For example, from 7 – 9 April 2007, a training session was held at the FAF/Shalom center of SIRANANA in the northern part of the island of Madagascar (out of Antsiranana), where Nurse Hery resides.

The TBAs who attended this training seminar were as follows:

NAME	YEARS OF WORK	BABIES DELIVERED	LOCATION	DISTANCE
KALO Ernestine	35	many	Ankazomborona	28 Km
TOMBOZOKY	25	many	Ankazomborona	28 Km
BERTHINE	28	many	Ankazomborona	28 Km
MBOTY Josephine	20	many	Ankazomborona	28 Km
JULIETTE	18	> 60	Ankazomborona	28 Km
SOAVOLA Antoinette	22	> 80	Ankazomborona	28 Km
SOARIZIKY	35	many	Siranana	1 Km
VOLAMARY	25	many	Ambatoharana	5 Km
SOATOMBO Feno	30	many	Belinta	4 Km
TODIZARA Anjara	30	many	Belinta	4 Km
VOLAMANORO	28	> 80	Siranana	0.5 Km
VELOMORA Warda	30	> 80	Ankorerav	3 Km

The trainers consisted of two male nurses, Mr. ANDRIAMBAHINY Heriniaina, who works at Siranana, and Mr. RIVOSEHENO Nicolas, who works at the FAF/Shalom center of Ankazomborona.

From the above list, one notes that twelve TBAs participated: six from Ankazomborona, and the remaining six from the district of Siranana. There were no travel expenses for the two TBAs who live closest to Siranana. The other four, however, came by bus for part of the way. Those who traveled from Ankazomborona all traveled by Malagasy bus.

Each of the attendees (TBAs) have worked for a minimum of 18 years, with some working 30 years, so they each have a lot of experience. It is difficult to estimate the exact number of deliveries for each TBAs as they were formerly not in the practice of writing the deliveries in a notebook.

Each of the TBAs from the Ankazomborona region had a relative living in the vicinity of where the training session was held. Thus, there were no problems with their living quarters.

Different subjects taught were as follows:

7 April 2007:

1. Asepsis and hygiene: Cleansing of material used
2. Methodology of cleansing to be done: “minimum of hygiene”

8 April 2007:

1. Supervision of pregnant woman: “pre-natal consultation”
2. Simple observation of foetus location: “presentation”

1. Demonstration
2. Return demonstration by each individual
   A follow-up training seminar was held at SIRANANA from 28-30 April 2007.
   All circumstances were the same as the first seminar, except for the subjects taught.

1. Difficult deliveries

1. Symptoms when emergency measures required during pregnancy & delivery: “signs of alarm”
2. Emergency measures to be followed BEFORE taking a pregnant woman to the health center

30 April 2007: Closing Session

1. Evaluation: “questions covering the subjects from the first two days”

This report was written by the two nurses and the supervising physician, Dr. Pierette.