The MAMA Study
This study is a partnership between the University and Utah and Kilimanjaro Christian Medical Centre (KCMC) to develop and pilot MAMA, a provider training intervention to improve the care of women living with HIV who are giving birth. HIV stigma during the intrapartum period (labor and delivery) can impact birth outcomes for women living with HIV (WLHIV) and influence women’s long-term commitment to HIV care. Despite evidence that labor and delivery (L&D) providers may deliver suboptimal and stigmatizing care to WLHIV, no training interventions exist to support L&D providers in delivering respectful care to WLHIV.
This study will fill an important gap by developing an innovative training intervention for L&D provider team using the PRONTO model of simulation training. The MAMA training promotes non-stigmatizing, respectful, evidence-based maternity care for WLHIV, with the goal to impact long-term HIV care engagement following childbirth.
Funded by the National Institute of Health, Fogarty International Center (R21 TW012001)
Melissa Watt, PhD
PRINCIPAL INVESTIGATORS
Melissa Watt, PhD
Susanna Cohen, CNM, DNP
Department of Obstetrics and Gynecology
SITE
Kilimanjaro Christian Medical Center, Moshi, Tanzania
Results
A Simulation and Experiential Learning Intervention for Labor and Delivery Providers to Address HIV Stigma During Childbirth in Tanzania: Study Protocol for the Evaluation of the MAMA Intervention
HIV Stigma; Respectful Maternity Care; Women Living with HIV (WLHIV); Simulation Team-Training; Tanzania; Health System Interventions