{"id":72107,"date":"2026-04-01T09:43:56","date_gmt":"2026-04-01T07:43:56","guid":{"rendered":"https:\/\/doctorswithafrica.org\/en\/?p=72107"},"modified":"2026-04-01T09:43:56","modified_gmt":"2026-04-01T07:43:56","slug":"midwivery-move-further-monza-meets-tosamaganga","status":"publish","type":"post","link":"https:\/\/doctorswithafrica.org\/it\/midwivery-move-further-monza-meets-tosamaganga\/","title":{"rendered":"Midwifery moves further Monza meets Tosamaganga"},"content":{"rendered":"

What drives two midwives with years of experience in a major hospital in Lombardy to fly to Tanzania for a two-week training?
\nFor Teresa Gramegna and Lucia Zagra, who have been working at San Gerardo Hospital in Monza for 12 and 3 years respectively, the answer lies in a scholarship from the University of Milano-Bicocca<\/strong> and in a special encounter that changed their professional perspective.<\/p>\n

A meeting born miles apart<\/strong><\/span><\/h3>\n

It all began within the walls of San Gerardo, thanks to an international exchange project (Erasmus+) between Bicocca University and Ruaha University College (RUCU) <\/strong>in Iringa. It is here that Teresa and Lucia met Annajoyce, head nurse of the gynecology ward at Tosamaganga Hospital.<\/p>\n

\u201cAnnajoyce stayed with us in Italy for two months,\u201d the midwives recall. \u201cShe was a quiet yet extremely attentive presence. We were struck by her attention to detail, from the precision in folding sheets to her deep, almost instinctive clinical observation of women and staff.\u201d<\/p><\/blockquote>\n

It was precisely this human connection that built a bridge to Africa, where, as Doctors with Africa CUAMM, we have been working in the field for years with the program \u201cMothers and Children First. People and Skills.\u201d<\/strong><\/p>\n

\"\"<\/p>\n

<\/h3>\n

Training in Tosamaganga: learning how to teach<\/strong><\/span><\/h3>\n

Upon arriving in Tanzania, Teresa and Lucia found themselves immersed in a reality where limited resources are balanced by an extraordinary capacity for adaptation and collaboration. The training, organized together with CUAMM staff and Annajoyce, was not a simple lecture but a dynamic exchange.<\/p>\n

\u201cWe discovered a different teaching system, much more engaging, made up of energetic moments and collective repetition,\u201d they explain. \u201cThere was no rigid hierarchy: doctors and midwives work in complete symbiosis, discussing every clinical case from the night together.\u201d<\/p><\/blockquote>\n

The impact of the delivery ward was striking: small spaces where technology gives way to pure clinical skills. In a context where a woman has on average 3 or 4 children, the work focused on reducing cesarean sections and improving fetal monitoring\u2014both complex challenges due to limited equipment and cultural differences.<\/p>\n

Small changes, big impact<\/strong><\/span><\/h3>\n

The core of the training focused on two fundamental pillars: freedom of movement during labor and monitoring fetal well-being.<\/p>\n

Despite the objective difficulties, the training produced immediate results<\/strong>. Thanks to the willingness of local staff, small but meaningful changes were introduced: a sheet hung up to support free movement during labor, and a handmade birthing stool built by a local carpenter.<\/p>\n

\u201cWe saw an immense desire to learn,\u201d Teresa emphasizes. \u201cAfter just the first week, we noticed improvements in monitoring fetal well-being. They taught us that even with little, you can achieve a great deal if there is cooperation.\u201d<\/p><\/blockquote>\n

A rewarding return<\/strong><\/span><\/h3>\n

The experience in Tosamaganga ended with songs, dances, and hugs during the certificate ceremony, but the bond remains strong. For Lucia and Teresa, the outcome is extremely positive. From a clinical perspective, they bring home a greater capacity for observation and the importance of returning to the essence of their profession; on a human level, a new sensitivity toward foreign mothers giving birth in Italy: \u201cNow we can better understand their fears and their background.\u201d<\/p>\n

Their advice to colleagues? \u201cDo it\u2014but do it together. Supporting each other is essential.\u201d<\/strong><\/p>\n

Teresa and Lucia\u2019s journey shows that international cooperation, supported by universities and organizations like CUAMM, is not just about transferring technical skills, but about mutual enrichment that makes the most delicate moment of life\u2014birth\u2014more humane.<\/p>\n

 <\/p>\n

 <\/p>","protected":false},"excerpt":{"rendered":"

Some collaborations create extraordinary opportunities\u2014like the training experience offered to two Italian midwives who traveled from Italy to Tanzania as part of a joint program between CUAMM and the University of Milano-Bicocca.<\/p>","protected":false},"author":17,"featured_media":72109,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"","_seopress_redirections_param":"","_seopress_redirections_type":0,"_seopress_analysis_target_kw":"","inline_featured_image":false,"footnotes":""},"categories":[1172,2493],"tags":[1112,1465,2719,3005],"argomenti":[],"protagonisti":[],"luoghi":[2510,2636],"class_list":["post-72107","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-homenews","tag-tosamaganga-2","tag-training","tag-exchange","tag-midwifery","luoghi-tanzania","luoghi-tosamaganga"],"acf":[],"_links":{"self":[{"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/posts\/72107","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/comments?post=72107"}],"version-history":[{"count":0,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/posts\/72107\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/media\/72109"}],"wp:attachment":[{"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/media?parent=72107"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/categories?post=72107"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/tags?post=72107"},{"taxonomy":"argomenti","embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/argomenti?post=72107"},{"taxonomy":"protagonisti","embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/protagonisti?post=72107"},{"taxonomy":"luoghi","embeddable":true,"href":"https:\/\/doctorswithafrica.org\/it\/wp-json\/wp\/v2\/luoghi?post=72107"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}