Overview
The 2018 Nairobi Workshop expanded NESA’s East African presence, providing intensive maternal health surgical training to surgeons from Kenya, Uganda, Tanzania, Ethiopia, and Rwanda.
Workshop Details
Location: Kenyatta National Hospital, Nairobi, Kenya
Duration: 6 days
Participants: 52 surgeons and 20 nurses
Host Institution: Kenyatta National Hospital
Partners: Ministry of Health Kenya, University of Nairobi
Training Modules
Evidence-Based Cesarean Section
- Step-by-step Misgav-Ladach technique
- Reducing surgical time and complications
- Suture technique optimization
- Blood loss minimization
Episiotomy Prevention
- Identifying true medical indications
- Perineal protection techniques
- When episiotomy is actually necessary
- Repair techniques when performed
Postpartum Hemorrhage Management
- Surgical interventions
- Conservative management approaches
- Emergency protocols
- Team coordination
FGM Complication Management
- Treatment of FGM victims
- Reconstructive techniques
- Psychological support integration
Innovative Format
This workshop introduced:
- Live surgery streaming to multiple viewing rooms
- Nursing staff integration for holistic team training
- Mobile app for post-workshop support and questions
- 6-month follow-up program with video consultations
Participants
Countries Represented:
- Kenya (28 surgeons)
- Uganda (8 surgeons)
- Tanzania (7 surgeons)
- Ethiopia (5 surgeons)
- Rwanda (4 surgeons)
Measured Outcomes
Six-month follow-up data from 42 participating hospitals:
- 2,180 Cesarean sections performed using NESA method
- 31% reduction in febrile morbidity
- Average surgical time reduced from 45 to 28 minutes
- Zero maternal mortality in documented cases
- 88% adoption rate of taught techniques
All-African Database Integration
All participants were enrolled in the All-African Surgical Database, contributing:
- Real-time surgical outcome data
- Comparative analysis with traditional methods
- Regional benchmarking
- Continuous quality improvement metrics
Ministry of Health Impact
The Kenya Ministry of Health subsequently:
- Adopted NESA guidelines for national training
- Integrated techniques into medical school curriculum
- Designated Kenyatta National Hospital as regional training center
- Funded annual refresher workshops
Resource Materials Provided
- Comprehensive surgical manual (English and Swahili)
- Visual step-by-step guides
- Video library access via Member Portal
- Mobile app for quick reference
- Suture kits and practice models
Future Collaboration
This workshop established:
- Annual East African NESA workshop rotation
- Kenyatta Hospital as NESA regional hub
- Mentorship program connecting East African surgeons
- Research collaboration network