ALARM International Program in Uganda

The SOGC’s ALARM (Advances in Labour and Risk Management) International Program (AIP) is a training tool designed by the Society of Obstetricians and Gynaecologists of Canada, which aims to reduce death and injury caused by pregnancy, childbirth and unsafe abortion in countries with high maternal mortality and morbidity rates.
The five-day program targets health professionals who provide obstetrical care, reviewing the top five maternal killers (post-partum haemmorhage, obstructed labour, sepsis, abortion complications, pre-eclampsia/eclampsia complications), and suggesting essential tools and problem management with the goal of improving care for mothers and newborns. The ALARM International Program has been developed with an emphasis on sexual and reproductive rights which form an integral part of the program’s content. Discussions of women’s reproductive and sexual health as an issue of social justice occur alongside hands-on practice of clinical procedures.

The AIP is delivered by a multidisciplinary team of dedicated AOGU volunteers. The adult learning methods of the AIP combines evidence based theory, hands on practice, workshops, role play as well as pre- and post- evaluations that include written and practical exams (OSCEs: Objective Structured Clinical Examinations). Once the clinical components have been reviewed, the course ends on a full-day monitoring and evaluation workshop which introduces and familiarizes the participants to the “Maternal Death Audit”.

ALARM International Program in Uganda

Implementation of the Advances in Labour and Risk Management (ALARM) Program took place in Masaka, Uganda from 2003 – 2006. Alarm Instructors have also held international training for staff in Ethiopia, Tanzania, and Zambia. Uganda has trained more than 300 health workers (obstetricians, doctors and midwives) in ALARM, and has over 40 ALARM instructors.
The ALARM International Program (AIP) in Uganda has been implemented in various ways:
  • ALARM has been used for provision of quality emergency obstetric care in lower health units.
  • In 2005-2005 a district wide AIP course was implemented in rural Masaka District.
  • In 2007 ALARM training was used as a cornerstone for FIGO – Save the Mothers Project  and over 60 health workers in the two rural districts were trained
  • ALARM training for midwifery tutors was provided as an entry point into pre-service training. They were excited about the prospect of having ALARM courses introduced to the students.
  • In 2006, ALARM was introduced to the regional obstetricians at a pre-conference symposium on ALARM at the East, Central and Southern Africa Conference for Obstetrics and Gynaecology (AOGU 2006) in Nairobi.
  • AOGU is currently participating in an evaluation of the AIP program as a cornerstone in Emergency Obstetric care training in Western Kenya. The first team will be heading for Eldoret Kenya in February 2010.
  • The ALARM course is being piloted for District managers. SOGC and AOGU are adapting the AIP for managers course to raise the managers’ awareness of SRR approach and advocacy for reduction of maternal mortality in the country.

View list of past ALARM International courses run by AOGU

View additional activities related to the ALARM courses