UNIVERSITY OF michigan, SCHOOL OF NURSING, office of international affairs
WHO Collaborating Centre for research and clinical training in health promotion nursing
WEBSITE

DIRECTORS
Jody R. Lori, PhD, CNM, FACNM, FAAN; Professor and Associate Dean for Global Affairs
Patricia Hurn, Dean and Professor

STAFF
Megan Eagle, RN MS MPH FNP-BC, School of Nursing
Janet Gribbon, Administrative Assistant

At PAHO/WHO request, support PAHO/WHO in disseminating experiences about evidence-based practices of health promotion related to maternal home strategies and nurse and midwifery personnel.
As requested by PAHO/WHO providing technical support to PAHO/WHO in strengthening and building nursing capacity in training, quality of care and communication of data related to the profession.

This institution is a member of the
WHOCC MIDWIFERY NETWORK

MIDWIFERY NETWORK WORK PLAN 2016 - 2020

University of Michigan Collaborating Centre is working with the Faculty of Nursing Science of the Episcopal University of Haiti (FSIL), located in Leogane, Haiti on implementing a master’s degree program in midwifery to educate bachelors prepared nurses in midwifery with a goal that these professionals will serve as maternal infant/health providers, leaders, and faculty across the nation of Haiti. The program will meet the Master’s Essentials for a Masters of Science in Nursing and the International Confederation of Midwives Competencies for Midwifery Education.  

University of Michigan Collaborating Center responded to a request from WHO Technical Officer, Midwifery, MCA Dept. & Office of Chief Nurse, WHO HQ, Geneva to head a WHO Technical Working Group (TAG) to review the final draft of a new antenatal care course developed for the AFRO region based on the 2016 WHO Antenatal Care Guidelines. Volunteers from 10 WHO Collaborating Centers for Nursing and Midwifery were organized to evaluate the 14 session curriculum and provide general feedback on each of the sessions developed using a structured format to examine session content within the context of the current evidence and supporting documents from WHO.

ANNUAL REPORT 2021

UMSN PAHO/WHO Collaborating Center Summer Institute welcomes collaborators from around the world

    • Maternal Waiting Homes Toolkit for Latin America and Caribbean (Planned release fall 2021).
    •  Report on impact of Nicaragua’s Maternal Waiting Homes Strategy (baseline data analysis and research protocols. Data collection delayed due to COVID19).
    • Faculty training program for effective use of Simulation in Clinical training for nurses in the Caribbean (needs assessment survey and course development underway).
    • Panel Discussion Responding to YONMW/ SOWN Report and Policy Recommendations May 13, 2021.
    • Grenier L, Lori JR, Darney B, Noguchi LM, Maru S, Klima C, Lundeen T, Walker D, Patil C, Suhowatsky S, & Musange S. (2020). Building a global evidence base to guide policy and implementation for group antenatal care in low-and middle-income countries: Key principles and research framework recommendations from the Global Group Antenatal Care Collaborative, Journal of Midwifery & Women’s Health 65(5): 694-699 (DOI: 10.1111/jmwh.13143, http://dx.doi.org/10.1111/jmwh.13143).
    • Lori, JR & Madigan, E. (2020). Global engagement competencies for PhD nursing students, Journal of Professional Nursing (DOI: 10.1016/j.profnurs.2020.08.009, https://doi.org/10.1016/j.profnurs.2020.08.009).
    • Jack, S. M., Munro‐Kramer, M. L., Williams, J. R., Schminkey, D., Tomlinson, E., Jennings Mayo‐Wilson, L., … & Campbell, J. C. (2021). Recognising and responding to intimate partner violence using telehealth: Practical guidance for nurses and midwives. Journal of clinical nursing, 30(3-4), 588-602 (DOI: 10.1111/jocn.15554, https://onlinelibrary.wiley.com/doi/10.1111/jocn.15554).
    • Group antenatal care to promote a healthy pregnancy and optimize maternal and newbor outcomes: a cluster randomized control trial:The goal of this project is to improve health literacy and reduce preventable maternal and newborn morbidities and mortality with a focus on preparing for birth, identifying complications, and care-seeking patterns. We will test the efficacy of providing antenatal care in groups of 8-12 women of similar gestational age in Ghana.
    • Formation of a gender-based violence research and prevention network to conduct formative research on gender-based violence programming at universities in sub-Saharan Africa. This study brings together six universities from five countries in sub-Saharan Africa (Ghana, Liberia, Nigeria, South Africa, Zimbabwe) to gather data on pre-existing prevention and response measures, to conduct interviews with key stakeholders to identify barriers and facilitators to gender-based violence prevention and response, and to conduct a policy analysis to identify best practices.
    • WhatsApp Triage, Referral & Transfer System-Increasing Access & Quality: The primary outcome of this study is to increase access to cesarean section (CS) by decreasing referral time, improving obstetrics triage methods and decision making, and decreasing the Decision-to-Delivery (DDI) time through a WhatsApp triage, referral and transfer (WAT-RT) system in rural Liberia.
    • Feasibility Study of a Brief Intervention to Prevent Sexually Transmitted Infections and Unintended Pregnancies: Collaboration with HRP-SRH department on a project in Moldova and Peru that examines the feasibility of training health care providers to use motivational interviewing techniques with their clients, with the aim of reducing STI and unintended pregnancies.
    • Collaboration with FSIL Nursing School in Legoaine, Haiti for post BSN FNP/Midwifery program: program has continued in virtual format. First cohort will graduate in December 2021.

ANNUAL REPORT 2020

UMSN CC Teams: Cibele Sedgewick, Megan Eagle, Nancy Lockhart, Beste Windes, Jody Lori

    • The University of Michigan School Of Nursing’s Collaborating Center was re-designated in December of 2019. We are embarking on several new areas of work: assessing the impact of maternity waiting homes and disseminating best practices with colleagues in Nicaragua, Bolivia and Guyana; building new collaborations with colleagues in the Caribbean to improved clinical training of nurses and the incorporation of low-fidelity simulation based learning; and highlighting the finding of the upcoming “State of the World’s Nursing” Report. UMSN Assistant Professor Kevin Joiner, PhD a presented the final webinar in our series on chronic disease on the impact of diabetes related. Travel to Haiti was postponed due to safety concerns, but weekly discussions and quizzes with students in the Midwifery and Family Nurse Practitioner programs at Faculty of Nursing Science of the Episcopal University of Haiti (FSIL) continued via email. Clinical Associate Professor Ruth Zielinski PhD and adjunct Professor Marie Klingberg Allvin are participating in the Technical Advisory Group requested by WHO to provide expert feedback on the Essential Post-Partum Family Planning (EPPFP) module of the PNC Toolkit. Professor Rob Stephenson, was invited to attend the 3rd WHO Technical Consultation on Point of Care Diagnostics Tests for Sexually Transmitted Infections.
    • Gallagher NA, Eagle M, Sarkar N, Cassiani S, Lori J. (2019). Pan American Health Organization/World Health Organization Collaborating Centers in Nursing and Midwifery in Haiti. Rev Panam Salud Publica. 2019;43:e30. https://doi.org/10.26633/RPSP.2019.30
    • 3rd Annual Global Reproductive and Sexual Health Summer Institute. May 7-15, 2020 Offered by the University of Michigan School of Nursing, with faculty from across the health sciences, this third annual UMSN Summer Institute is designed to help participants gain a broad insight into contemporary issues in reproductive and sexual health. This short, intensive course will allow participants to gain the skills and knowledge to advance their inquiry in global reproductive and sexual health through a two-day conference followed by a five-day workshop. Participants may choose to attend the two-day conference only, or both. (link)

Working with colleagues in Ghana Dr. Jody Lori continues her work aimed at improving maternal and new born health:

Group Antenatal Care to Promote a Healthy Pregnancy and Optimize Maternal and Newborn Outcomes: A Cluster Randomized Controlled Trial: Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), 1 R01 HD096277-01 (Dr. Jody R. Lori, PI) 2018-2023

Building upon favorable results from our Fogarty funded research, this study aims to improve health literacy, increase birth preparedness and complication readiness, and optimize maternal and newborn outcomes among women receiving group antenatal care (ANC). Using a cluster randomized controlled trial stratified by site and gestational age as our study design, we will enroll 1690 women from 14 facilities in the Eastern Region of Ghana. Data will be collected at five time points: (1) enrollment into ANC; (2) third trimester; (3) post-delivery up to six weeks postpartum; (4) six months; and (5) one-year. In-country partner is the Dodowa Health Research Center (DHRC). This study includes a unique process evaluation component, implemented concurrently, to identify and document patient, provider, and system barriers and facilitators to program implementation. Using both quantitative and qualitative methods, we will identify potential and actual influences on the quality and conduct of the program’s operations, implementation, and service delivery.

ANNUAL REPORT 2019

University of Michigan School of Nursing Celebrating 22 Years as a PAHO/WHO Collaborating Centre

    • Our collaborating center continues to develop periodic webinars on issues related to health promotion and chronic disease management. The webinars have been accessed by 300 people in over 15 countries. University of Michigan School of Nursing(UMSN) has played an active role in the Advisory Committee to the Maternal Health Strengthening in Latin America and the Caribbean Project. Clinical instructor and University of Michigan, School of Nursing, PAHO/WHO Collaborating Center Deputy Director, Megan Eagle delivered 3 lectures on HIV, WHO STI treatment guidelines and Zika virus as part of the training course on the Campus Virtual de Salud Publica for the country level trainers.
    • For the third consecutive year, in collaboration with the Collaborating Center at the University of the West Indies, Carol Boyd, PhD and Marie-Anne Rosemberg PhD will provide workshops on research and evidence based practice for nurse researchers and clinicians from the West Indies.
    • Amby Gallagher, PhD and colleagues published the findings from the survey of PAHO Collaborating Centers working in Haiti.
    • In fall 2018, University of Michigan Collaborating Center responded to a request from WHO Technical Officer, Midwifery, MCA Dept. & Office of Chief Nurse, WHO HQ, Geneva to head a WHO Technical Working Group (TAG) to review the final draft of a new antenatal care course developed for the AFRO region based on the 2016 WHO Antenatal Care Guidelines. We organized volunteers from 10 WHO Collaborating Centers for Nursing and Midwifery to evaluate the 14 Session curriculum and provide general feedback on each of the sessions developed using a structured format that examines the content within the context of the current evidence and supporting documents from WHO.
    • Gallagher NA, Eagle M, Sarkar N, Cassiani S, Lori J. (2019). Pan American Health Organization/World Health Organization Collaborating Centers in Nursing and Midwifery in Haiti. Rev Panam Salud Publica. 2019;43:e30. https://doi.org/10.26633/RPSP.2019.30
    • In May we will host our 2nd Summer Institute on Global Reproductive and Sexual Health, with a 2 day conference on gender based violence and sexual coercion globally followed by a 5 day intensive workshop on designing and evaluating interventions to improve sexual and reproductive health. We will have participants from at least seven countries, including Chile, Brazil, Thailand, Ethiopia and Mongolia.

University of Michigan School of Nursing continues to work with WHO in Peru and Armenia to test a brief sexual health intervention to be delivered by health workers. Over the past year we have developed intervention manuals, study protocols, research instruments and received WHO and local IRB approvals. We have ongoing research collaborations on the adaptation of Screening, Brief Intervention and Referral to Treatment to address adolescent substance use in Brazil and the United States. Our D-32 training program on Chronic Disease continues to mentor early career nurse- researchers from Thailand.