael has been involved with the programme in the last 3 years, as the Regional Technical Adviser for Kenya and Tanzania. The Programme uses global evidence customised to country context for improved maternal and newborn outcomes. The programme has addressed gaps in ANC-PNC service delivery through capacity building of healthcare workers and integrated approaches to care.
Dr. Leonard Katalambula – Lecturer, University of Dodoma
Dr. Katalambula is the Head of the Department of Public Health at the University of Dodoma (UDOM), where he has worked for over 15 years. He also serves as Board Chairperson for Action Against Hunger (Tanzania) and is a technical committee member of TWG 6, focusing on reproductive, maternal, child, and adolescent health. An experienced researcher with publications in implementation science and public health, Dr. Katalambula leads projects on Quality Improvement of Integrated HIV, TB, and Malaria Services during antenatal and postnatal care, as well as the MEGA project. For the past 15 years, he has worked closely with communities, addressing challenges through research and community services.
Sylvia Kimtai – Midwife, Uasin Gishu County
Sylvia is currently attached to the county reproductive health office coordinating the elimination of maternal-to-child transmission of HIV, syphilis, and hepatitis B and also quality improvement. She has been involved in ANC/PNC and quality improvement training supporting Kenya and Tanzania in both face-to-face and blended learning. Sylvia mentors nurses, midwives, and clinical officers on quality improvement in ANC/PNC in Uasin Gishu County, also supporting sub-county reproductive health coordinators in the mentorship of service providers on ANC/PNC. Passionate about quality improvement, she has a WhatsApp platform where facility quality improvement chairpersons share best practices and challenges.
Episode Title: Sustaining Maternal Health Gains
In this episode of Connecting Citizens to Science, we conclude our three-part miniseries on improving maternal and newborn healthcare. Host Dr. Kim Ozano and her guests explore how to sustain quality improvements in health systems and progress toward maternal and newborn Sustainable Development Goals (SDGs) by 2030. Dr. Rael Mutai, Regional Technical Advisor for Maternal and Newborn Health at the Liverpool School of Tropical Medicine Kenya, and Dr. Nicholas Furtado, Senior Medical Advisor at Global Fund, share their insights on the successes and challenges of embedding sustainable practices in maternal and newborn healthcare systems across Kenya, Tanzania, and Nigeria.
In conversation are:
Dr. Rael Mutai, Regional Technical Advisor (MNH), Liverpool School of Tropical Medicine Tropical Kenya
Rael is a public health specialist with over 21 years’ of experience in health and development. She is passionate about health systems strengthening, Sexual Reproductive Health and Rights and Quality Maternal and Newborn Health. Rael has been involved with the quality improvement programme in the last 3 years, as the Regional Technical Adviser for Kenya and Tanzania. The Programme uses global evidence customised to country context for improved maternal and newborn outcomes. The programme has addressed gaps in ANC-PNC service delivery through capacity building of healthcare workers and integrated approaches to care.
Dr. Nicolas Furtado, Senior Medical Advisor, Global Fund
Nicolas is a Senior Medical Advisor with the Health System Strengthening Technical Advice and Partnerships team at the Global Fund. He is deeply engaged in efforts to strengthen primary healthcare systems globally, particularly focusing on improving maternal and newborn health outcomes and now focusing on improving access to medical oxygen and respiratory care. Throughout his work, Nicolas has been instrumental in addressing key challenges such as the impact of the COVID-19 pandemic, healthcare inequities, and the need for sustainable, locally adapted solutions. He advocates for simple, effective, and culturally appropriate interventions to ensure quality care at the point of service delivery.