Effectiveness of antibiotic prophylaxis during surgical evacuation of the uterus for miscarriage management in low income countries. (AIMS Trial)
Lead Research Organisation:
University of Birmingham
Department Name: Clinical and Experimental Medicine
Abstract
Infection following miscarriage surgery - A GLOBAL PROBLEM:
Globally, 210 million women become pregnant each year, but 33 million of these pregnancies end in a miscarriage. A majority of women with a miscarriage will have surgery. In low income settings, the infection rate after miscarriage surgery has been reported to be as high as 30%. Infection after miscarriage can result in serious illness and death, as well as long term consequences including increased rates of ectopic pregnancy, infertility and persistent pain.
Prophylactic antibiotics - A POTENTIAL SOLUTION:
Prophylactic antibiotics, given before surgery, may improve outcomes. However, for miscarriage surgery, current guidelines from the WHO, UK national guidelines, and national guidelines from low income countries do not recommend prophylactic antibiotics. This is because of limited evidence. We propose that prophylactic antibiotics, used at the time of surgery, may offer a solution to reducing the serious problem of infection following miscarriage.
The existing evidence - A TRIAL IS NEEDED:
A recent review of all the evidence concluded that "there is not enough evidence to evaluate a policy of routine antibiotic prophylaxis to women with incomplete miscarriage" and "There is a real and urgent need to find out whether antibiotics should be routinely used in cases of incomplete miscarriage. The policy and cost implications arising from this research will be tremendous, and randomised clinical trials comparing antibiotics currently in use with no antibiotics are strongly recommended."
The proposed AIMS trial:
The question: Can pelvic infection after miscarriage surgery be reduced by giving antibiotics to women just before surgery?
Study sites: The study will be conducted in 3 countries in Sub-Saharan Africa; Tanzania, Malawi and Uganda. These countries have been chosen as women have the greatest problems with infection after miscarriage in low income countries and this is therefore the place where this research could have the greatest impact to improve health.
What the trial involves: Women having surgery for miscarriage will be invited to participate, and if consent is given, women will be offered a single dose of antibiotics, to be taken by mouth two hours before the surgery. We plan to recruit 2400 women in total over 2 years.
The treatment given will be either antibiotics (400mg doxycycline and 400mg metronidazole) or a dummy pill (placebo). The women and clinician will not know if the tablet is the antibiotic or the dummy pill. By comparing the rate of infection and other problems such as death or admission to hospital during the first 2 weeks after surgery between the groups we can determine if the antibiotics are having any effect. Any women in whom an infection is found will have appropriate treatment and also further tests to identify the cause of the infection.
Clinician support for the trial:
The trial is endorsed by international professional organisations and a survey of 124 practitioners from 23 low income countries overwhelmingly (87.5%) supported the need for the AIMS trial.
User support and acceptability:
Semi-structured interviews with gynaecology inpatients in Blantyre, Malawi and Mbale, Uganda showed there was recognition of the potential problems following miscarriage and that the proposed protocol was acceptable. Participants indicated they would be willing to participate and return for follow up assessments. The trial has also been endorsed by the patient group the Miscarriage Association.
The potential benefits of the trial:
Miscarriage surgery is common, and infective complications are frequent and serious. Prophylactic antibiotics, if found effective, may offer a simple and affordable intervention which could be rapidly implemented to reduce the burden of maternal mortality and disease in low income countries. This may directly address MDG5 (reducing maternal mortality), where progress has been uneven and slow.
Globally, 210 million women become pregnant each year, but 33 million of these pregnancies end in a miscarriage. A majority of women with a miscarriage will have surgery. In low income settings, the infection rate after miscarriage surgery has been reported to be as high as 30%. Infection after miscarriage can result in serious illness and death, as well as long term consequences including increased rates of ectopic pregnancy, infertility and persistent pain.
Prophylactic antibiotics - A POTENTIAL SOLUTION:
Prophylactic antibiotics, given before surgery, may improve outcomes. However, for miscarriage surgery, current guidelines from the WHO, UK national guidelines, and national guidelines from low income countries do not recommend prophylactic antibiotics. This is because of limited evidence. We propose that prophylactic antibiotics, used at the time of surgery, may offer a solution to reducing the serious problem of infection following miscarriage.
The existing evidence - A TRIAL IS NEEDED:
A recent review of all the evidence concluded that "there is not enough evidence to evaluate a policy of routine antibiotic prophylaxis to women with incomplete miscarriage" and "There is a real and urgent need to find out whether antibiotics should be routinely used in cases of incomplete miscarriage. The policy and cost implications arising from this research will be tremendous, and randomised clinical trials comparing antibiotics currently in use with no antibiotics are strongly recommended."
The proposed AIMS trial:
The question: Can pelvic infection after miscarriage surgery be reduced by giving antibiotics to women just before surgery?
Study sites: The study will be conducted in 3 countries in Sub-Saharan Africa; Tanzania, Malawi and Uganda. These countries have been chosen as women have the greatest problems with infection after miscarriage in low income countries and this is therefore the place where this research could have the greatest impact to improve health.
What the trial involves: Women having surgery for miscarriage will be invited to participate, and if consent is given, women will be offered a single dose of antibiotics, to be taken by mouth two hours before the surgery. We plan to recruit 2400 women in total over 2 years.
The treatment given will be either antibiotics (400mg doxycycline and 400mg metronidazole) or a dummy pill (placebo). The women and clinician will not know if the tablet is the antibiotic or the dummy pill. By comparing the rate of infection and other problems such as death or admission to hospital during the first 2 weeks after surgery between the groups we can determine if the antibiotics are having any effect. Any women in whom an infection is found will have appropriate treatment and also further tests to identify the cause of the infection.
Clinician support for the trial:
The trial is endorsed by international professional organisations and a survey of 124 practitioners from 23 low income countries overwhelmingly (87.5%) supported the need for the AIMS trial.
User support and acceptability:
Semi-structured interviews with gynaecology inpatients in Blantyre, Malawi and Mbale, Uganda showed there was recognition of the potential problems following miscarriage and that the proposed protocol was acceptable. Participants indicated they would be willing to participate and return for follow up assessments. The trial has also been endorsed by the patient group the Miscarriage Association.
The potential benefits of the trial:
Miscarriage surgery is common, and infective complications are frequent and serious. Prophylactic antibiotics, if found effective, may offer a simple and affordable intervention which could be rapidly implemented to reduce the burden of maternal mortality and disease in low income countries. This may directly address MDG5 (reducing maternal mortality), where progress has been uneven and slow.
Technical Summary
Objective: To evaluate the effects of prophylactic antibiotics (Doxycycline 400mg and metronidazole 400mg, given orally, as a single dose prior to surgery) in women undergoing surgical management of miscarriage in low income countries, with the primary outcome of pelvic infection.
Short title: The AIMS (Antibiotics in Miscarriage Surgery) Trial
Study design:
Randomised, double-blind, placebo-controlled, multicentre, multi-national trial. Unit of randomisation is at the individual patient level.
Study duration:
36 months.
Research sites:
a) Malawi: Queen Elizabeth Central Hospital, Blantyre.
b) Uganda: Mbale Regional Hospital.
c) Tanzania: St Francis Hospital (Ifakara) and Bagamoyo District Hospital.
Trial sponsorship:
University of Birmingham
Trial management:
Jointly hosted by University of Birmingham Clinical Trials Unit (BCTU) and College of Medicine, Blantyre, Vaccine & Clinical Trials Unit (VCTU).
Population:
Women undergoing surgical evacuation of the uterus for miscarriage management are eligible to take part in the study.
Intervention:
Doxycycline 400mg oral and Metronidazole 400mg oral, as single dose, taken 2 hours before surgery.
Control:
Identical placebo
Randomisation:
Computerised third-party randomisation with allocation concealment.
Primary outcome:
Pelvic infection within 14 days of surgery, defined as two or more of a) purulent vaginal discharge, b) pyrexia >38.0, c) uterine tenderness, and d) a white cell count >15x109 /l.
Sample size:
To randomise 2400 women (Will give 90% power at p=0.05 to detect a 4% reduction in absolute risk of pelvic infection from a baseline risk of 10% (a relative risk of 0.6, based on our systematic review of antibiotic prophylaxis in induced abortion surgery)).
Dissemination:
By publication of findings and dissemination through FIGO, WHO, RCOG, National societies, dissemination meetings in all countries and the study website. We will also update the Cochrane review
Short title: The AIMS (Antibiotics in Miscarriage Surgery) Trial
Study design:
Randomised, double-blind, placebo-controlled, multicentre, multi-national trial. Unit of randomisation is at the individual patient level.
Study duration:
36 months.
Research sites:
a) Malawi: Queen Elizabeth Central Hospital, Blantyre.
b) Uganda: Mbale Regional Hospital.
c) Tanzania: St Francis Hospital (Ifakara) and Bagamoyo District Hospital.
Trial sponsorship:
University of Birmingham
Trial management:
Jointly hosted by University of Birmingham Clinical Trials Unit (BCTU) and College of Medicine, Blantyre, Vaccine & Clinical Trials Unit (VCTU).
Population:
Women undergoing surgical evacuation of the uterus for miscarriage management are eligible to take part in the study.
Intervention:
Doxycycline 400mg oral and Metronidazole 400mg oral, as single dose, taken 2 hours before surgery.
Control:
Identical placebo
Randomisation:
Computerised third-party randomisation with allocation concealment.
Primary outcome:
Pelvic infection within 14 days of surgery, defined as two or more of a) purulent vaginal discharge, b) pyrexia >38.0, c) uterine tenderness, and d) a white cell count >15x109 /l.
Sample size:
To randomise 2400 women (Will give 90% power at p=0.05 to detect a 4% reduction in absolute risk of pelvic infection from a baseline risk of 10% (a relative risk of 0.6, based on our systematic review of antibiotic prophylaxis in induced abortion surgery)).
Dissemination:
By publication of findings and dissemination through FIGO, WHO, RCOG, National societies, dissemination meetings in all countries and the study website. We will also update the Cochrane review
Planned Impact
If antibiotic prophylaxis is found to be a successful strategy then the principal beneficiaries will be women in low income countries who could be offered this treatment and in future will be at a reduced risk of infection after miscarriage surgery. This could reduce the occurrence of sepsis in these women, thus reducing serious illness, organ failure and death. It may also reduce serious long term complications such as ectopic pregnancy, subfertility and chronic pelvic pain.
Miscarriage and miscarriage surgery are so common (20 million procedures worldwide annually) that this would be a very important finding, with the potential to have a major impact on maternal health. Furthermore, as this is a simple and inexpensive intervention we would expect that our dissemination plan could lead to it being widely and rapidly implemented, with national and international guidelines changed, and clinicians altering their practice. Miscarriage and miscarriage surgery are so common, that it places a major burden on national budgets for maternal health. Reducing post miscarriage complications could therefore lead to increased resources available for other women's health services. If the use of prophylactic antibiotics is not found to be successful then our dissemination plan would similarly ensure that women were not unnecessarily exposed to antibiotics and that health systems were not spending on an unnecessary treatment.
Women recruited to the trial will benefit from the peer support groups established, the provision of the complete World Health Organsiation post abortal care package and careful follow-up during the post operative period, which will ensure any complications are recognised early and treated appropriately. Women with miscarriage at the participating hospitals even if they choose not to participate will benefit from the peer support groups and enhanced training of staff in miscarriage care. We hope to inspire a change in organisational culture with a renewed focus on this important problem. We hope this legacy will last beyond the trial and positively benefit all women with miscarriage in these units.
Staff employed in Africa will be recruited with sensitivity to the need not to distort local health economies or reduce the availability of clinical staff. There will be an emphasis on local capacity building and professional development of these individuals. This will include training, mentorship and active participation in the research process. The particular need for capacity building of the Malawi Vaccine and Trials Unit has been identified and additional money has therefore been sought to support this requirement and also funds for an African trial coordinator at this site, working alongside staff at the Birmingham Clinical Trials Unit have been requested. The trial management structure (Figure 7) uses local trial management organisations not only to maximise efficiency but also to support the need to build local clinical trials capacity.
Miscarriage and miscarriage surgery are so common (20 million procedures worldwide annually) that this would be a very important finding, with the potential to have a major impact on maternal health. Furthermore, as this is a simple and inexpensive intervention we would expect that our dissemination plan could lead to it being widely and rapidly implemented, with national and international guidelines changed, and clinicians altering their practice. Miscarriage and miscarriage surgery are so common, that it places a major burden on national budgets for maternal health. Reducing post miscarriage complications could therefore lead to increased resources available for other women's health services. If the use of prophylactic antibiotics is not found to be successful then our dissemination plan would similarly ensure that women were not unnecessarily exposed to antibiotics and that health systems were not spending on an unnecessary treatment.
Women recruited to the trial will benefit from the peer support groups established, the provision of the complete World Health Organsiation post abortal care package and careful follow-up during the post operative period, which will ensure any complications are recognised early and treated appropriately. Women with miscarriage at the participating hospitals even if they choose not to participate will benefit from the peer support groups and enhanced training of staff in miscarriage care. We hope to inspire a change in organisational culture with a renewed focus on this important problem. We hope this legacy will last beyond the trial and positively benefit all women with miscarriage in these units.
Staff employed in Africa will be recruited with sensitivity to the need not to distort local health economies or reduce the availability of clinical staff. There will be an emphasis on local capacity building and professional development of these individuals. This will include training, mentorship and active participation in the research process. The particular need for capacity building of the Malawi Vaccine and Trials Unit has been identified and additional money has therefore been sought to support this requirement and also funds for an African trial coordinator at this site, working alongside staff at the Birmingham Clinical Trials Unit have been requested. The trial management structure (Figure 7) uses local trial management organisations not only to maximise efficiency but also to support the need to build local clinical trials capacity.
Organisations
- University of Birmingham (Lead Research Organisation)
- Liverpool School of Tropical Medicine (Collaboration)
- Karimabad Hospital (Collaboration)
- Miscarriage Association (Collaboration)
- ST GEORGE'S UNIVERSITY OF LONDON (Collaboration)
- Queen Elizabeth Central Hospital, Malawi (Collaboration)
- University of Warwick (Collaboration)
- Kharader Hospital (Collaboration)
- UNIVERSITY OF ABERDEEN (Collaboration)
- Leiden University Medical Center (Collaboration)
- Fundacion Clinica Valle del Lili, Cali (Collaboration)
- Chitenje Maternity Trust (Collaboration)
- Johns Hopkins University (Collaboration)
- Ifakara Health Institute (Collaboration)
- International Confederation of Midwives (Collaboration)
- UNIVERSITY OF BIRMINGHAM (Collaboration)
- University of the Republic (Collaboration)
- International Federation of Gynecology and Obstetrics (FIGO) (Collaboration)
- UNIVERSITY OF LIVERPOOL (Collaboration)
- Fudan University (Collaboration)
- Bagamoyo District Hospital (Collaboration)
- Khon Kaen University (Collaboration)
- UNIVERSITY OF NAIROBI (Collaboration)
- Jhpiego (Collaboration)
- World Health Organization (WHO) (Collaboration)
- Universidade de São Paulo (Collaboration)
- University College London (Collaboration)
- French Institute of Rabat (Collaboration)
- Nora Therapeutics Inc. (Collaboration)
- The UK Sepsis Trust (Collaboration)
- UNIVERSITY OF OXFORD (Collaboration)
- Aga Khan University (Collaboration)
- Agha Khan Diagnostic Centre Garden (Collaboration)
- University of Uyo Teaching Hospital (Collaboration)
- Hospital Ramón y Cajal (Collaboration)
- Mbale Regional Hospital (Collaboration)
- MedSciNet (Collaboration)
- Center for Perinatal Studies, Rosarino (CREP) (Collaboration)
- UNIVERSITY OF PRETORIA (Collaboration)
- Ammalife (Collaboration)
- Lutheran Aid to Medicine in Bangladesh Hospital (Collaboration)
- Mwananyamala Hospital (Collaboration)
- University of Washington (Collaboration)
- United Nations Population Fund (Collaboration)
- University of Malawi (Collaboration)
Publications
Abdu M
(2018)
Resource availability for the management of maternal sepsis in Malawi, other low-income countries, and lower-middle-income countries.
in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Ahmed SI
(2022)
Evaluation of the feasibility of the FAST-M maternal sepsis intervention in Pakistan: a protocol.
in Pilot and feasibility studies
Bonet M
(2017)
Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation.
in Reproductive health
Bonet M
(2018)
Correction to: Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation.
in Reproductive health
Braddick L
(2016)
A mixed-methods study of barriers and facilitators to the implementation of postpartum hemorrhage guidelines in Uganda.
in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Forshaw J
(2016)
Exploring the third delay: an audit evaluating obstetric triage at Mulago National Referral Hospital.
in BMC pregnancy and childbirth
Global Maternal And Neonatal Sepsis Initiative Working Group. Electronic Address: Bonetm@who.int
(2017)
The Global Maternal and Neonatal Sepsis Initiative: a call for collaboration and action by 2030.
in The Lancet. Global health
Goranitis I
(2019)
Antibiotic prophylaxis in the surgical management of miscarriage in low-income countries: a cost-effectiveness analysis of the AIMS trial.
in The Lancet. Global health
Lissauer D
(2019)
A Randomized Trial of Prophylactic Antibiotics for Miscarriage Surgery
in Obstetric Anesthesia Digest
| Title | AIMS |
| Description | This film introduces and explains the importance of the AIMS trial. With a storyboard of pictures from Malawi, Tanzania and Uganda, the video features participating researchers and representatives of supporting organisations working together to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2014 |
| Impact | The film enables a non-specialist audience to understand the urgent requirement for more effective treatments to support miscarriage surgery. |
| URL | https://m.youtube.com/watch?v=xnc22b_ef_s |
| Title | Maternal Health Heroes Campaign |
| Description | My team assisted the University to produce a series of videos, outdoor advertisements and digital promotions under the "Birmingham Heroes" brand, to raise awareness of our efforts to reduce maternal mortality around the world. |
| Type Of Art | Artwork |
| Year Produced | 2017 |
| Impact | The campaign has developed awareness of the commitment of my team and the University of Birmingham more widely, to tackle important global challenges of the 21st Century. |
| Description | Bill and Melinda Gates Foundation Goalkeepers recognition for E-MOTIVE |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Contribution to new or improved professional practice |
| Impact | The E-MOTIVE bundle of care, when fully implemented world wide could save the life of a woman every 30 minutes and reduce morbidity and harm to women and babies caused by PPH at birth. |
| URL | https://www.gatesfoundation.org/goalkeepers/report/2023-report/ |
| Guideline Title | National Guidelines for the Management of Post-Partum Haemorrhage (PPH) for Pakistan- July 2023 |
| Description | Change to international clinical guidelines - Pakistan |
| Geographic Reach | Asia |
| Policy Influence Type | Citation in clinical guidelines |
| Impact | Change in Pakistan Clinical Guidelines which will affect all women who experience a PPH in Pakistan |
| URL | https://ojs.jpma.org.pk/index.php/public_html/issue/view/73 |
| Description | Feature in New England Journal of Medicine Most Notable Articles of 2023 |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Gained worldwide recognition and interest in E-MOTIVE trial publication, has led to global conference invites to present work to peers |
| URL | https://store.nejm.org/signup/nejm/register/notablearticles2023#profile |
| Description | WHO roadmap to combat postpartum haemorrhage between 2023 and 2030 |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | WHO roadmap supports international roll out of E-MOTIVE PPH treatment bundle, shown to be effective by Coomarasamy-led E-MOTIVE trial. When fully rolled out could save a woman's life every 30 minutes and reduce morbidity for women and babies associated with PPH at childbirth |
| Description | 2015 Maternal Sepsis (DARO) |
| Amount | £200,000 (GBP) |
| Organisation | University of Birmingham |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 09/2015 |
| Description | MSD for Mothers - Maternal Sepsis |
| Amount | £150,000 (GBP) |
| Organisation | Merck |
| Sector | Private |
| Country | Germany |
| Start | 02/2017 |
| End | 02/2020 |
| Description | Maternal Sepsis (Ammalife) |
| Amount | £12,000 (GBP) |
| Organisation | Ammalife |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 04/2016 |
| End | 04/2018 |
| Description | University of Birmingham, DARO scheme |
| Amount | £285,000 (GBP) |
| Organisation | University of Birmingham |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 07/2016 |
| End | 08/2019 |
| Description | AIMS |
| Organisation | Aga Khan University |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Agha Khan Diagnostic Centre Garden |
| Country | Pakistan |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Ammalife |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Bagamoyo District Hospital |
| Country | Tanzania, United Republic of |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Chitenje Maternity Trust |
| Country | Malawi |
| Sector | Charity/Non Profit |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Hospital Ramón y Cajal |
| Department | Clinical Biostatistics Unit |
| Country | Spain |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Ifakara Health Institute |
| Country | Tanzania, United Republic of |
| Sector | Charity/Non Profit |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Karimabad Hospital |
| Country | Pakistan |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Kharader Hospital |
| Country | Pakistan |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Liverpool School of Tropical Medicine |
| Department | International Health |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Mbale Regional Hospital |
| Country | Uganda |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | MedSciNet |
| Country | Sweden |
| Sector | Private |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Miscarriage Association |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Mwananyamala Hospital |
| Country | Tanzania, United Republic of |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | Queen Elizabeth Central Hospital, Malawi |
| Country | Malawi |
| Sector | Hospitals |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | University of Liverpool |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | University of Liverpool |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | University of Malawi |
| Department | College of Medicine |
| Country | Malawi |
| Sector | Academic/University |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | AIMS |
| Organisation | World Health Organization (WHO) |
| Department | Department of Reproductive Health and Research |
| Country | Global |
| Sector | Academic/University |
| PI Contribution | My research team co-ordinated the AIMS trial to evaluate the effects of prophylactic antibiotics in the surgical management of miscarriage in low income countries, considering the primary outcome of pelvic infection. |
| Collaborator Contribution | The AIMS trial was conducted at sites in Malawi, Uganda, Tanzania and Pakistan, with support and guidance from the University of Liverpool, the Liverpool School of Tropical Medicine, the Ifakara Institute of Health and the World Health Organisation. Ammalife contributed specialist expertise in the dissemination of outputs, MedSciNet UK provided data collection and management support, and the Miscarriage Association brought experience in ensuring public and patient involvement. |
| Impact | More than 3400 women were recruited to the trial. Outputs are expected in the coming years. |
| Start Year | 2013 |
| Description | Birmingham-Warwick Global Womens Health |
| Organisation | Ammalife |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | My research team was involved in leading a collaboration between the Universities of Warwick and Birmingham, and (less closely) the Ifakara Health Institute and UCL Institute for Global Health, for the development of research in global women's health. |
| Collaborator Contribution | The members of this collaboration shared and critically reviewed research proposals and publish syntheses of research in global women's health. |
| Impact | Publication of relevance to the disciplines of gynaecology and obstetrics:DOI 10.1111/1471-0528.13183. |
| Start Year | 2014 |
| Description | Birmingham-Warwick Global Womens Health |
| Organisation | Ifakara Health Institute |
| Country | Tanzania, United Republic of |
| Sector | Charity/Non Profit |
| PI Contribution | My research team was involved in leading a collaboration between the Universities of Warwick and Birmingham, and (less closely) the Ifakara Health Institute and UCL Institute for Global Health, for the development of research in global women's health. |
| Collaborator Contribution | The members of this collaboration shared and critically reviewed research proposals and publish syntheses of research in global women's health. |
| Impact | Publication of relevance to the disciplines of gynaecology and obstetrics:DOI 10.1111/1471-0528.13183. |
| Start Year | 2014 |
| Description | Birmingham-Warwick Global Womens Health |
| Organisation | University College London |
| Department | Institute For Global Health |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My research team was involved in leading a collaboration between the Universities of Warwick and Birmingham, and (less closely) the Ifakara Health Institute and UCL Institute for Global Health, for the development of research in global women's health. |
| Collaborator Contribution | The members of this collaboration shared and critically reviewed research proposals and publish syntheses of research in global women's health. |
| Impact | Publication of relevance to the disciplines of gynaecology and obstetrics:DOI 10.1111/1471-0528.13183. |
| Start Year | 2014 |
| Description | Birmingham-Warwick Global Womens Health |
| Organisation | University of Warwick |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My research team was involved in leading a collaboration between the Universities of Warwick and Birmingham, and (less closely) the Ifakara Health Institute and UCL Institute for Global Health, for the development of research in global women's health. |
| Collaborator Contribution | The members of this collaboration shared and critically reviewed research proposals and publish syntheses of research in global women's health. |
| Impact | Publication of relevance to the disciplines of gynaecology and obstetrics:DOI 10.1111/1471-0528.13183. |
| Start Year | 2014 |
| Description | Frank Mussai and Carmen De Santo - Investigation of the role of Myeloid Derived Suppressor Cells in recurrent miscarriage |
| Organisation | Nora Therapeutics Inc. |
| Country | United States |
| Sector | Private |
| PI Contribution | Collaborated with the research group of Frank Mussai and Carmen De Santo to explore the modulation of MDSC number and function by the novel agent NT-100 as part of a phase II study of its use in patents with a history of recurrent miscarriage (RESPONSE trial, sponsored by NORA therapeutics) |
| Collaborator Contribution | They run a research lab specialising in the biology of MDSCs, and the combination of my interest in immunology of pregnancy and links with NORA therapeutics through the RESPONSE trial made this study possible. I am leading the research project and line managing the research technician. |
| Impact | Employment of a research technician, programme of research |
| Start Year | 2015 |
| Description | Frank Mussai and Carmen De Santo - Investigation of the role of Myeloid Derived Suppressor Cells in recurrent miscarriage |
| Organisation | University of Birmingham |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Collaborated with the research group of Frank Mussai and Carmen De Santo to explore the modulation of MDSC number and function by the novel agent NT-100 as part of a phase II study of its use in patents with a history of recurrent miscarriage (RESPONSE trial, sponsored by NORA therapeutics) |
| Collaborator Contribution | They run a research lab specialising in the biology of MDSCs, and the combination of my interest in immunology of pregnancy and links with NORA therapeutics through the RESPONSE trial made this study possible. I am leading the research project and line managing the research technician. |
| Impact | Employment of a research technician, programme of research |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Aga Khan University |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Center for Perinatal Studies, Rosarino (CREP) |
| Country | Argentina |
| Sector | Charity/Non Profit |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | French Institute of Rabat |
| Country | Morocco |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Fudan University |
| Department | Department of Maternal, Child and Adolescent Health |
| Country | China |
| Sector | Hospitals |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Fundacion Clinica Valle del Lili, Cali |
| Country | Colombia |
| Sector | Hospitals |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | International Confederation of Midwives |
| Country | Netherlands |
| Sector | Charity/Non Profit |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | International Federation of Gynecology and Obstetrics (FIGO) |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Jhpiego |
| Country | United States |
| Sector | Charity/Non Profit |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Johns Hopkins University |
| Department | Department of International Health |
| Country | United States |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Khon Kaen University |
| Country | Thailand |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Leiden University Medical Center |
| Department | Department of Obstetrics and Gynaecology |
| Country | Netherlands |
| Sector | Hospitals |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Lutheran Aid to Medicine in Bangladesh Hospital |
| Country | Bangladesh |
| Sector | Hospitals |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | St George's University of London |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | UK Sepsis Trust |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | United Nations Population Fund |
| Country | United States |
| Sector | Public |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | Universidade de São Paulo |
| Department | Department of Social Medicine |
| Country | Brazil |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of Aberdeen |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of Birmingham |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of Nairobi |
| Department | Department of Obstetrics and Gynaecology |
| Country | Kenya |
| Sector | Hospitals |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of Oxford |
| Department | National Perinatal Epidemiology Unit Oxford |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of Pretoria |
| Department | MRC Maternal and Infant Health Care Strategies Research Unit |
| Country | South Africa |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of Uyo Teaching Hospital |
| Country | Nigeria |
| Sector | Hospitals |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of Washington |
| Department | Earth and Space Sciences |
| Country | United States |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | University of the Republic |
| Department | Faculty of Medicine |
| Country | Uruguay |
| Sector | Academic/University |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | Maternal and Newborn Sepsis |
| Organisation | World Health Organization (WHO) |
| Country | Global |
| Sector | Public |
| PI Contribution | My team collaborates internationally to raise awareness of maternal and newborn sepsis, and to develop effective diagnostic tools and management strategies. |
| Collaborator Contribution | With our collaborative partners, we aim to build global consensus on key issues such as the definition of maternal sepsis and its validation in low and middle income countries. We also aim to strengthen international communities of healthcare professionals and researchers with expertise of relevance to maternal sepsis. |
| Impact | Outputs are published: DOI 10.1186/s12978-017-0321-6 and http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/. |
| Start Year | 2015 |
| Description | WHO Collaborating Centre |
| Organisation | World Health Organization (WHO) |
| Country | Global |
| Sector | Public |
| PI Contribution | We are testing and disseminating a sepsis management bundle and tools for the initial care of maternal sepsis, firstly in multiple health facilities in Malawi and subsequently at scale in multiple low resource countries. We are also contributing to evidence-based guidelines for the prevention and treatment of PPH, and developing a bundle for the management of this condition. Finally, we are pursuing evidence synthesis of treatment options managing miscarriages. |
| Collaborator Contribution | The WHO supports our team in tasks above, through operational co-operation and advice in data analysis. |
| Impact | No outputs yet |
| Start Year | 2018 |
| Description | WHO Collaborating Centre for Research and Research Synthesis in Reproductive Health |
| Organisation | World Health Organization (WHO) |
| Department | Department of Reproductive Health and Research |
| Country | Global |
| Sector | Academic/University |
| PI Contribution | The Terms of Reference are: 1. Collaborate in research synthesis to support the translation of evidence-based research findings into WHO policy and services in the area of maternal and newborn health |
| Collaborator Contribution | To advise on research proposals and protocols, contribute to Trial Steering Groups |
| Impact | The WHO officers contribute to all the research proposals within the Sanyu Research Unit by commenting on the protocols. In addition, Julie Storr was a co-investigator on the BabyGel Study and Metin Gulmezoglu chaired the Steering Committee for INFORM study. |
| Start Year | 2012 |
| Description | World Health Organisation - maternal sepsis initiative |
| Organisation | Ammalife |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | I am part of the secretariat which is helping formulate the new maternal sepsis and suspected maternal sepsis definitions. I am leading the team designing the maternal sepsis immediate management bundle. Consensus on the bundle components has been reached through an international modified Delphi process. The implementation toolkits are being completed at an in-country meeting with a broad range of stakeholders in Malawi in May. We hope to pilot the bundle early next year as part of a join initiative with the WHO. |
| Collaborator Contribution | Ammalife £40,000 Philanthropic donation £96,000 University of Birmingham Alumni fund £15,000 |
| Impact | No impact yet. Anticipated that once the process has been completed the bundle may become integrated into WHO policy, and could have global impacts. |
| Start Year | 2015 |
| Description | World Health Organisation - maternal sepsis initiative |
| Organisation | World Health Organization (WHO) |
| Department | Maternal, Newborn, Child and Adolescent Health |
| Country | Switzerland |
| Sector | Public |
| PI Contribution | I am part of the secretariat which is helping formulate the new maternal sepsis and suspected maternal sepsis definitions. I am leading the team designing the maternal sepsis immediate management bundle. Consensus on the bundle components has been reached through an international modified Delphi process. The implementation toolkits are being completed at an in-country meeting with a broad range of stakeholders in Malawi in May. We hope to pilot the bundle early next year as part of a join initiative with the WHO. |
| Collaborator Contribution | Ammalife £40,000 Philanthropic donation £96,000 University of Birmingham Alumni fund £15,000 |
| Impact | No impact yet. Anticipated that once the process has been completed the bundle may become integrated into WHO policy, and could have global impacts. |
| Start Year | 2015 |
| Title | Antibiotics in miscarriage surgery |
| Description | The AIMS (Antibiotics in Miscarriage Surgery) project proposed that antibiotics given just before miscarriage surgery could reduce the chances of infection, and tested the hypothesis through a large clinical trial in Malawi, Tanzania, Uganda and Pakistan. The study was endorsed by the WHO, FIGO and RCOG, and financially supported by the MRC, Wellcome Trust and UK Department for International Development. |
| Type | Therapeutic Intervention - Drug |
| Current Stage Of Development | Late clinical evaluation |
| Year Development Stage Completed | 2013 |
| Development Status | Under active development/distribution |
| Impact | Please refer to other sections of the portfolio for further details. |
| URL | http://www.ammalife.org/research/aims-antibiotics-in-miscarriage-surgery |
| Description | #AidWorks Ministerial Visit |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | On Thursday 22nd February 2018 David Lissauer (AIMS Trial Manager) joined a roundtable session with the Rt Hon Alistair Burt MP (Minister of State for International Development) at the University of Birmingham. The ministerial visit was arranged as part of the Department for International Development (DFID) #AidWorks campaign being piloted in the West Midlands. The group shared positive messages about how UK aid is spent and what it achieves, and demonstrated to ministerial delegates how our research addresses current international development challenges. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Ammalife - AIMS |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Ammalife is disseminating AIMS news to the public via the charity website and other events. Lay communities are aware and informed about the AIMS Trial. |
| Year(s) Of Engagement Activity | 2013,2014,2015,2016,2017,2018 |
| URL | http://www.ammalife.org/research/aims-antibiotics-in-miscarriage-surgery |
| Description | Clinical Trials Presentation at IMSR Away Day 2016 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | I was invited to deliver a presentation entitled "Translating Science into Health - Clinical Trials" to the Institute of Metabolism and Systems Research (IMSR) at the University of Birmingham. Questions and discussions increased awareness and interest in the subject. |
| Year(s) Of Engagement Activity | 2016 |
| Description | Community Sensitisation - AIMS Uganda |
| Form Of Engagement Activity | Participation in an open day or visit at my research institution |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | Antibiotic administration is an issue in Uganda so we designed lay materials for distribution from ten rural health centres, to discuss appropriate use of antibiotics and inform local communities about antibiotic resistance. The materials sparked interest and questions from the women attending each clinic. Women became interested in ourt study, and in learning how to better combat antibiotic resistance and improve maternal health. |
| Year(s) Of Engagement Activity | 2014 |
| Description | Facebook - AIMS |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | AIMS news is reported via facebook. The AIMS Trial has gained 67 'Likes' from assorted participants in the research and other supporters. |
| Year(s) Of Engagement Activity | 2014,2015,2016,2017,2018 |
| URL | https://www.facebook.com/aimstrial |
| Description | GLOW 2012 - AIMS |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Over 100 scientists, doctors, nurses, educators, health promoters, community activists and volunteers interested in achieving safe motherhood attended the first GLOW (Global Women's Health Research Society) Conference in Liverpool on Tuesday 23 October 2012. I (Arri Coomarasamy) co-authored and co-presented a poster entitled Maximising Participant Retention In Maternal Health Trials In Low- And Lower-Middle-Income Countries: A Mixed Methods Study (with colleagues Susannah Waite and David Lissauer). This feature introduced the AIMS trial. Delegates learned about the work of AIMS and engaged in discussions with the project team. |
| Year(s) Of Engagement Activity | 2012 |
| URL | http://www.glowconference.org/glow-2012.html |
| Description | GLOW 2013 - AIMS |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Over 100 scientists, doctors, nurses, educators, health promoters, community activists and volunteers interested in achieving safe motherhood attended the second GLOW (Global Women's Health Research Society) Conference in Birmingham on Friday 1 November 2013. This event enabled our team to disseminate news and promote the AIMS project. Delegates learned about the work of AIMS and engaged in discussions with the project team. |
| Year(s) Of Engagement Activity | 2013 |
| URL | http://www.glowconference.org/glow-2013.html |
| Description | MAOCO - AIMS |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Over time AIMS team members have inspired, supported and encouraged the professional motivation and self-belief of clinical officers in Malawi, and this cadre of healthcare workers has now established a professional development society (the Malawi Association of Obstetric Clinical Officers, MAOCO) for the purpose of sharing knowledge and expertise. |
| Year(s) Of Engagement Activity | 2015,2016,2017,2018 |
| Description | Meeting of Collaborators: Inauguration - AIMS |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The AIMS Inauguration Meeting in early November 2013 brought together researchers from three different continents to learn about one another, to develop the study database and share ideas to facilitate the project. The AIMS Inauguration Meeting in early November 2013 consolidated teamwork and enabled researchers to prepare audiovisual material to promote the Trial. |
| Year(s) Of Engagement Activity | 2013 |
| Description | Miscarriage Association - AIMS |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | A representative of the Miscarriage Association - who participates in meetings of the AIMS Trial Steering Committee - regularly reports our news of the project via the Miscarriage Association website and meetings of this organisation. The Miscarriage Association brings news of the AIMS Trial to the public. |
| Year(s) Of Engagement Activity | 2013,2014,2015,2016,2017,2018 |
| URL | http://www.miscarriageassociation.org.uk/ |
| Description | Mixed methods research on reasons for trial participation - AIMS |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | We carried out mixed methods research to find out: factors influencing Malawian women's decisions of whether to participate in a reproductive health clinical trial; women's understanding of reproductive health trial information; the availability, utilisation and quality of miscarriage care services in Blantyre district; healthcare providers' knowledge and practice of miscarriage care; and treatment seeking behaviours and other determinants of access to care. |
| Year(s) Of Engagement Activity | 2013,2014,2015,2016,2017 |
| Description | Newsletters - AIMS |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Study participants or study members |
| Results and Impact | Newsletters featuring components such as randomisation rankings, AIMS stars and FAQs were issued regularly (every two months) to participants and researchers in the AIMS trial, to keep everybody abreast of progress and build staff morale. Collaborators have expressed appreciation of newsletters and researchers have engaged in friendly competition in rates of recruitment between sites, boosting our overall rate of progress. The FAQs of our newsletters are helping researchers and midwives to learn from the practical challenges experienced by peers. |
| Year(s) Of Engagement Activity | 2014,2015,2016,2017 |
| URL | http://www.aimstrial.org |
| Description | PREIS COURSE 2021 Women's health and wealth October 21-22 2021 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited to present on - How to prevent and manage miscarriage |
| Year(s) Of Engagement Activity | 2021 |
| Description | Participant Contact - AIMS |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Study participants or study members |
| Results and Impact | Our researchers in Malawi conducted home visits and meetings to gain a better understanding of the challenges for participants to keep follow up appointments. Our improved understanding of the reasons for participants to decline or abandon the protocol enables our work together to better address and overcome these issues. |
| Year(s) Of Engagement Activity | 2014,2015 |
| Description | Peer Support Group - AIMS |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Study participants or study members |
| Results and Impact | From feedback from the recruiting site in Malawi, we initiated a peer support group for women who have experienced a pregnancy loss, and for teenage mothers. Meetings are held every 3 months. Women often attend multiple meetings and verbal feedback has been very positive. |
| Year(s) Of Engagement Activity | 2015,2016,2017,2018 |
| Description | Presentation - Maternal Sepsis February 2016 (Geneva) |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | In February 2016 the WHO convened a meeting in Geneva with my team: other attendees (arranged subsequently) were representatives of Jhpiego, The UK Sepsis Trust and the Global Sepsis Alliance. We discussed possibilities for future work to develop a sepsis bundle. Building on our work within the AIMS trial to study maternal infection, we began to prepare a new research plan to find out how a package of simple, reproducible interventions applied consistently in low income settings could identify and treat maternal sepsis more promptly and effectively. |
| Year(s) Of Engagement Activity | 2016 |
| Description | Presentation at World Sepsis Congress Spotlight: Maternal and Neonatal Sepsis, 2017 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation on Maternal Sepsis and innovations to improve diagnosis and treatment of maternal sepsis in low resource settings |
| Year(s) Of Engagement Activity | 2017 |
| URL | https://www.wscspotlight.org/ |
| Description | Presentation to GVS - AIMS |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | Yes |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | 40 members of the Gynaecological Visiting Society attended a talk and watched a video about the AIMS project. Conference delegates were moved by reports of the conditions of maternal healthcare in low income countries, and commented on the importance of projects such as AIMS. |
| Year(s) Of Engagement Activity | 2014 |
| Description | Presentation to the Department of Obstetrics and Gynaecology, and Society of Obstetrics and Gynaecology, Pakistan (SOGP) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | I presented a lecture entitled "Recurrent Miscarriage and Sepsis in Obstetrics and Gynaecology" whilst visiting Aga Khan University. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Public Health Priorities in low resource settings |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Undergraduate students |
| Results and Impact | This was a lecture to medical students at Busitema University Medical School. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Research Taster Session for undergraduate students - 2 groups |
| Form Of Engagement Activity | Participation in an open day or visit at my research institution |
| Part Of Official Scheme? | Yes |
| Geographic Reach | Local |
| Primary Audience | Undergraduate students |
| Results and Impact | Provided an opportunity for undergraduate students to consider involvement in research and how this may fit into their future career. Also provide a taster into the life of a young researcher and the realities of engaging in medical research. Prompted much discussion and interest, managed to enthuse some of the participants who hope to engage further. 3 of the students will return to the lab for summer work experience |
| Year(s) Of Engagement Activity | 2014,2015 |
| Description | Sabbatical Activities - AIMS |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Study participants or study members |
| Results and Impact | During 2015 I spent three months in Africa: this sabbatical period enabled me to visit AIMS locations to build new connections and renew old friendships with a view to ongoing research collaborations. |
| Year(s) Of Engagement Activity | 2015 |
| Description | Soda and Snacks - AIMS |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | All relevant practitioners at AIMS hospitals and referral centres were periodically invited to discuss the trial informally over "soda and snacks." |
| Year(s) Of Engagement Activity | 2015,2016,2017 |
| Description | Think Corner 2014 - AIMS |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Public/other audiences |
| Results and Impact | On Wednesday 27 August 2014 the AIMS trial participated in the Think Corner, a public engagement pop-up shop in the city centre for the University of Birmingham. We explained the necessity and importance of clinical trials, and asked the children of Birmingham what they thought of research. Children told us that research is important because... ... it helps to understand the world we live in, how we live in it and make new discoveries that enable us to develop new technologies that improve our lives. ... it's fun. ... we learn new things and develop our world. |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.birmingham.ac.uk/news/latest/2014/08/pop-up-shop-20-08-14.aspx |
| Description | Tommys misCOURAGE campaign |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | Despite one in four pregnancies ending in miscarriage, the silence around the subject means that many couples who have lost babies harbour unexpressed feelings of failure, isolation and guilt. This campaign seeks to tell the stories of all those who have experienced miscarriage. |
| Year(s) Of Engagement Activity | 2015,2016,2017,2018 |
| URL | https://www.tommys.org/miscourage |
| Description | Twitter - AIMS |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Supporters |
| Results and Impact | Regular tweets keep the AIMS community abreast of project progress and signpost supporters to topical resources in the field of global women's health. This engagement builds the morale of participants and staff, and the interest of other stakeholders and donors. This engagement builds the morale of participants and builds the interest of supporters in the AIMS project. |
| Year(s) Of Engagement Activity | 2013,2014,2015,2016,2017,2018 |
| Description | Visit to Aga Khan University and other sites in Pakistan to review the progress of the AIMS trial |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | I held a series of site visits and other meetings at Aga Khan University, Pakistan to discuss the ongoing progress of the AIMS trial with healthcare professionals and data managers. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Visit to Malawi 2016 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Study participants or study members |
| Results and Impact | I visited AIMS sites in Malawi to speak to peer support groups about the impact of miscarriage in early pregnancy and early age pregnancy. I also held discussions about future collaboration opportunities with organisations such as World Sepsis Alliance, Save the Children and WHO. |
| Year(s) Of Engagement Activity | 2016 |
| Description | Website - AIMS |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | The AIMS study maintains an active website. Participants, collaborators and supporters of the AIMS Trial and any other interested members of the public are able to verify the details of the project easily at any time. |
| Year(s) Of Engagement Activity | 2014,2015,2016,2017,2018 |
| URL | http://www.aimstrial.org |
| Description | Wellbeing of Women - Annual Womens Lunch Presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | Yes |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Raised the profile and importance of research on understanding the aetiology of pregnancy loss and complications. Resulted in significant interest from women in attendance and discussion regarding novel treatments for miscarriage and the role of clinical trials in this patient group. Received letter of thanks from WOW charity explaining they had had excellent feedback from attendees and good response to their fundraising launched there |
| Year(s) Of Engagement Activity | 2015 |