In medical emergency, every second counts – Prof. Abosede Afolabi
Abosede Afolabi is a professor of Obstetrics and Gynecology and also the Head of Department of Obstetrics and Gynecology at the College of Medicine, University of Lagos and the Lagos University Teaching Hospital, Idi Araba, Lagos. In this interview during training on Managing Medical and Obstetric Emergencies and Trauma (mMOET), she explains the urgency to reduce Nigeria’s high maternal mortality rates.
Why the training?
Firstly, Advance Life Support Group (ALSG) in the United Kingdom owns the training. They have the copyrights for the training. Even though it can be brought down to Nigeria, it’s quite expensive to do so because you have to cater for the facilitators travel and accommodation costs as well as pay as well as pay the organisation for being able to host the course and so on. Considering the state of our economy, it’s a lot of cost to undertake.
Essentially, we saw the need to train specialists in the medical field. We decided to bring it down to Nigeria because we know the merits of having such a course especially at this time. We could have tried to develop ours but since it’s already being done and fine-tuned to such minute details, it was better not to reinvent the wheel, but get the course down here and then make plans to sustain it. The plan for sustainability is to source for funding to host it on an annual basis until we can take it over and run it ourselves. That is also part of the plan.
Even as the HoD, I am taking part in the training. I’m also going to participate with the intention of becoming an instructor so that we can have the training regularly in Nigeria because it’s a crucial skill for medical practitioners. Managing emergencies is beyond knowing what drugs to prescribe, it also has to do with understanding the timing, knowing the amount of coordination and team work, making sure somebody there is a team-lead, the right people are following up and doing what they’re meant to do at the correct time and also looking at the clock because every minute counts in an emergency. Hence, this sought of coordinated, highly structured course is important.
Is this a train-the-trainer workshop?
Yes. At the moment, it is a train the trainer workshop, however, there will be more specific workshops for trainers because the ALSG facilitators will be looking to identify those of us (I may not even qualify) who have the capacity to train others, they will be trained in yet another course before they can qualify to train.
What are the consequences of not having this kind of knowledge or skill set in our health system?
The consequence is not being able to get our maternal mortality level reduced sufficiently. If we have these types of trainings, it will take off one aspect of why we have such high rates. The three major reasons for having high maternal mortality rates include: not having skilled healthcare delivery personnel, inability to locate facilities where people can receive skilled healthcare delivery and not receiving coordinated care when patients eventually locate the right health care facilities. So we are trying to address one of those problems by improving the skill set in the system.
Speaking about funding, what kind of resources do we need to retain this sort of training?
We definitely require funding. We need money to make the training consistent; like I said, we have to pay the organisation, first. Although ALSG is a charity organisation, they need to generate funds to stay afloat. So we need to pay to be able to host the course, then we have to pay for the instructors to come to Nigeria to help train our own trainers. By the time our trainers are sufficiently trained, then the amount that we will need to host and get specialists to attend the course should be able to sustain the programme, all things being equal.
We reached out to a lot of organisations. Being the head of the department, my role requires raising funds for the department to actualise its goals. I have been able get some equipment to our department through some of the funds we have raised. For this particular course, I reached out to a consultant in my department and we decided to write to different banks and organisations that we know are actively involved in CSR initiatives. We have observed that Sterling Bank is doing a lot in health sector so we decided to reach out to them as well.
So, we wrote the letter and took to Sterling Bank. My colleague followed up and luckily, we got a positive response from the organisation. We hope that the support from the bank will continue in the coming years because if it does, they will be seen and known to have been a key driver in reducing maternal mortality in Nigeria.
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