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The MAMA Study

The MAMA Study

This study is a partnership between the University and Utah and Kilimanjaro Christian Medical Centre (KCMC) to develop and pilot MAMA, a provider training intervention to improve the care of women living with HIV who are giving birth. HIV stigma during the intrapartum period (labor and delivery) can impact birth outcomes for women living with HIV (WLHIV) and influence women’s long-term commitment to HIV care. Despite evidence that labor and delivery (L&D) providers may deliver suboptimal and stigmatizing care to WLHIV, no training interventions exist to support L&D providers in delivering respectful care to WLHIV.

This study will fill an important gap by developing an innovative training intervention for L&D provider team using the PRONTO model of simulation training. The MAMA training promotes non-stigmatizing, respectful, evidence-based maternity care for WLHIV, with the goal to impact long-term HIV care engagement following childbirth.

MAMA Study Website

Funded by the National Institute of Health, Fogarty International Center (R21 TW012001)

The MAMA Study
L&D providers participate in a hands-on simulation of childbirth in the MAMA training (November 2022)

Melissa Watt, PhD

Principal Investigator


Melissa Watt, PhD

Susanna Cohen, CNM, DNP
Department of Obstetrics and Gynecology

 Kilimanjaro Christian Medical Center, Moshi, Tanzania



A Simulation and Experiential Learning Intervention for Labor and Delivery Providers to Address HIV Stigma During Childbirth in Tanzania: Study Protocol for the Evaluation of the MAMA Intervention

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HIV Stigma; Respectful Maternity Care; Women Living with HIV (WLHIV); Simulation Team-Training; Tanzania; Health System Interventions