Bahr el Gazel Health

Training in neonatal resuscitation and prevention and treatment of postpartum hemorrhage


Service au Sahel (SAS) organized training in Moussoro in coordination with the Representative of the Ministry of Health, Dr. Amboulmato Hormo. The training was led by two volunteer doctors who came to Moussoro from N’Djamena.

SAS previously organized neonatal resuscitation training at the hospital in Moussoro in November 2021 and dental extraction in October 2019.

Neonatal resuscitation at the Urban Health Center

According to the World Health Organization, “Sub-Saharan Africa had the highest neonatal mortality rate in 2020 at 27 (25–­­32) deaths per 1000 live births.” Chad’s neonatal mortality rate is 32.81 deaths per 1000 live births, which is the 10th highest in the world according to the World Health Organization’s Global Health Observatory.

The first part of the training was done on 15 June 2022 at the Urban Health Center in Moussoro. 

The morning began with a visit of the Health Center, including the admitting room, the labor room, the delivery room, as well as the laboratory. Then training on neonatal resuscitation was given to six nurses and midwives.

The goal of this part of the training was to prepare the nurses and midwives to better respond to a newborn who was having trouble breathing.

Instruction was given and then the participants were able to practice resuscitation using an inflatable simulator called NeoNatalie that resembles a newborn baby. 

Training at the Moussoro Provincial Hospital

Two days of training, 16-17 June 2022, were given at the Provincial Hospital in Moussoro. Sixteen participants, a combination of doctors, nurses, midwives, and health aides were trained on three subjects: prevention and treatment of postpartum hemorrhage, neonatal resuscitation, and improved charting using the partograph.

Module 1: Prevention and treatment of postpartum hemorrhage

The WHO says that “Most maternal deaths are preventable, as the health-care solutions to prevent or manage complications are well known.” The leading cause of maternal death is “Severe bleeding after birth also called postpartum haemorrhage”, which “can kill a healthy woman within hours if she is unattended.” 

Chad has a maternal mortality rate of 1140 deaths per 100,000 live births, which is the 2nd highest in the world. The World Health Organization has a Sustainable Development Goal to reduce the global maternal mortality rate to less than 70 deaths per 100,000 live births. 

The “Bleeding After Birth Complete 2.0” program from Helping Mothers Survive, a program of Jhpiego, was used for the training. 

The training showed healthcare providers how to identify the causes of heavy bleeding and manage each one correctly. Charts were used which helped identify the steps to take for routine care and advanced care. Focus was given to rapid response in emergencies, requiring the assistance of other staff members.

Module 2: Refresher course on neonatal resuscitation

A refresher module was given on neonatal resuscitation. Like the training at the Urban Health Center, the training helped the healthcare providers know how to respond to a newborn who was having trouble breathing.

Module 3: Improved charting using the partograph

Médecins sans Frontières defines the partograph as “a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.”

The provincial hospital wanted to improve their use of the partograph in the maternity. Trainees were shown how to chart labor and delivery. They were taught how to recognize the signs for alert and the signs for action. Using a hypothetical scenario, they practiced using the partograph for charting.


With an estimated population of 349,000 people in the Bahr el Gazel, the Provincial Hospital and Urban Health Center are two of the most used healthcare structures in the province.

The 16 healthcare providers who completed the training at the hospital received certificates at the end of the training. In addition, the two doctors who gave the training each received a certificate from the Health Representative recognizing their contribution.

The association Service au Sahel is proud to have helped organize this training to reduce neonatal and maternal mortality in Moussoro and the Bahr el Gazel. Additional training in Moussoro in 2022 will be discussed in collaboration with our local partners.

Bahr el Gazel Board of Directors Development Hadjer Hadid Health Kurutini Center Markas al Nour N'Djamena Ouaddai

2021 Year-End Report


This year-end report is a combination of updates from each of our projects. Together, they show the diversity of our activities as well as our desire to achieve our common vision:

“Reaching and transforming communities using education and development.”

The slogan of our association

We would like to thank all those who contributed during the past year to our common objectives.

Map of the primary locations where we work

Map showing the primary locations of the year-end report
The places where we worked in 2021

Report sections

The different sections of the year-end report can be downloaded below.


“There is a time for everything and a season for every activity under the heavens.” Ecclesiastes 3:1

2021 saw a new start for Markas al Nour in N’Djamena with the appointment of a new director in August. Classes and other activities were less in the Bahr el Gazel in 2021 compared to 2020. Water and community-led total sanitation continued in the Ouaddai with the same rhythm as before.

The transformation we would like to see in coming, but has not yet been achieved, so we will continue to work hard in the coming years. In the meantime, we hope that you appreciate reading the report about what we’ve accomplished in 2021.

N’Djamena, the 27th of March 2022

The Secretary General of SAS

Bahr el Gazel Health

Training in neonatal resuscitation

Service au Sahel held a two-day training in neonatal resuscitation at the Provincial Hospital in Moussoro. The course was held on November 12 and 13 and 16 medical staff from the hospital were trained.

The program teaches skills in caring for neonates with a focus on those babies who have difficulties in breathing after birth. The participants improved their practical skills in basic life support, working on clinical scenarios in small groups. Implementation of a set of simple measures like bag and mask ventilation has been shown to reduce early neonatal mortality up to 50% in the low resource setting.

The entrance to the hospital in Moussoro

Of the 16 medical staff trained, five were from the Maternity department of the hospital.

The training on neonatal resuscitation is the second collaboration Service au Sahel has had at the hospital in Moussoro. The first was a dental training in November 2019.

Abeche Bahr el Gazel Board of Directors Development Hadjer Hadid Health Kurutini Center Markas al Nour N'Djamena Ouaddai

2019 Annual Report

This report summarizes all the work that the association has done in 2019. All the reports are in French.

Table of Contents


2019 was a difficult year for the association. Even with many successes, the general financial climate in Chad slowed down several of our projects. Nonetheless, our work in education and development impacted thousands of people:

Markas al Nour818
Cours décentralisés49
Markaz Attafahum13
Projets de Développement – Hadjer Hadid516
Projets de Développement – Moussoro1075

We would like to thank all those who helped us continue advancing our goals.

The Secretary General for Service au Sahel


11 July, 2020

Bahr el Gazel Health

Dental Health Training and Clinic in the Bahr el Gazel

A dental health training and clinic was held at the provincial hospital in Moussoro, Bahr el Gazel from November 1 – 8.

The training started with two days of theory: the anatomy of teeth and gums and nerves along with the uses of explorers and forceps and elevators. After learning the theory, seven local men began seeing their first patients.

Anatomy of gums

Their first attempts took a long time: some teeth broke partially as they learned how much force to apply and how best to gain leverage. As the week went on, they increased in skill and confidence. By mid-week, they were needing tools faster than they could be sterilized, and had to slow down. By the end of the week the men had gotten into a rhythm and could skillfully extract even the most stubborn molars.

We were slightly worried about having enough patients during the week because the local radio station wasn’t working and so we didn’t have an easy way to publicize what we were doing. But we needn’t have been worried—good news travels fast and we had more patients by the end of the week than we had time to treat.

At the end of the week we held a ceremony to give out certificates to the seven men who had completed the training. Dental instruments were given either to one man or to pairs of men who were working in the same place. During that ceremony, the representative of the Health Minister said the following:

“Having trained dental personnel in Moussoro is like ‘taking a big thorn’ out of the flesh of the people of Moussoro.”

Representative of the Health Minister

And the initial feedback we’ve gotten has confirmed this. One doctor who was trained called to say “thank you thank you thank you”. “I’ve just arrived and the people of Michemire [105km west of Moussoro] are so thankful that I can pull teeth. Before they used to have to travel for help.” Finally, a friend of mine overheard someone saying “the international NGOs who are here are very busy but we don’t know what they’re doing all the time. You guys have done something concrete by helping pull our rotten teeth.”

Image of the trainees, along with partners from the hospital and the region