Jan Hofman

Technical Advisor, Reproductive, Maternal, Newborn and Child Health

Dr Jan Hofman has over 30 years of International Health experience. After 3 years clinical work in The Netherlands – including obstetrics – he started his international health career with overseas clinical work. After obtaining his MPH at the London School of Hygiene he held various long term posts in public health in Malawi, Mali, Kenya and Ethiopia. He has extensive consultancy experience as technical adviser for Ministries of Health (MoH) and Reproductive, Maternal Newborn & Child Health (RMNCH) programmes, notably in Kenya, Malawi, Nigeria, Somaliland, South Sudan and Zimbabwe. From 2012 to 2014 he was Health Advisor for Health Partners International (HPI) and currently is an Associate of HPI.

His areas of expertise are: RMNCH (including training in EmONC); Quality Improvement (QI); strengthening supportive supervision; development of teaching & training programmes, curricula and manuals; policy development and programme planning (including development of logframes and theories of change); monitoring & evaluation of health programmes, conducting health surveys (including qualitative and quantitative research methods), strengthening of health systems, notably organization of RMNCH services, district health care and referral systems (including piloting of motorcycle ambulances in Malawi, Kenya and Zimbabwe).

He has extensive experience in health teaching and training, such as of nurse-midwives and doctors, both at graduate and post-graduate level and as in-service training. In a church-based health programme in Kenya he supported the training of CHWs and Village Health Committees.

For 6½ years he was Senior Lecturer in Community Health at the College of Medicine, University of Malawi. At this time he was also Director of a Safe Motherhood and Reproductive Health project in Malawi, which focused on demand-side aspects and strengthening of emergency referral systems at community level, including piloting of bicycle ambulances.

For 6½ years he was lecturer in Sexual & Reproductive Health (SRH) at the Liverpool School of Tropical Medicine (LSTM), where he developed the MSc programme in International SRH (MISRH) and later transforming it into a specialised stream of the MIPH programme. He was Director of Studies of this MISRH programme and of the Diploma course in SRH in developing countries. He mentored students with their research projects, including a PhD student who did her research on youth-friendly RH services in Kenya. For LSTM he also did consultancy work in international health.

Between 2008 and 2011 he was International Technical Adviser for the DFID/NORAD-funded PRRINN-MNCH programme in northern Nigeria, particularly for strengthening of MNCH service delivery and for introducing ongoing quality improvement. In 2006 and 2007 he also provided technical support to the DFID-funded PATHS-1 project in Kano state, Nigeria, building capacity of the state SM committee and the M&E sub-committee and facilitating the introduction of maternal death reviews in state general hospitals; he also facilitated the development of clinical protocols for EmONC.

He has special expertise in Quality Improvement of health services and supported the introduction of ongoing QI processes in health facilities in Malawi (The Health Foundation and UNICEF), Somaliland (Health Poverty Action) and Nigeria (DFID/NORAD). This QI work includes establishing and training of health facility QI teams and master trainers in QI; strengthening supportive supervision; facilitating the development of minimum standards for provision of MNCH services; development of scorecards for assessment of quality of care; introduction of maternal and perinatal death reviews (MDR and PNDR) and criteria-based audit.

Selected Publications

Hofman JJ, Mohammed H (2014). Experiences with maternal death reviews in northern Nigeria. Int J Gynecol Obstet; 126: 111-114.

Godia PM, Olenja JM, Hofman JJ, Van den Broek N (2014). Young people’s perceptions of sexual & reproductive health services in Kenya. BMC Health Services Research; 14: 172.

Godia PM, Olenya JM, Lavussa JA, Hofman JJ, Van de Broek N (2013). Sexual and reproductive health service provision for young people in Kenya: health service providers’ experiences. BMC Health services research; 13: 476.

Ameh C, Msuya S, Hofman J, Raven J, Mathai M, Van den Broek N (2012). Status of emergency obstetric care in six developing countries five years before the MDG targets for maternal and newborn health (2012). Plos ONE; 7 (12): e49938.

Ameh C, Adegoke A, Hofman J, Ismail FM (2012). The impact of emergency obstetric care training in Somaliland, Somalia. Int J Gynecol Obstet; 117 (3): 283-287. 

Raven J, Hofman J, Adegoke A, Van den Broek N (2011). Methodology and tools for quality improvement in maternal and neonatal health care. Int J Gynecol Obstet; 114 (1): 4-9.

Adegoke A, Hofman JJ, Kongnyuy EJ, Van den Broek N (2011). Monitoring and evaluation of skilled birth attendance: a proposed new framework. Midwifery; 27: 350-359.

Van den Broek N, Hofman J (2010). Increasing the capacity for essential obstetric and newborn care. In: Kehoe S, Neilson JP, Norman JE (Ed) Maternal and infant deaths: chasing Millennium Development Goals 4 and 5.  London, RCOG Press.

Kongnyuy EJ, Hofman JJ, van den Broek N (2009). Ensuring effective Essential Obstetric Care in resource poor settings. BJOG; 119 (Suppl 1): 41-47.

Kongnyuy EJ, Hofman J, Mlava G, Mhango C, van den Broek N (2009). Availability, Utilisation and Quality of Basic and Comprehensive Emergency Obstetric Care Services in Malawi. Matern Child Health J.; 13: 687-694.

Hofman JJ, Dzimadzi C, Lungu K, Ratsma YM. Hussein J (2008). Motorcycle ambulances for referral of obstetric emergencies: Do they reduce delay and what do they cost? Int J Gynecol Obstet; 102 (2): 191-197.