Publications by authors named "Marc Julmisse"
Introduction: The J9 Plus (J9) maternal-child accompaniment program is based on four pillars: group antenatal care (GANC), group pediatric care, psychosocial support, and community-based care. We aimed to evaluate the impact of the J9 model of care on perinatal outcomes.
Methodology: We conducted a convergent mixed methods study of maternal-newborn dyads born in 2019 at Hôpital Universitaire de Mirebalais.
Article Synopsis
- After experiencing overcrowding in the labor and delivery (L&D) ward post-COVID-19 peak, Hôpital Universitaire de Mirebalais struggled with a lack of bed space, affecting care for new mothers and their newborns.* -
- Hospital leadership established a Maternity Task Force and utilized Six-Sigma/DMAIC methodologies to improve patient flow, leading to significant reductions in postpartum mothers and newborns placed on the floor for care.* -
- While they successfully eliminated floor placements for mothers and newborns, the goal of reducing the percentage of sick newborns receiving care on the maternity ward was not fully met, indicating areas for further improvement.*
Background: Faculty development for nurse and physician educators has a limited evidence base in high income countries, and very little research from low- and middle-income countries. Health professions educators in many global settings do not receive training on how to educate effectively.
Objective: To pilot and assess a faculty development program aimed at nurse and physician educators at a teaching hospital in rural Haiti.
Mass Casualty Incident Management for Resource-Limited Settings: Lessons From Central Haiti.
Disaster Med Public Health Prep
April 2022
Objective: Mass casualty incidents (MCIs) have gained increasing attention in recent years due multiple high-profile events. MCI preparedness improves the outcomes of trauma victims, both in the hospital and prehospital settings. Yet most MCI protocols are designed for high-income countries, even though the burden of mass casualty incidents is greater in low-resource settings.
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