Evaluation of the Global Action in Nursing (GAIN) Program to Strengthen Nurse-Midwifery Practices and Improve Maternal and Neonatal Outcomes in Blantyre District, Malawi

Investigator: Carina Ashkar, MS
Sponsor: Global Health Sciences Education

Location(s): Malawi


Background: Malawi has one of the highest maternal mortality rates globally with a rate of 439 deaths per 100,000 live births. Nurse midwives play a critical role in managing maternal and neonatal health, with 70% of deliveries attended by nurse midwives. The Global Action in Nursing (GAIN) project was created to help decrease maternal and neonatal mortality and morbidity by providing clinical training and longitudinal mentorship to nurse midwives in Malawi. This study aimed to assess the effectiveness of GAIN after one year of implementation in Blantyre District, Malawi.

Research Question: How does a dedicated nurse-midwife training and mentorship program influence provider practice and patient outcomes among a group of urban health facilities in Blantyre district, Malawi?

Mentors: Kimberly Baltzell, RN, PhD, MS and Anna Muller, MS