Department of Reproductive Health and Research UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization

Guideline Development Group Meeting on Updating Prioritized Maternal and Perinatal Health Recommendations: prevention and treatment of maternal peripartum infections 19-20 October 2020

List of Participants with Biographies

First Name Last Name Role/Position and Institution Biography Guideline Development Group Fatima ADANU National Programme Manager Fatima Lamishi Adamu (PhD) is a Sociologist and women activist in Nigeria. She has Women for Health (W4H) Initiative over 20 years’ experience advocating for women’s right to quality health care services and Nigeria the right of women to give birth with dignity and respect in Northern Nigeria. She is currently the National Programme Manager of Women for Health (2012-2020), a UKaid funded programme in Nigeria that is managed by DAI Global Health. She served as the Convener of SURE-P MNCH (2013-2015), a Federal Government Initiative aimed at reducing maternal mortality using savings from oil subsidy fund. Her entire work history in research, teaching/training, publication, and activism has centred around women’s rights to access quality services. As the CEO of Nana Girls and Women’s Empowerment Initiative, Dr Adamu has created a network of Community Based Organisations in Kebbi state to demand for accountability from families, hospitals, governments and donors for every life lost due to maternal complications through community maternal death audit. The project is in partnership with Action Aid Nigeria under Women’s Voice and Leadership Initiative that is funded by Global Affairs Canada. Fatima is notable in her engagements with Nursing and Midwifery Council of Nigeria and Health Training Institutions to transform nursing and midwifery education in Nigeria thereby improving service delivery. She is also active in her engagement with hospitals and governments in many northern states to promote women’s right to quality health care and to hold government accountable. Subha Sri BALAKRISHNAN Obstetrician/Gynaecologist Dr Subha Sri Balakrishnan is an obstetrician by training and has over 18 years experience Commonhealth working in varied resource poor settings on maternal and reproductive health issues. She India has been involved for over a decade with Rural Women's Social Education Centre, a grassroots dalit women's organization, working on reproductive health and rights issues in Tamil Nadu, India. She is also a part of CommonHealth, a national level coalition in India working on maternal and reproductive health issues and safe abortion across several states in the country. She has led the maternal health theme at CommonHealth and has been involved in a collaborative civil society process documenting maternal deaths across the country from a rights and social determinants perspective. She has supported public health systems through her work with the State RMNCH+A Unit of the state of Bihar, strengthening Comprehensive Emergency Obstetric Care in the government District Hospitals in the state. She also has worked with the Centre for Maternal and Newborn Health at the Liverpool School of Tropical Medicine. Her areas of expertise include maternal health, sexual and reproductive health and rights, health systems, community- based accountability for health, and gender and health. Michelle BAZARI Consumer Representative My name is Michelle Bazari. I am 32years old and currently reside in Nottingham, United Kingdom. I originally come from the beautiful country of Zimbabwe. I am a maternal sepsis survivor. My story was a whirlwind that seemed like a movie. On the 13th of May 2019, I called an ambulance to my flat, as I was bleeding at 30 weeks pregnant. (Sepsis and Pregnancy & Childbirth) After being rushed to the hospital, I was rushed to the theatre for an emergency C-section. Fast forward, the surgeon told me they took out a full placenta with infection. My son survived and never caught it.

Fast forward few days later, I started deteriorating and had numerous tests done, during which they realised the infection had spread throughout my whole body, including fluid on the left brain (which was bizarre). I had multiple seizures, which the doctors told me about later. I was rushed into emergency brain surgery to drain the fluid. The operation was successful, but I failed to wake up for nearly a week. I woke up with minor stroke weakness on the right side of my brain, arm, and leg, so I was bed bound for three weeks. I stayed in the hospital for three months for treatment and supervision, and started physiotherapy after three weeks of being bed bound, as I couldn’t do anything.

The doctors, nurses, and my specialist worked so hard to get me back on my feet. I am so grateful that both Edinburgh & Kirkcaldy Hospital – they really helped me when I was sick. Sepsis nearly took my life. I am raising awareness to help others and also let you know that you are not alone. I’m grateful I recovered so quickly and well. If you ever notice any signs, please rush to the hospital whilst it’s still early.

My experience with maternal sepsis inspired me to research effective ways to help other women who have gone through maternal sepsis. I aspire to ensure women receive better aftercare post discharge. Lastly, I am currently collaborating with maternal sepsis survivors and health care professionals within my research. Maria Laura COSTA Associate Professor of Gynecology Maria Laura Costa is an Associate Professor within the Department of Gynecology and and Obstetrics Obstetrics of the State University of Campinas (UNICAMP) in Brazil. Dr Costa has a University of Campinas broad research portfolio on different aspects of obstetrics care, including audit/feedback Brazil techniques to enhance guideline-based care, postpartum evaluation and bone metabolism, maternal morbidity and nearmiss and translational science of pre-eclampsia, Zika virus and COVID-19; with a post-doctoral training at Washington University, Saint Louis, Missouri (USA). She has great interest in the prevention and accurate diagnosis and management of maternal infection in low and middle-income settings. Jemima DENNIS-ANTWI International Consultant in Dr. Mrs. Jemima A. Dennis-Antwi is a Midwife and Nurse with over 30 years cumulative Midwifery experience locally and internationally in public service and development work in health Accra, Ghana systems strengthening, maternal health, midwifery, nursing, sickle cell disease health promotion, programs and projects management and administration and research in various leadership positions. She is considered as a lead in the strengthening of midwifery/nursing systems especially in the Africa Region through consistent advocacy, capacity building, structural development and stakeholder engagements. Notably, she served as the Regional Midwives Advisor for Anglophone Africa for the International Confederation of Midwives (ICM) on a transcontinental programme in collaboration with UNFPA (2009- 2013) providing technical assistance in midwifery to 10 African countries as well as Guyana in Latin America. Subsequently she was elected in 2014 to serve on the ICM Board of Directors. Her roles to the foundations set in Africa in midwifery contributed among other colleagues to UNFPA recognising midwifery as a key deliverable in its programming in over 40 countries globally. Hadiza GALADANCI Professor of Obstetrics and Hadiza Galadanci is a Professor of Obstetrics and Gynaecology at Aminu Kano Teaching Gynaecology Hospital, Kano, Nigeria, with substantial expertise in feto-maternal medicine and Department of Obstetrics and development of interventions to address the high maternal morbidity and mortality in low Gynaecology, Aminu Kano resource settings. She is also the Director of the World Bank-funded Africa Center of Teaching Hospital Excellence in Population Health and Policy (ACEPHAP) at Bayero University Kano, Nigeria, whose research focus is to conduct research for sustainable development through Director, Africa Center of linking research findings to policy implementation. She has pioneered research in quality Excellence for Population Health assurance in obstetrics in Nigeria that has led to the strategy of maternal and perinatal and Policy, Bayero University death surveillance response adopted by the Federal Government to tackle the unacceptable Kano, Nigeria high maternal mortality towards achieving SDG 3. Her publications are mainly on feto- maternal medicine, interventions for reduction of maternal morbidity and mortality and quality assurance in obstetrics and gynaecology. David LISSAUER Professor of Global Maternal and David Lissauer is a Professor of Global Maternal and Fetal Health at the University of Fetal Health Liverpool, but he is based full time in Malawi at the Malawi-Liverpool-Wellcome University of Liverpool Research Institute. He works clinically at the Queen Elizabeth Central Hospital, Blantyre, United Kingdom of Great Britain Malawi as a sub-specialist in maternal and fetal medicine. He has a particular interest in and Northern Ireland the prevention and management of maternal infection and sepsis in low resource settings. His broad research portfolio including clinical trials, implementation science, health systems research and translational science. Pisake LUMBIGANON Professor of Obstetrics and Pisake Lumbiganon is a Professor of Obstetrics and Gynecology, Convenor of Cochrane Gynaecology Thailand and Director of the WHO Collaborating Centre on Research Synthesis in Convenor, Cochrane Thailand Reproductive Health based at Faculty of Medicine, Khon Kaen University, Thailand. He Department of Obstetrics and is currently the President Elect of the Asia Ocenia Federation of Obstetrics and Gynaecology Gynecology. He has published more than 150 papers including many Cochrane reviews in Faculty of Medicine various international journals. He was a dean of the Faculty of Medicine at Khon Kaen Khon Kaen University University from 2009 to 2013 and the President of the Royal Thai College of Obstetricians Khon Kaen, Thailand and Gynecologists from 2016 to 2018. In 2019 he received Honorable Fellowship from the Royal College of Obstetricians and Gynaecologists. His main areas of interest includes maternal and perinatal health, evidence based practices, systematic review and meta- analysis. Ashraf NABHAN Professor Ashraf Nabhan is a Professor of Obstetrics and Gynecology at Ain Shams University in Department of Obstetrics and Egypt. He is a consultant of Obstetrics and Gynecology at the University Hospitals. His Gynecology university hospital is one of the largest maternity hospitals in the Middle East and North Ain Shams University Africa with more than 16,500 births per annum. Nabhan's areas of interest include: high Cairo, Egypt risk pregnancy and labor, operative obstetrics, systematic reviews, clinical trials, and developing evidence-based clinical practice guidelines. He is the director of Egyptian Center of Evidence Based Medicine (ECEBM), renowned as a national and regional center of excellence in Evidence Based Healthcare. His center is a member of Global Evidence Synthesis Initiative (GESI) network and The Partnership for Reproductive, Maternal, Newborn, Child & Adolescent Health (PMNCH). His center produces and disseminates systematic reviews of research evidence in health care, supports policy making and guideline development and provides training to strengthen research capacity and provides peer mentoring in evidence synthesis and guideline development. Prof. Nabhan is a full editor for Cochrane Pregnancy and Childbirth, an associate editor for Cochrane Clinical Answers, and an associate editor for the International Journal of Gynecology and Obstetrics (The official Journal of the FIGO). James NEILSON Emeritus Professor of Obstetrics James Neilson is Emeritus Professor of Obstetrics and Gynaecology at the University of and Gynaecology University of Liverpool, UK. He graduated at the University of Edinburgh in 1975 and trained in Liverpool Scotland and Zimbabwe. As a research fellow in Glasgow, he led one of the first United Kingdom of Great Britain randomised trials of routine ultrasound in pregnancy and became, following a chance and Northern Ireland meeting with Iain Chalmers in Zimbabwe, an early author of systematic reviews for the Oxford Database of Perinatal Trials – the forerunner of the Cochrane Library. He was Co- ordinating Editor of the Cochrane Pregnancy and Childbirth Group 1995-2020, consistently the most productive of Cochrane review groups, worldwide. He served as co- Chair of the Cochrane Collaboration Steering Group 2002-05. As a clinical obstetrician, based in Liverpool Women’s Hospital 1993-2015, James Neilson continued a long- standing interest in multiple pregnancies, which complemented a Wellcome Trust funded research programme on preterm birth in Malawi, with Professor Nynke van den Broek of the Liverpool School of Tropical Medicine. James Neilson was centrally involved in the UK Confidential Enquiry into Maternal Deaths (latterly as part of MBRRACE-UK) between 1995 and 2015, and was inaugural National Institute for Health Research (NIHR) Dean for Faculty Trainees in England 2008-2015, overseeing a £100m annual support for research training at different levels in medicine, dentistry, nursing and allied health professions, and other areas of applied health research. He has been involved in a number of projects with WHO, including the production of evidence-based clinical guidelines, clinical trial oversight, and research capacity development in low and middle income countries. James Neilson was given an NIHR Senior Investigator Award for applied health research excellence in 2008, renewed 2011. Hiromi OBARA Coordinator, Life-course health Hiromi OBARA, MD, MSc, Specialist of Ob/Gyn, has over 20 years’ experience team providing technical, programmatic and management support in reproductive, maternal and Deputy Director, Division of Global newborn health (RMNH) to countries in the Western Pacific Region and elsewhere. Health Policy and Research, Positions held include JICA Health Policy Advisor, Reproductive Health Medical Officer Dept. of Health Planning and in WHO Western Pacific Regional Office, Deputy Director, International Affairs Division Management, of Ministry of Health, Labour and Welfare, Japan, Chief Advisor of JICA MCH project in Bureau of International Health Cambodia, Ob/Gyn doctor in Jichi Medical University Hospital in Japan. She obtained an Cooperation MSc in Epidemiology at the London School of Hygiene and Tropical Medicine. She National Center for Global Health assisted countries in the Western Pacific Region to conduct maternal death reviews, and Medicine (NCGM) Japan. improve maternal and newborn care, eliminate unsafe abortions, develop policy strategy frameworks and conduct monitoring at country and regional levels. She has also contributed to regional and global meetings as an RMNH expert, to WHO publications. Her professional interests include programme implementation, monitoring and evaluation, quality of care, updating country policies/strategies/plans/clinical guidelines, and improving financial access to care. Alfred OSOTI Senior Lecturer, Department of Dr Alfred Osoti (MBChB MMed MPH PhD) is a Senior Lecturer, Consultant Obstetrician Obstetrics and Gynaecology, Gynecologist and Clinical Epidemiologist at the University of Nairobi in Kenya and an University of Nairobi Affiliate Associate Professor of Global Health at the University of Washington in Seattle, United States. Dr Osoti has more than 14 years of clinical experience in the practice of Obstetrics and Gynecology. Dr Osoti has special interest in improving maternal health in low- and middle-income settings. He participates in multiple international collaborative clinical research and WHO technical group meetings on maternal health. Haroon SALOOJEE Division of Community Paediatrics Prof Saloojee is a personal professor and head of the Division of Community Paediatrics Department of Paediatrics and Child at the University of the Witwatersrand, Johannesburg, South Africa and a neonatal clinical Health unit head at the Chris Hani Baragwanath Academic Hospital in Soweto. He serves on the University of the Witwatersand WHO Department of Reproductive Health and Research, RHR Research Project (RP2) Wits 2050 Review Panel and has previously chaired a WHO Technical Advisory Group for neonatal Johannesburg, South Africa sepsis studies in Africa. Areas of expertise include child public health, vaccinology, child nutrition, neonatal care, and health systems organisation and programme management. Sadia SHAKOOR Associate Professor Sadia Shakoor is Associate Professor of clinical microbiology at the Aga Kahn University Departments of Pathology and in Karachi, Pakistan. She obtained her medical degree and fellowship in clinical Pediatrics (by joint microbiology from the Aga Khan University and has since worked as a clinician- appointment) researcher and academic faculty at her alma mater. Her key area of work has been Aga Khan University Hospital diagnosis and control of infections of public health importance and she has detected, Karachi, Pakistan investigated and controlled several infectious outbreaks. She has also worked as adviser to the WHO and has served as a technical advisor to several multicenter global investigations of infectious diseases. Major themes of her clinical and research works include antimicrobial resistance, tuberculosis, meningitis-encephalitis, and laboratory diagnostics. Rachel SMITH Midwifery Specialist Rachel is currently employed at the Burnet Institute as a senior midwifery specialist in Maternal, Child and Adolescent international development. She is supporting UNFPA Asia Pacific by working with Health Program targeted countries to strengthen quality midwifery education. Her expertise includes Burnet Institute curriculum review, development and implementation; technical midwifery training; Melbourne, Australia research; analysis and report writing and Faculty development activities. Current activities include provision of technical support in curriculum review and renewal in Cambodia, Timor Leste, Kiribati, Samoa, Tonga and the Solomon Islands.

In addition to curriculum and Faculty development activities, Rachel is a Master Trainer in the Helping Mothers Survive Emergency Obstetric and Newborn Care training and provides this training in countries across the Asia and Pacific regions. Rachel has formal qualifications in education and training and a research degree. Her research focused on the experiences of midwives who undertook a continuing professional development process. Since gaining her research degree Rachel has been involved in a number of research projects and activities. She is included in the University of Technology Sydney membership of the Australian National Health and Medical Research Health Evidence, Advice and Methods Panel and recently led the development of the UNFPA Covid 19 Technical Brief for Antenatal and Postnatal Care Services. She has peer-review publications in areas of midwifery practice, midwifery education, curriculum development and innovation and healthcare technology. Rachel has extensive experience in both clinical and tertiary midwifery education and research. Rachel’s experience includes pre- registration midwifery education working with both Bachelor of Midwifery and Graduate Diploma in Midwifery students. Rachel has also worked as a Clinical Midwifery Educator across all areas in midwifery. Rachel has wide and varied midwifery experiences and has worked in private and public hospitals; core, team and caseload models; pre and post registration education in New Zealand, Saudi Arabia and Australia. Joseph SOLOMKIN Professor of Surgery Emeritus Dr Joseph Solomkin has over 30 years working in the area of surgical site infections at the Department of Surgery University of Cincinnati College of Medicine. He is considered an authority in the area of University of Cincinnati College of development and implementation of global guidelines. He notably served as co-chair of a Medicine WHO guideline effort regarding surgical site infection. This work took three years. He United States of America taught this work in multiple locations in Africa, the Middle East, and Asia (China, Singapore, Indonesia, the Philippines).