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Capacity building in obstetric and abdominal ultrasound for sickle cell disease pregnancies in Angola: a pre- and post-training evaluation
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Orientador(es)
Resumo(s)
Objectives: Sickle cell disease (SCD) increases risks in pregnancy, affecting both maternal and fetal outcomes. Ultrasound (US) is essential for monitoring these high-risk pregnancies. However, in countries like Angola, where SCD affects nearly 3% of pregnancies, access to skilled professionals is limited. This study evaluated the impact of an intensive US training program in Luanda, focusing on obstetric and abdominal US for SCD pregnancies. Methods: A prospective pre-post intervention study was conducted with 24 healthcare professionals working in 2 maternity units. Participants completed a survey to assess confidence in performing US procedures before and after a 1-week intensive training program. The training consisted of didactic lectures, supervised hands-on practice with real patients, and case discussions. Statistical analysis included distribution analysis and frequency, Mann-Whitney U tests, and effect sizes. Results: Pre-training, participants demonstrated limited experience with both abdominal and obstetric US in SCD pregnancies. Post-training, improvements were observed in assessments of abdominal organs and obstetric evaluations, with significance in Doppler assessments. Conclusion: The program effectively improved US proficiency and confidence in assessing SCD pregnancies. Incorporating continuous mentorship and locally adapted protocols could sustain these gains, with potential long-term benefits in maternal and fetal outcomes. Future initiatives should incorporate digital mentorship and refresher training.
Descrição
This work was conducted as part of the UpScale (Ultrasound Predictive management of Sickle Cell Anaemia disease Enhancement in Pregnancy) project (n°131437), funded by the Swiss Tropical and Public Health Institute (Swiss TPH) in its capacity as the Leading House Africa, under the Consolidation Grant instrument.
Palavras-chave
Pregnancy Sickle cell disease Ultrasound Obstetric ultrasound Capacity building Medical education Training programs Angola
Contexto Educativo
Citação
Ribeiro RT, Hcini N, Vasconcelos J, Alves L, Mendes M, Brito M, et al. Capacity building in obstetric and abdominal ultrasound for sickle cell disease pregnancies in Angola: a pre- and post-training evaluation. J Sickle Cell Dis. 2026;3(1):yoag022.
Editora
Oxford University Press (OUP)