OUR WORK

WHAT WE DO

OUR MISSION

Kybele has developed an educational model to quickly implement sustainable interventions at a minimal cost. Our programs are designed to be culturally sensitive and county specific. Our aim is to improve country wide standards, not just conditions within isolated hospitals. With our hosts, we develop evidence-based, medical guidelines for better patient care with consideration of the local infrastructure and culture. Key components of our model include:

  • International diversity – Kybele volunteers have come from the US, Canada, UK, European Union, and Australia.
  • Multidisciplinary teamwork – Anesthesiologists, obstetricians, nurses, midwifes, neonatologists, equipment technicians and public health professionals have participated with our teams.
  • On-site training – Kybele has believed, and now studies show, that education is most effective when it takes place in a learner’s home environment.
  • Cost efficiency – We work within a country’s existing infrastructure of medications and supplies to optimize systems of care without introducing excessive cost. Host hospitals invest modestly in the project in order to achieve complete buy-in.
  • Leadership development – We identify and build healthcare leaders within a country and include these individuals in outreach to other countries. The teachers we train continue to teach others in their countries once we’ve gone. Kybele also sponsors physicians and nurses from abroad to visit US and European hospitals to observe childbirth practices.
  • Monitoring and evaluation  – We value transparency in our effectiveness and invest in monitoring and sharing our outcomes.

PROGRAM DEVELOPMENT

Kybele programs begin with an invitation by a physician in a prospective country for a small team to perform a site visit. During a sight visit, we focus on building relationships, assessing facilities, and observing clinical practice. At the end of such a visit we discuss opportunities for collaboration with our host and develop objectives for a future visit.

A Kybele program may include clinical education, leadership development, implementation science training, and/or data infrastructure enhancements. Kybele is comprised of experts from anesthesiology, obstetrics and gynecology, neonatology, midwifery, nurse management, implementation science, and a number of other fields. We intentionally target people and places engaged in education and training in their home countries, believing that results will grow exponentially if we reach medical trainees who will soon work across their respective countries. Every program will be unique to the needs of our host partners. We are committed to continuing to follow-up with our programs and partners in order to evaluate our effectiveness.

We typically work in regional-level referral hospitals because we believe they are routinely neglected in global public health efforts worldwide. Referral hospitals are the last resort for a country’s sickest women and babies. We attempt to work within the means of our partner sites, equipping them to use their resources most efficiently, through process improvement, rather than providing temporary resources. We do innovative design work in health system strengthening and also serve as Master Trainers in Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Helping Babies Breathe (HBB), Neonatal Resuscitation Program (NRP), Essential Care for Every Baby (ECEB), Helping Mothers Survive (HMS), and Advanced Life Support in Obstetrics (ALSO).

CURRENT PROGRAMS

GHANA

Kybele has been actively working in Ghana since 2007. We target regional and teaching hospitals that receive many high-risk patients and are often understaffed. Ghana has an alarming maternal mortality rate of 319 deaths per 100,000 live births. And the maternal and newborn mortality rates at the facilities we work with are more than double the national average. Kybele has worked in partnership with the Ghana Health Service to improve processes related to organizational function, to enhance leadership capacity and to introduce new clinical skills. In addition, we were instrumental in the establishment of the third anesthesia training program in Ghana that filled a significant surgical service gap. Kybele has collaborated on numerous publicly and privately funded multi-year projects with USAID Ghana, the JSI Focus Regional Health Project, URC Systems for Health, PATH, Canadian Food for the Hungry, East Meets West Foundation, Access Bank, and the Ghana International Women's Club. Kybele has sponsored more than 20 Ghanaian healthcare providers for observational visits to U.S. and U.K. hospitals. Our achievements have been well chronicled in numerous peer-reviewed medical journals.

SERBIA/BOSNIA/ MACEDONIA

Since 2012, Kybele has been working in the Balkans, where teams have primarily focused on improving obstetric anesthesia care. We spearhead an Annual School of Obstetric Anesthesia in Novi Sad, Serbia. This innovative program provides hands-on training in the latest obstetric anesthesia techniques to anesthesiology faculty members and residents across Serbia and surrounding countries.

UKRAINE

Despite reduced rates of maternal mortality in the past decade, Ukrainian women are still dying at an unacceptably high rate of 120 deaths per 100,000 live births. In 2018, Kybele began working with Ternopil National Medical University, The Perinatal Center, Matu i Dutuna, City Hospital #2 and multiple other regional hospitals in the Ternopil Region to increase the adoption of neuraxial techniques for C-section, support the provision of labor analgesia, and improve the birth process. Our approach centers on empowering local physicians to use tools that are readily available to them to provide the best care possible. We also work with our partners to set up master courses for local anesthesiologists, obstetricians, and neonatologists. Finally, we have also focused on community outreach in Ternopil to help educate the public about the possibility of safe and painless labor.

BOLIVIA

A new program country for Kybele in 2019, Bolivia is the second-poorest country in the Western Hemisphere. It also has the hemisphere's second-highest child and maternal mortality rates - with a neonatal mortality rate of 19.9 per 1,000 live births (global target is 12) and a maternal mortality rate of 206 per 100,000 live births (global target is 70. During our preliminary visit to Cochabamba, we identified several opportunities for partnership related to improving recovery-room protocols, reducing and treating post-surgical infections, improving newborn resuscitation, and initiating labor pain relief.

CURRENT PROGRAMS (IN GREEN)

  • Ghana
  • Serbia
  • Bosnia and Herzegovina
  • Republic of Macedonia
  • Ukraine
  • Bolivia

FORMER PROGRAMS (IN YELLOW)

  • Turkey
  • Croatia
  • Egypt
  • Republic of Georgia
  • Armenia
  • Vietnam
  • Moldova
  • Romania
  • Brazil

PUBLISHED RESEARCH

CURRENT PROGRAMS (IN GREEN)

ANESTHESIOLOGY

The journal of the American Society of Anesthesiologists, Inc 

Kybele’s article on establishing practice guidelines in Armenia made the front cover of Anesthesiology, published by The American Society of Anesthesiologists, Inc. August 2017

PEER-REVIEWED PUBLICATIONS

2022

•  Owen MD, Ismail HM, Goodman D, Batakji M, Kim SM, Olufolabi A, et al. (2022)   Use of WhatsApp messaging technology to strengthen obstetric referrals in the Greater Accra Region, Ghana: Findings from a feasibility study.  PLoS ONE 17(4): e0266932.

2021

•  M. D. Owen, A.L. Cassidy, A.D. Weeks.  Why are women still dying from obstetric hemorrhage? A narrative review of perspectives from high and low resource settings.  (2021) International Journal of Obstetric Anesthesia 46 (2021) 102982.

2020

•  Stephanie Bogdewic, Rohit Ramaswamy, David M. Goodman, Emmanuel K. Srofenyoh, Sebnem Ucer, Medge D. Owen.  The cost-effectiveness of a program to reduce intrapartum and neonatal mortality in a referral hospital in Ghana.  (2020) PLoS ONE 15(11): e0242170. https://doi.org/10.1371/journal.pone.0242170.

•  Medge D. Owen, Elizabeth Colburn, Cecilia Tetteh, and Emmanuel K. Srofenyoh.  Postnatal care education in health facilities in Accra, Ghana: perspectives of mothers and providers BMC Pregnancy and Childbirth. (2020) 20:664.

• A Matei, Mohammed Mouhajer, Harry Tontoh, Nelson Ampah, Elizabeth M. Quartson, Ronald B. George, Heather Scott and Vernon H. Ross. Implementation of the WHO surgical safety checklist in a West African teaching hospital: a quality improvement initiative. Update in Anesthesia Volume 35 (February 2020) 

• Kimberly P. Brathwaite, Fiona Bryce, Laurel B. Moyer, Cyril Engmann, Nana A.Y. Twum-Danso, Beena D. Kamath-Rayne, Emmanuel K. Srofenyoh, Sebnem Ucer, Richard O. Boadu, Medge D. Owen. Evaluation of two newborn resuscitation training strategies in regional hospitals in Ghana. Resuscitation Plus 1-2 (2020) https://doi.org/10.1016/j.resplu.2020.100001

• Caitlin R. Williams, Stephanie Bogdewic, Medge D. Owen, Emmanuel K. Srofenyoh, and Rohit Ramaswamy. A protocol for evaluating a multi-level implementation theory to scale-up obstetric triage in referral hospitals in Ghana. Implementation Science (2020) 15:31 https://doi.org/10.1186/s13012-020-00992-2

2019

• Erin Pfeiffer, Medge Owen, Christie Pettitt-Schieber, Romeck Van Zeijl, Emmanuel Srofenyoh, Adeyemi Olufolabi and Rohit Ramaswamy. Building health system capacity to improve maternal and newborn care: a pilot leadership program for frontline staff at a tertiary hospital in Ghana. BMC Medical Education (2019) 19:52 https://doi.org/10.1186/s12909-019-1463-8

• Shahla Y. Namak, Aleksandra Vejnović, Tihomir R. Vejnović, Justin B. Moore, Julienne K. Kirk. Change in Knowledge and Preferred Scenario Responses After Completion of the Advanced Life Support in Obstetrics Course in Serbia.  Family Medicine (Nov-Dec 2019) 51:10.

2018

• Kallam, B., Pettitt-Schieber, C., Owen, M., Agyare Asante, R., Darko, E., Ramaswamy, R. (2018). Implementation science in low-resource settings: using the interactive systems framework to improve hand hygiene in a tertiary hospital in Ghana. International Journal for Quality in Health Care, 1-7 doi 10.1093/intqhc/mzy111 with the International Society for Quality in Health Care.

• David M. Goodman, Emmanuel K Srofenyoh, Rohit Ramaswamy, Fiona Bryce, Liz Floyd, Adeyemi Olufolabi, Cecilia Tetteh, Medge D. Owen. Addressing the third delay: implementing a novel obstetric triage system in Ghana. BMJ Global Health 2018, 3:e000623 doi: 10.1136/bmjgh-2017-00062.

• Liz Floyd, Fiona Bryce, Rohit Ramaswamy, Adeyemi Olufolabi, Emmanuel Srofenyoh, David Goodman, Nancy Pearson, Kerry Morgan, Cecilla Tetteh, Victoria Ahwireng, Medge Owen. The Introduction of a Midwife-led Obstetric Triage System Into a Regional Referral Hospital in Ghana. Midwifery 61 (2018) 45–52. 0266-6138/ © February 2018 Elsevier Ltd.

2017

• Gordon Yuill, Ashot Amroyan, Simon Millar, Emil Vardapetyan, Ashraf Habib, Medge Owen. Establishing Obstetric Anesthesiology Practice Guidelines in the Republic of Armenia. Copyright August 2017 The American Society of Anesthesiologists, Inc. Anesthesiology; August 2017; 127:220-6

•  Ivan Velickovic, Borislava Pujic, Charles W. Baysinger, and Curtis L. Baysinger. Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia. Frontiers in Medicine. (August 2017) 

• Supplement: Armenian Guidelines English Translation (with permission) D.L. Melkonyan, PhD; A.V. Amroyan, MD, PhD; A.F.Varosyan DEAA, MD, PhD; A.S. Gnuni, S.; S.P. Barseghyan; L. L. Danielyan; G.H. Gharibyan; A.H. Minasyan. The Practical Guide to Anesthesiology in Obstetrics. Armenian Society of Anesthesiologists and Intensive Care Specialists. English Translation by Aelita Sargsyan, Armenian Relief Fund.  2015

• David Goodman, Rohit Ramaswamy, Marc Jeuland, Emmanuel K. Srofenyoh, Cyril Engmann, Adeyemi J. Olufolabi, Medge Owen.  The Cost Effectiveness of a Quality Improvement Program to Reduce Maternal and Fetal Mortality in a Regional Referral Hospital in Accra, Ghana. PLOS ONE | https://doi.org/10.1371/journal.pone.0180929. July 14, 2017.

• David Goodman, Emmanuel Srofenyoh, Adeyemi Olufolabi, Sung Min Kim, Medge Owen. The third delay: understanding waiting time for obstetric referrals at a large regional hospital in Ghana. BMC Pregnancy and Childbirth (2017) 17:216. DOI 10.1186/s12884-017-1407-4

• Curtis Baysinger, Borislava Pujic, Ivan Velickovic, Medge D. Owen, Joanna Serafin, Matthew S. Shotwell, Ferne Braveman. Increasing Regional Anesthesia Use in a Serbian Teaching Hospital through and International CollaborationFrontiers in Public Health. June 2017; Volume 5, Article 134.

• Melissa G. Potisek, David M. Hatch, Evans Atito-Narh, Jerry Agudogo, Adeyemi J. Olufolabi, Michael Rieker, Holly A. Muir, Medge D. Owen.  Where Are They Now? Evolution of a Nurse Anesthesia Training School. Frontiers in Public Health. April 13, 2017.  doi: 10.3389/fpubh.2017.00078

2016

• Emmanuel K. Srofenyoh, Nicholas J. Kassebaum, David M. Goodman, Adeyemi J. Olufolabi, Medge D. Owen.  Measuring the impact of a quality improvement collaboration to decrease maternal mortality in a Ghanaian regional hospital.  International Journal of Gynecology and Obstetrics 134 (2016) 181-185.

• Rohit Ramaswamy, Brianne Kallam, Dragicia Kopic, Borislava Pujic, Medge Owen.  Global health partnerships: building multi-national collaborations to achieve lasting improvements in maternal and neonatal health.  Globalization and Health. (2016) 12:22.  DOI 10.1186/s12992-016-0159-7

• Medge Owen.  So Easy, So Hard.  Mind to Mind – Creative writing that explores the abstract side of our profession and our lives.  Anesthesiology, V XXX:00-00.  Permission to reprint granted to the American Society of Anesthesiologists, Inc. and Wolters Kluwer Health, Inc.

• D.M. Hatch, E. Atito-Narh, E.J. Herschmiller, A.J. Olufolabi, M.D. Owen.  Refractory status epilepticus after inadvertent intrathecal injection of tranexamic acid treated by magnesium sulfate.  International Journal of Obstetric Anesthesia (2016) 26, 71-82.

2015

• Rohit Ramaswamy, Grad Dipl, Sarah Iracane, Emmanuel Srofenyoh, Fiona Bryce, Liz Floyd, Brianne Kallam, Adeyemi Olufolabi, Romeck Van Zeyl, Medge Owen.  Transforming Maternal and Neonatal Outcomes in Tertiary Hospitals in Ghana: An Integrated Approach for Systems Change.  Journal of Obstetrics and Gynaecology Canada.  October 2015.  Page 905-914.

• Onyi Onuoh, Rohit Ramaswamy, Emmanuel Srofenyoh, Sung Kim, Medge Owen.  The effects of resource improvement on decision-to-delivery times for cesarean deliveries in a Ghanaian regional hospital.  International Journal of Gynecology and Obstetrics.  April 2015.  IJG-08339; No of Pages 5.

• Adyemi Olufolabi, Evans Atito-Narh, Millicent Eshun, Vernon Ross, Holly Muir, Medge Owen.  Teaching Neuraxial Anesthesia Techniques for Obstetric Care in a Ghanaian Referral Hospital: Achievements and Obstacles.  Article – International Anesthesia Research Society.  June 2015, Volume 120, Number 6.  Page 1317-1322.

• Anthony Reed, Jesse Musokota Mumba, Robert Dyer.  A Spotlight on Obstetric Anesthesia in the Developing World:  Finally Getting the Attention It Deserves.  Editorial – International Anesthesia Research Society. Anesthesia-Analgeisa.org.  June 2015, Volume 120, Number 6.  Page 1179-1181.

• T Anabah, A Olufolabi, J Boyd, R George.  Low-dose spinal anaesthesia provides labour analgesia and does not limit ambulation.  Southern African Journal of Anaesthesia and Analgesia 2015; 21(1):27-30.  ISSN 2220-1181.

2014

• Liz Floyd, Nicole Coulter, Susana Asamoah, Rebecca Agyare-Asanto.  Women’s views and experience of their maternity care at a referral hospital in Ghana.  African Journal of Midwifery and Women’s Health, October-December 2014. Volume 8, No. 4.

• B.S. Kodali, D.K. Jagannathan, M.D. Owen.  Establishing an Obstetric Neuraxial Service in Low-Resource Areas.  International Journal of Obstetric Anesthesia.  June, 2014. 

2013

• Nino Ninidze, Sarah Bodin, Thomas Ivester, Lisa Councilman, Brittany Clyne, Medge Owen.  Advancing obstetric anesthesia practices in Georgia through clinical education and quality improvement methodologies.  International Journal of Gynecology and Obstetrics.  IJG – 07490.

• Liz Floyd. Helping midwives in Ghana to reduce maternal mortality.  African Journal of Midwifery and Women’s Health, January – March 2013, Vol 7, No. 1.

2012

• Emmanuel Srofenyoh, Thomas Ivester, Cyril Engmann, Adeyemi Olufolabi, Laurel Bookman, Medge Owen.  Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement.  International Journal of Gynecology and Obstetrics 116 (2012) 17-21.

2010

• Laurel Bookman, Cyril Engmann, Emmanuel Srofenyoh, Christabel Enweronu-Laryea, Medge Owen, Greg Randolph, Wayne Price and Pierre Barker.  Educational Impact of a Hospital-based Neonatal Resuscitation Program in Ghana.  Resuscitation – RESUS-D-1000072R1.

• Cyril Engmann, Adeyemi Olufolabi, Emmanuel Srofenyoh, Medge Owen.  Multidisciplinary Team Partnerships to Improve Maternal and Neonatal Outcomes:  The Kybele Experience.  International Anesthesiology Clinics; Volume 48, Number 2, 109-122.  2010.  Lippincott Williams & Wilkins. 

2009

• Kopic D, Sedensky M, Owen MD, The impact of a teaching program on obstetric anesthesia practices in Croatia International Journal of Obstetric Anesthesia (2009) 18,4-9;doi:10.1016/j.ijoa.2008.04.007

• Howell, PR.  Supporting the evolution of obstetric anaesthesia through outreach programs.  Editorial.  International Journal of Obstetric Anesthesia (2009) 18,1-3;doi:10.1016/j.ijoa.2008.09.003

• Enweronu-Laryea C, Engmann C, Osafo A, Bose C.  Evaluating the effectiveness of a strategy for teaching neonatal resuscitation in West Africa.  Resuscitation 80 (2009) 1308-1311.

BOOKS AND BOOKS CHAPTERS
BOOKS:

• Şükran Ş, Owen MD. (eds.) Doğumda Analjezi Sezaryende Anestezi.  Bursa, Turkey Medyay Kitabevi 2018.

• Şahin Ş, Owen MD (eds.) Ağrisiz Doğum ve Sezaryende Anestezi. Bursa, Turkey: Nobel & Güneş Tip Kitabevi 2006.

BOOKS CHAPTERS:

• Owen M, Akinc H. Planning a Mission, Fundraising and Building a Team.  In: The Role of Anesthesiology in Global Health: A Comprehensive Guide. 1st edition, Eds. Ram Roth,  Elizabeth A.M. Frost, Clifford Gevirtz, Carrie L.H. Atcheson, Springer International Publishing, Switzerland 2015 pages 59-84. DOI 10.1007/978-3-319-09423-6_5

• Baysinger CL, Velickovic I, and McQueen KAK. Perioperative Follow-Up and Quality Maintenance. In: The Role of Anesthesiology in Global Health: A Comprehensive Guide. 1st edition, Eds. Ram Roth,  Elizabeth A.M. Frost, Clifford Gevirtz, Carrie L.H. Atcheson, Springer International Publishing, Switzerland 2015 pages 59-84. DOI 10.1007/978-3-319-09423-6_5

• Turpie F, George RB. Women’s Rights to Pain Relief After Surgery and Labor Analgesia. In: The Role of Anesthesiology in Global Health: A Comprehensive Guide. 1st edition, Eds. Ram Roth,  Elizabeth A.M. Frost, Clifford Gevirtz, Carrie L.H. Atcheson, Springer International Publishing, Switzerland 2015 pages 59-84. DOI 10.1007/978-3-319-09423-6_5

•  Muir H, Owen M. Global Perspective on Obstetric Anesthesia.  In: Suresh M, Segal S, Preston R (eds.) Shnider & Levinson’s Anesthesia for Obstetrics, 5th Edition. 2013, 750-64.

•  Rittrof R, Magoma M, Filippi V, Owen MD. Global Issues in Maternal Health. In: Powrie R, Greene MF, Camann W (eds.) DeSwiet’s Textbook of Obstetric Medicine 2010, 599-605.

•  Owen MD, Şahin Ş. Obstetric Anaesthesia practices in Turkey. In: Reynolds F (ed.) Regional Analgesia in Obstetrics: A Millennium Update. London: Springer Verlag, 2000, pp.  59-64.

CONFERENCE ABSTRACTS

2017

• Curtis Baysinger, Ivan Velickovic, Craig Palmer, Borislave Pujic, Ferne Braveman, Medge Owen.  Process Change and Anesthesia Trainee Instruction Improve Obstetric Anesthesia Care in a Serbian Obstetric Hospital: A Report of an On-going International Collaboration.  SOAP 2017 Abstract # SAT-12.  May 2017

•  Margaret Casey, Vernon Ross, Anca Matei, Ron George, Heather Scott, Harry Tanto. Implementation of WHO Safe Surgical Checklist in a West African Teaching Hospital.  SOAP 2017 Abstract # F-53.  May 2017

•  Ivan Velickovic, Joanna Serafin, Jeremy Weedon, Curtis Baysinger.  Anesthesiologist/Obstretician Combinations Influence Choice of Anesthesia for Cesarean Delivery in a Serbian Obstetric Hospital.  SOAP 2017 Abstract # F-32.  May 2017

• Borislava Pujic, Ivan Velickovic, Curtis Baysinger, Ferne Braveman, Craig Palmer, Medge Owen. Neuraxial and Narcotic Analgesia for Labor; Effects of Administrative Mandates on Availability and Use in a Serbian Obstetric Hospital.  SOAP 2017 Abstract # T-55.  May 2017

•  David Goodman, Rohit Ramaswamy, Mark Jeuland, Emmanuel Srofenyoh, Cyril Engmann, Adeyemi Olufolabi, Medge Owen.  Evaluating the Cost-Effectiveness of an Integrated Program to Reduce Maternal and Neonatal Mortality in Ghana.  Annals of Global Health, Vol. 83, No. 1, 2017.  Women’s Health is Global Health – Issues Across the Lifespan.  January – February 2017: 193-207.  Abstract # 2.016_WOM

•  Medge Owen, David Goodman, Erin Pfeiffer, Rohit Ramaswamy, Adeyemi Olufolabi, Cecilia Tetteh, Emmanuel Srofenyoh. The Impact of a Triage System Designed to Reduce Waiting Time and Prioritize Care for High-Risk Obstetric Patients in a Ghanain Regional Hospital.  Annals of Global Health, Vol. 83, No. 1, 2017. Health Systems and Human Resources. January – February 2017: 117-155. Abstract # 2.025_HHR 

•  Gordon Yuill, Ashot Amroyan, Simon Millar, Emil Vardapetyan, Ashraf Habib, Medge Owen. Obstetric anesthesia in Armenia: progress over an eight year journey.  SOAP 2015 Abstract F-28.

2016

•  Baysinger C, Pujic B, Serafin J, Shotwell M, Owen M, Velickovic I. Individual anesthesiologist use of regional anesthesia for cesarean delivery in a Serbian obstetric hospital. American Society of Anesthesiology Annual Meeting, Chicago, IL, October 24, 2016 (poster presentation) A3024.

•  Bamber A, Washburn L, Owen M, Lambeth C. Improving hand hygiene among physicians and nurses in the NICU in Armenia through a multimodal hand hygiene strategy. International Health Conference 2016, King’s College London, England June 20-22, 2016  (poster presentation).

•  Brathwaite KP, Owen M, Kamath-Rayne B, Moyer L. Resuscitation training and neonatal outcomes at a referral hospital in Ghana. Pediatric Academic Societies Meeting, Baltimore, MD, April 30-May 3 2016 (Poster presentation) Pub#:2842.350.

•  Goodman DM, Floyd L, Bryce F, Ramaswamy R, Srofenyoh E, Owen M. Implementing a triage system to reduce waiting time and prioritize care for high-risk obstetric patients in a Ghanaian regional hospitalSOAP 48th Annual Meeting. Boston, MA, May 18-22, 2016 (Poster presentation) Abstract SA-37

•  Goodman DA, Ramaswamy R, Jeuland M, Srofenyoh E, Engmann C, Owen M. The cost effectiveness of a quality improvement program to reduce maternal mortality in a West African regional hospital. SOAP 48th Annual Meeting. Boston, MA, May 18-22, 2016 (Poster presentation) Abstract SA-38.

• Hatch DM, Potisek MG, Brennan K, Atito-Narh E, Olufolabi A, Owen M. Where are they now? A survey of the graduates of nurse anesthesia training school at Ridge Regional Hospital in Ghana. SOAP 48th Annual Meeting. Boston, MA, May 18-22, 2016 (Poster presentation) Abstract SA-39.

•  Pujic B, Owen M, Baysinger C, Shotwell MS, Serafin J, Velickovic I. The influence of an international teaching program on the use of neuraxial analgesia for labor and regional anesthesia for cesarean delivery in a Serbian obstetric hospital. SOAP 48th Annual Meeting. Boston, MA, May 18-22, 2016 (Poster presentation) Abstract SA-40.

•  Velickovic I, Pujic B, Owen M, Shotwell MS, Serafin J, Baysinger C. The influence of an individual obstetrician on the use of regional anesthesia for cesarean section in a Serbian obstetric hospital. SOAP 48th Annual Meeting. Boston, MA, May 18-22, 2016 (Poster presentation) Abstract SA-41.

• Baysinger C, Pujic B, Serafin J, Shotwell M, Owen M, Velickovic I. Individual anesthesiologist use of regional anesthesia for cesarean delivery in a Serbian obstetric hospital. SOAP 48th Annual Meeting. Boston, MA, May 18-22, 2016 (Poster presentation) Abstract SA-43.

• Owen MD, Floyd E, Bryce F, Ramaswamy R, Pearson N, Morgan K, Kim SM, Ucer S, Tettah C, Srofenyoh EK. Implemention of a triage system to reduce wait time and prioritize care for high-risk obstetric patients in a regional hospital in Accra, Ghana. Consortium of Universities for Global Health, 7th Annual Conference, San Francisco, CA, April 8-11, 2016 (Oral presentation) Abstract 16. Published in The Lancet Global Health April 2016.

•  Ramaswamy R, Kallam B, Srofenyoh E, Owen M. Multi-tiered quality improvement strategy to reduce maternal and neonatal death in complex delivery systems in Ghana. Consortium of Universities for Global Health, 7th Annual Conference, San Francisco, CA, April 8-11, 2016 (Oral presentation) Abstract 24. Published in The Lancet Global Health April 2016.

• Hawley C, Bray E, Unal J, Barto B, Lovell C, Lovell P, Barto S, Hawley R, Owen M. The Bridge Project: Linking US to Ghanaian children to foster service and education. Consortium of Universities for Global Health, 7th Annual Conference, San Francisco, CA, April 8-11, 2016 (Poster presentation) Abstract:2.021_MDG.

2015

•  Velickovic IA, Pujic B, Baysinger C, Braveman FR, Owen MD. The Influence of an International Teaching Program on the Use of Regional Anesthesia for Cesarean Section in a Serbian Obstetric Hospital, The American Society of Anesthesiologists Annual Meeting, San Diego, CA, October 24-28, 2015 (Poster presentation) A3124

•  Yuill G, Amroyan A, Millar S, Vardapetyan E, Habib H, Owen M. Obstetric anesthesia in Armenia: progress over an eight year journey.  SOAP 47th Annual Meeting, Colorado Springs, CO, May 13-17, 2015 (Poster presentation) Abstract F-28.

•  Baysinger B, Velickovic I, Pujic B, Braveman F, Owen M. A survey of Serbian anesthesiologists’ use of regional anesthesia for labor analgesia and cesarean delivery. SOAP 47th Annual Meeting, Colorado Springs, CO, May 13-17, 2015 (Poster presentation) Abstract S-15.

•  Velickovic I, Pujic B, Baysinger C, Braveman F, Owen M. The Influence of an International Teaching Program on the Use of Regional Anesthesia for Cesarean Section in a Serbian Obstetric Hospital. SOAP 47th Annual Meeting, Colorado Springs, CO, May 13-17, 2015 (Poster presentation) Abstract S-27.

• Hatch D, Owen M, Herschmiller E, Atito-Narh E, Olufolabi A.  Novel use of Magnesium to treat Refractory Status Epilepticus after accidental intrathecal injection of tranexamic acid.  SOAP 47th Annual Meeting, Colorado Springs, CO, May 13-17, 2015 (Poster presentation) Abstract S-16.

• Mauritz A, Olufolabi A, Srofenyoh E, Owen M, Ntiamoah E. Reduction of Maternal Mortality in Ghana: Is an Obstetric Early Warning System the answer? SOAP 47th Annual Meeting, Colorado Springs, CO, May 13-17, 2015 (Poster presentation) Abstract T-01.

• Herschmiller E, Hatch D, Owen M, Atito-Narh E, Olufolabi A. Refractory status epilepticus after inadvertent intrathecal injection of tranexamic acid treated by magnesium sulfate therapy. ASRA 40th Annual Meeting, Las Vegas, Nevada, May 14-16, 2015 (Poster presentation) Abstract 229.

2014

• Ramaswamy R, Owen M, Srofenyoh E. Building integrated clinical and operational capacity to reduce maternal and neonatal mortality at Ridge Regional Hospital at Accra, Ghana. Annals of Global Health 2014;80(3):192.

• Velickovic I, Pujic B, Baysinger C, Owen M. The Influence of an international teaching  program on the use of regional anesthesia for cesarean section in a Serbian obstetric hospital over a two year period. Society for Obstetric Anesthesiology and Perinatology 46th Annual Meeting, Toronto, Canada, May 14-18, 2014 (Poster presentation), S-61.

• Ramaswamy R, Owen M, Srofenyoh E. Building integrated clinical and operational capacity to reduce maternal and neonatal mortality at Ridge Regional Hospital, Accra, Ghana. Consortium of Universities for Global Health, 5th Annual Global Health Conference, Washington DC, May 10-12, 2014 (Poster presentation) PO02.106.

2013

• Pujic B, Velickovic I, Baysinger C, Owen M. The influence of an international teaching program on the use of regional anesthesia for cesarean section in a Serbian obstetric Hospital.  American Society of Anesthesiology, San Francisco, CA, October 12-16, 2013 (Poster presentation)  A4141. (10/15/13)

• Srofenyoh E, Owen M, Olufolabi A. Measuring performance of a continuous quality improvement program designed to reduce maternal mortality in a regional referral institution in Ghana. Society for Obstetric Anesthesiology and Perinatology 45th Annual Meeting, San Juan, Puerto Rico, April, 2013. Abstract#BP4 (oral presentation-best paper session)

• Pujic B, Velickovic  I, Baysinger C, Owen M. Regional Anesthesia for Caesarean Section in a Serbian Obstetric Hospital Before and After a Collaborative Teaching Program. Society for Obstetric Anesthesiology and Perinatology 45th Annual Meeting, San Juan, Puerto Rico, April, 2013. Abstract#S12 (Poster)

• Onuoha O, Srofenyoh E, Ramaswamy R, Ahiapokpor E, Owen M. The Effect of Resource Improvement on the Decision-to-Delivery and Post-Anesthesia Care Unit Time Intervals in a Low-Resource Setting. Society for Obstetric Anesthesiology and Perinatology 45th Annual Meeting, San Juan, Puerto Rico, April, 2013. Abstract #F36 (Poster – SOAP/Kybele International Outreach Grant)

2011

•  Owen M, Olufolabi A, Ross V, Srofenyoh E, Ivester T, Engmann C. Improving obstetric and neonatal care in Ghana using a multidisciplinary approach and continuous quality improvement. Society for Obstetric Anesthesiology and Perinatology 43th Annual Meeting, Lake Las Vegas, NV, April, 2011. Abstract#144 (oral presentation-best paper session)

2010

•  Engmann CM, Olufolabi A, Srofenyoh E, Owen, M. Multidisciplinary team partnerships to strengthen maternal and neonatal health and improve outcome: The Kybele experience. 138th APHA Annual Meeting, Denver, CO, November 2010. Abstract#222067 (poster)

2009

• Owen MD, Olufolabi AJ, Srofenyoh E, Kumah J, Ross V H, George R, Pilot Program to Introduce Spinal Labor Analgesia in a West African Hospital.  SOAP 2009 Abstract A-49.

• Bookman L, Engmann C, Laryea C, Srofenyoh E, Randolph G, MPH, Owen M, Price W, Barker, P. Establishing a Hospital-based Neonatal Resuscitation Program in Ghana.  Pediatric Academic Societies’: Abstract #750638 [2009] [2505.7]

• Owen MD, Olufolabi AJ, Muir H, Ross VH, Gore-Hickman W, Kumar J. Anesthesia for Cesarean Section at a Tertiary Hospital in Accra, Ghana: The Results of an International Collaboration. SOAP 2009 Abstract A-32.

2008

• Ninidze N, Clyne B, Owen M.  Survey of obstetric anesthesia practices in Georgia.  Anesth Analg 2008; 106:A-127.

• Clyne B, Ninidze N, Owen M.  Regional anesthesia in Georgian obstetrics after Kybele educational program.  Anesth Analg 2008; 106:A-128.

2007

• Kopic DB, Sedensky M, Karelovic D, Balic I, Owen MD.  Regional anesthesia in Croatian obstetrics after Kybele education program.  Anesthesiology 2007; 106:A29.

• Amroyan A, Millar S, Owen MD.  Survey of obstetric anesthesia practices in Armenia.  Anesthesiology 2007; 106:A60.

• Councilman-Gonzalez LM, Clyne BB, Schultz JR, Owen MD. Initiating an obstetric anesthesia collaboration to reduce maternal morbidity and mortality in Republic of Georgia.  Anesthesiology 2007; 106:A-222.

• Emweronu-Laryea C, Engmann C, Lu Tsui-shan, M.Sc, Owen MD, Segbefia C, Osafo A, Bose C. Change in Participant Knowledge of Neonatal Resuscitation Following the Introduction of a Neonatal Training Course in Ghana.  Pediatric Academic Societies: Abstract #750824 [2007] [8413.3]

2006

•  Perkovic M, Kopic D, Owen MD, Ujevic A, Perkovic S. Evaluation of Kybele program for Croatia.  Anesthesiology 2006: 104:A49.

2005

•  Oluflabi AJ, Owen MD, Ross VH, Thorp J, Boni F. Initiating an obstetric anesthesia collaboration to reduce maternal and neonatal mortality in Ghana.  Anesthesiology 2005; 102(1) SOAP A-80.

•  Breen TW, Owen MD, Sahin S, Ucer S, Sedensky MM. Kybele: Obstetric anesthesia outreach to Turkey 2004.  Anesthesiology 2005; 102(1): SOAP A-94.

2004

• Kopic D, Owen MD, Manestar M, Loncaric S. Survey of obstetric anesthesia practices in Croatia. Anesthesiology 2004; 100:A67.

2002

• Owen MD, Sahin S, Uckunkaya N. Research: An innovative tool for initiating an obstetric anesthesia service.  Anesthesiology 2002; 96 (Suppl1): P-3

• Owen MD, Sahin S, Aypar U, James R. Developing outcome measures for obstetric anesthesia education.  Anesthesiology 2002; 96(Suppl1): P-4

Participant nationalities
United States 656 74.0%
England 95 10.7%
Canada 90 10.2%
Scotland 13 1.5%
Germany 8 0.9%
Ghana 7 0.8%
Australia 6 0.7%
Belgium 3 0.3%
Croatia 3 0.3%
Turkey 3 0.3%
Ireland 1 0.1%
Kenya 1 0.1%
886 100.0%
Participants by Speciality
ANESTH 353 40%
OBGYN/MFM 100 11%
NEO/PEDS 44 5%
MIDWIVES 57 6%
NURSING 56 6%
MED/FP/ED 22 2%
CRNA 18 2%
RESPIRATORY THERAPISTS 3 0%
RESIDENTS AND FELLOWS 102 12%
PUBLIC HEALTH/BIOMED/QI 24 3%
BRIDGEPROJECT PARTICIPANTS 37 4%
Other Students 19 2%
Other Specialities 51 6%
886 100%
Top 15 Institutions Represented
Wake Forest 162 18%
Duke University 111 13%
UNC 50 6%
Dalhousie University 48 5
SUNY Downstate 30 3%
Forsyth Medical Center 26 3%
TUFTS 26 3%
Friarage Hospital 25 3%
Univ of Saskatchewan 22 2%
Scott & White Memorial Hosp 19 2%
South Tees Hospitals, NHS Trust 19 2%
Cincinnati Children's Hospital 15 2%
Vanderbilt Univ. 15 2%
Stanford University 11 1%
Mary Birch Hospital 10 1%
589 63%
Participants to Each Country
Armenia 40 5%
Bolivia 4 0.5%
Brazil 10 1%
Croatia 19 2%
Egypt 28 3%
Georgia 20 2%
Georgia and Armenia 12 1%
Georgia and Turkey 11 1%
Ghana 578 65%
Japan 1 0.1%
Moldova 2 0.2%
Mongolia 11 1%
Romania 31 4%
Serbia 55 6%
Serbia and Bosnia 26 3%
Serbia-Bosnia-Macedonia 15 2%
Siberia 1 0%
Turkey 8 1%
Ukraine 1 0%
Vietnam 13 1%
886 100%
Number of Individuals Participating per Year
2003 3
2004 12
2005 14
2006 26
2007 52
2008 59
2009 70
2010 64
2011 50
2012 74
2013 79
2014 60
2015 80
2016 90
2017 73
2018 80
Total 886

The following medical and non-medical professionals have participated in one or more* programs as a Kybele Team Member.  (Last updated 10-20-18)

BOLD * multiple trip participation  |  YEAR(2)  multiple trips in the same year   |   #  non-medical participant

1. Abigail Amuquandoh – (USA) Team Ghana 2007

2. Adam Flowe* – (USA) Team Ghana 2011, 2012, 2015

3. Adel Bishai – (USA) Team Egypt 2008

4. Adriana Desillier* – (USA) Team Romania 2010, 2011

5. Afton Sielski – (Canada) Team Ghana 2015

6. Agnes Ali-Osman* – (USA) Team Ghana 2007, 2008

7. Agnes Perenyi – (USA) Team Serbia 2012

8. Aida Khizkiyayeva – (USA) Team Serbia/Bosnia – 2018

9. Ali Kamani* – (Canada) Team Egypt 2008, 2009

10. Alisha Palliser – (USA) Team Ghana 2012

11. Amanda Anne Burton* – (USA) Team Serbia 2017, 2018

12. Amanda Baric* – (Australia) Team Croatia 2005, Team Romania 2008, Team Mongolia 2009

13. Amanda Bradley* – (USA) Team Ghana 2011, 2012

14. Amelie Pelland – (Canada) Team Armenia 2014

15. Amina Yakubu* – (Ghana) Team Ghana 2010, 2011

16. Amy Bamber – (USA) Team Armenia 2015

17. Amy Lucille Cassidy* – (USA) Team Ghana 2017, Team Bolivia 2018

18. Amy Mauritz – (USA) Team Ghana 2015

19. Amy Rice* – (USA) Team Ghana 2008, 2009

20. Anca Matei* – (Canada) Team Ghana 2015, 2016, 2017, 2018

21. Andre Bernard* – (Canada) Team Ghana 2011, 2013

22. Andrew Thyen – (USA) Team Romania 2009

23. Anita Harding* (Canada) – Team Georgia/Armenia 2006, Team Armenia 2010, Team Georgia 2010

24. Ann Smith – (USA) Team Ghana 2018

25. Anne Wall – (UK) Team Ghana 2018

26. Annekay Forbes – (USA) Team Serbia/Bosnia 2018

27. Annette Elliott-Rose* – (Canada) Team Ghana 2013, 2016

28. Ann-Marie Poli – (USA) Team Ghana 2011

29. Anthony Haywood – (USA) Team Ghana 2010

30. Ashlee Perkinson Laughey –  (USA) Team Serbia 2018

31. Ashraf Habib* – (USA) Team Croatia 2005 | Team Eqypt 2008, 2009 | Team Romania 2012

32. Aziz Celebi# – (Turkey) Team Turkey 2010

33. Barbara Parish* – (Canada) Team Ghana 2008, 2009, 2010 | Team Armenia 2012

34. Belinda Kohl-Thomas – (USA) Team Georgia/Turkey 2009

35. Ben Lowry – (USA) Team Georgia/Turkey 2009

36. Beth Frack – (USA) Team Ghana 2013

37. Bill Nelson – (USA) Team Ghana 2014

38. Bray Barto*# – (USA) Team Ghana 2012, 2013, 2016, 2017

39. Bret Nicks – (USA) Team Ghana 2011

40. Brett Morgan – (USA) Team Ghana 2012

41. Brian Paitsel – (USA) Team Georgia/Turkey 2009

42. Brianne Kallam* – (USA) Team Ghana 2014(2), 2015(3)

43. Brittany Clyne* – (USA) Team Georgia/Armenia 2006 | Team Georgia 2007(2) | Team Georgia Turkey 2009 | Team Romania 2008

44. Bryan King – (USA) Team Ghana 2014

45. Bryan Merchant – (USA) Team Ghana 2016

46. Caitlin Sutton –  (USA) Team Serbia 2016

47. Cara Bute – (USA) Team Vietnam 2013

48. Carla Burke – (Canada) Team Ghana 2010

49. Carla Pancara – (USA) Team Romania 2010

50. Caroline Stott* – (UK) Team Ghana 2016, 2017

51. Cashlyn Lovell*# – (USA) Team Ghana 2012, 2013

52. Cassa Palmer*# – (USA) Team Serbia 2016, Team Serbia/Bosnia 2018

53. Catherine Craver# – (USA) Team Ghana 2016

54. Cecilia Tetteh* – (Ghana) Team Ghana 2015, 2018(2)

55. Chad Craver# – (USA)  Team Ghana 2016

56. Chad Rosen –  (USA) Team Serbia/Bosnia 2016

57. Charles Baysinger – (USA) Team Serbia/Bosnia 2017

58. Chris Hawley*#– (USA) – Team Ghana 2012, 2013

59. Chris Hinkewich – (Canada) – Team Ghana 2010

60. Christina Noyes – (USA)  Team Egypt 2009

61. Claire Barker – (UK) Team Romania 2008

62. Corey Seidel* – (USA) Team Ghana 2014, 2015, 2016

63. Craig Palmer* (USA) – Team Serbia 2015, 2016 | Team Serbia/Bosnia 2018

64. Curtis Baysinger* (USA) – Team Ghana 2010, 2011 | Team Serbia 2012, 2013, 2014, 2015, 2016 (2) | Team Serbia/Bosnia 2017 (2), 2018 (2)

65. Cynthia French (USA) – Team Ghana 2015

66. Cyril Engmann* (USA) – Team Ghana 2006, 2007, 2008, 2009 (2), 2011

67. Daniel Fleming – (USA) – Team Bolivia 2018

68. Daniel Jolley – (Australia) – Team Mongolia 2009

69. Daniel Shegog# – (USA) – Team Ghana 2013

70. Danielle Richardson – (USA) – Team Ghana 2017

71. Danielle Roncari – (USA) – Team Romania 2008

72. David Addis (USA) – Team Ghana 2018

73. David Goodman* – (USA) – Team Ghana 2013, 2015(2), 2016, 2018

74. David Levy* – (UK) – Team Croatia 2005 | Team Egypt 2008

75. David Marshall Villanueva – (USA) – Team Serbia 2017

76. Dayne Logan# – (USA) – Team Ghana 2016

77. Deborah Travis (USA) – Team Ghana 2012

78. Dee Whatt-Jones (USA) – Team Ghana 2010

79. Denis Tsepov (UK) – Team Armenia 2015

80. Dennis Clements* (USA) – Team Ghana 2008, 2009, 2010

81. Dennis Shay* (USA) – Team Brazil 2007 | Team Georgia 2007 | Team Vietnam 2012, 2013

82. Don Shegog# (USA) – Team Ghana 2013

83. Donna Leavelle (USA) – Team Armenia Georgia 2010

84. Dragicia Kopic* (Croatia) – Team Ghana 2006, 2007

85. Dulce Anunciacion (USA) – Team Romania 2008

86. Dusan Perisic (USA) – Team Serbia 2015

87. Edward Bryan (USA) – Team Romania 2008

88. Edward Riley* (USA) – Team Serbia 2016, 2017, 2018

89. Elizabeth Bell (USA) – Team Turkey 2004

90. Elizabeth Bray* (USA) – Team Ghana 2012, 2013, 2015, 2016, 2017

91. Ella Dunham (USA) – Team Ghana 2017

92. Ellen Harrison (USA) – Team Romania 2008

93. Ellen Lockhart (USA) – Team Ghana 2007, 2008

94. Emily Herschmiller (USA) – Team Ghana 2014

95. Emily Sharpe (USA) – Team Serbia/Bosnia 2018

96. Emmanuel Yeboah* (Canada) – Team Ghana 2006(2), 2007, 2008, 2010, 2011, 2012, 2013, 2014, 2015 | Team Moldolvia 2016

97. Eric Wichara# (Kenya) – Team Ghana 2014

98. Erica Coffin (USA) – Team Serbia 2016

99. Erin Pfeiffer# (USA) – Team Ghana 2014

100. Ernest Maya (Ghana) – Team Ghana 2010

101. Ferne Braveman* (USA) – Team Egypt 2008, 2009 | Team Serbia 2014, 2015(2), 2016(2) | Team Serbia Bosnia 2017(2), 2018

102. Fiona Bryce* (UK) – Team Ghana 2011(3), 2012(2), 2013(2), 2014(3), 2015(4), 2016(4), 2017(2), 2018(4)

103. Gail Hollander* (USA) – Team Ghana 2010(2), 2011, 2012(2)

104. Gary Smith (USA) – Team Ghana 2006

105. Genny Olsen*# (USA) – Team Ghana 2009, 2010

106. Gillian Abir* (USA) – Team Armenia 2012, 2013 | Team Serbia 2016, 2017

107. Gina Wilson* (USA) – Team Ghana 2016(3)

108. Glennie Lane (Canada) – Team Ghana 2015

109. Gordon Yuill* (UK) – Team Armenia 2010, 2012, 2013, 2014, 2015

110. Grace Parr (Canada) – Team Ghana 2013

111. Harry Stump (USA) – Team Serbia 2016, 2018

112. Heather Craig (USA) – Team Serbia/Bosnia 2018

113. Heather Scott* (Canada) – Team Ghana 2013, 2014, 2015, 2016(2), 2017(2), 2018(2)

114. Helga Komen (Croatia) – Team Armenia 2012

115. Hilary Kate McCormick* (Canada) – Team Ghana 2017, 2018

116. Holly Muir* (USA) – Team Ghana 2006, 2007, 2008, 2009, 2010, 2012, 2015(2), 2016 | Team Siberia 2018

117. Hong-Thao Thieu (USA) – Team Romania 2008

118. Ifeyinwa Nwankwor (USA) – Team Ghana 2016

119. Ingrid Amorer* (USA) – Team Ghana 2017, 2018

120. Irene Redpath (UK) – Team Ghana 2018

121. Ivan Belickovic* (USA) – Team Serbia 2012 2013, 2014, 2015(2), 2016(2) | Team Serbia/Bosnia 2017(2), 2018(2)

122. Jalal Nanji (USA) – Team Serbia/Bosnia 2018

123. James David (Jimmy) Turner (USA) – Team Ghana 2016

124. Jane Matthews* (UK) – Team Ghana 2017, 2018

125. Janet Fields* (USA) – Team Ghana 207, 2008, 2009 | Team Romania 2008

126. Janet Waters (USA) – Team Serbia 2016

127. Jared Anderson (USA) – Team Armenia 2010

128. Jennifer Betts Oliver (USA) – Team Ghana 2017

129. Jennifer Fortney (USA) – Team Georgia/Turkey 2009

130. Jennifer Press# (USA) – Team Ghana 2008

131. Jennifer Stanislaus (USA) – Team Ghana 2013

132. Jessica May (USA) – Team Ghana 2013

133. Jessica Meyers (USA) – Team Ghana 2012

134. Jessica Sola-Acevedo (USA) – Team Ghana 2012

135. Jessica Wolin (USA) – Team Turkey 2004

136. Jesslaine Nickolet (Canada) – Team Ghana 2010

137. Jimmy Gardiner (Ireland) – Team Turkey 2004

138. Jo Davies (USA) – Team Mongolia 2009

139. Joann Pelton (USA) – Team Ghana 2009

140. Joanne Douglas (Canada) – Team Eqypt 2009

141. Joe Jowers*# (USA) – Team Ghana 2013(2)

142. John Schultz* (USA) – Team Croatia 2005 | Team Georgia/Armenia 2006, 2007(2), 2009, 2010(2)

143. Jonathan Waters (USA) – Team Serbia 2016

144. Joseph Chapman* (USA) – Team Ghana 2010, 2011, 2012, 2015

145. Jozy Unal*# (USA) – Team Ghana 2012, 2013, 2016, 2017, 2018

146. Judy Hatteberg# (USA) – Team Ghana 2009

147. Judy Johnson# (Canada) – Team Ghana 2008

148. Judy Margolis* (USA) – Team Georgia/Turkey 2009 | Team Armenia 2010

149. Julie Fritz (USA) – Team Georgia 2007

150. Julie Jenner# (USA) – Team Ghana 2008

151. Julia Siddall (UK) – Team Georgia/Turkey 2009

152. June Menard (Canada) – Team Ghana 2011

153. Justin Traunero (USA) – Team Ghana 2011

154. Kafui Demasio* (USA) – Team Ghana 2010, 2011, 2012

155. Kaitlin Gallagher (USA) – Team Ghana 2011

156. Karen Long (UK) – Team Ghana 2018

157. Karen Bartoletti# (USA) – Team Ghana 2011

158. Karen Coleman (UK) – Team Ghana 2016

159. Karen Wood* (USA) – Team Ghana 2007, 2008

160. Karim Mukhida (Canada) – Team Ghana 2012

161. Kate Eyles* (UK) – Team Ghana 2016, 2017, 2018

162. Kathi Barnhill*# (USA) – Team Ghana 2013(2)

163. Kayla Bryan (USA) – Team Ghana 2015

164. Kayleigh Vernon (USA) – Team Serbia 2016

165. Keli Lynn Beck* (USA) – Team Serbia 2017, 2018

166. Kelly Fedoruk* (USA) – Team Serbia/Bosnia 2017, 2018

167. Kelly McQueen (USA) – Team Ghana 2010

168. Ken Cummings (USA) – Team Eqypt 2008

169. Kerry Morgan* (UK) – Team Ghana 2012, 2013, 2014(2), 2015(2), 2016, 2017(4), 2018

170. Kevin Healy (USA) – Team Armenia 2014

171. Kevin Keith* (USA) – Team Ghana 2015(2)

172. Kim Carpenter* (USA) – Team Ghana 2014(2), 2015(4)

173. Kiran Jani (UK) – Team Egypt 2009

174. Kristin Bryant (USA) – Team Ghana 2007

175. Ku-mie Kim (USA) – Team Georgia 2007

176. Kyle Stapleton Adams (USA) – Team Serbia 2017

177. Kym Jansen (Australia) – Team Mongolia 2009

178. Lalia Bottros (USA) – Team Egypt 2009

179. Larry Hatteberg# (USA) – Team Ghana 2009

180. Laura Dean* (USA) – Team Ghana 2016, 2017

181. Laura McGarrity (Scotland) – Team Croatia 2005

191. Laurel Bookman* (USA) – Team Ghana 2007(2), 2008(3), 2009, 2010, 2011, 2012, 2013, 2014

192. Lauren Michele Adolph* (Canada) – Team Ghana 2017, 2018

193. Lauren Reavis* (USA) – Team Ghana 2009, 2012(2)

194. Lawrence Fordjour* (USA) – Team Ghana 2009, 2010, 2016(2), 2017, 2018 | Team Serbia 2013, 2014, 2015

195. Leah Greenspan Hodor* (USA) – Team Ghana 2016(2), 2017

196. Lisa Anne Cassidey-Vu (USA) – Team Serbia 2018

197. Lisa Councilman Corbett* (USA) – Team Georgia/Armenia 2006, 2007, 2009, 2010(2) | Team Romania 2007, 2008, 2009 | Team Ukraine 2018

198. Lisa Washburn* (USA) – Team Ghana 2012, 2014, 2015, 2016 | Team Armenia 2014

199. Liz Floyd* (UK) – Team Ghana 2011(3), 2012(2), 2013(3), 2014(3), 2015(3), 2016(3), 2017, 2018

200. Lorraine Chow (Canada) – Team Ghana 2011

201. Louisa Oates# (USA) – Team Ghana

202. Lu Wang (USA) – Team Ghana 2014

203. Lurry Leavelle (USA) – Team Armenia/Georgia 2010

204. Lydia Grondin* (USA) – Team Croatia 2005 | Team Ghana 2007

205. Lynne Paterson* (UK) – Team Ghana 2017, 2018

206. Magdalena Serpa (USA) – Team Ghana 2016

207. Mandisa Haywood-Jones* (USA) – Team Ghana 2010(2), 2011, 2013(2)

208. Margaret Casey (Canada) – Team Ghana 2016

209. Margaret Harper (USA) – Team Ghana 2009

210. Marge Sedensky* (USA) – Team Turkey 2004 | Team Croatia 2005, 2007 | Team Ghana 2006 | Team Mongolia 2009 | Team Vietnam 2012, 2013

211. Maria Small* (USA) – Team Ghana 2009, 2010

212. Mariam Batakji (USA) – Team Ghana 2017

213. Mario Rojas (USA) – Team Ghana 2014

214. Mark Scrutton (UK) – Team Turkey 2004

215. Marlon Brathwaite (USA) – Team Ghana 2015

215. Martha Dean*# (USA) – Team Ghana 2016, 2017

216. Martha Harrelson (USA) – Team Ghana 2015

217. Mary Dimiceli (USA) – Team Serbia/Bosnia 2016

218. Mary Ellen Lane* (USA) – Team Ghana 2007, 2008

219. Mary Parker* (UK) – Team Ghana 2016(3)

220. Mary Watkins* (USA) – Team Ghana 2010, 2015(2), 2017

221. Matt Benshoff (USA) – Team Ghana 2013

222. Matt Hatch* (USA) – Team Ghana 2012, 2014, 2015(2), 2016, 2017, 2018

223. Maya Suresh (USA) – Team Brazil 2007

224. Mayisha Dunham (USA) – Team Ghana 2017

225. Medge Owen * (USA) Team Croatia 2003, 2005 2007 | Team Brazil 2003 | Team Turkey 2004, 2009 | Team Georgia 2004, 2006, 2009 |
         Team Japan 2008 | Team Eqypt 2008 | Team Vietnam 2013 | Team Serbia 2015, 2018 | Team Ghana 2007, 2008(2), 2009(2), 2010(10),
         2011(11), 2012(4), 2013(6), 2014(5), 2015(5), 2016(3), 2017(4), 2018(4) | Team Bolivia 2018

226. Melissa Kreso (USA) – Team Serbia/Bosnia 2017

227. Melissa Potisek* (USA) – Team Ghana 2016 | Team Serbia/Bosnia 2018

228. Melvin Seid* (USA) – Team Georgia/Armenia 2006 | Team Serbia 2012 | Team Vietnam 2013 | Team Ghana 2016, 2017(2) | Team Mongolia 2018

229. Michael Moyer* (USA) – Team Ghana 2011, 2012, 2013, 2014, 2016

230. Michael David Merz (USA) – Team Serbia 2018

231. Michael Rieker* (USA) – Team Ghana 2007, 2009, 2010, 2011, 2012, 2013

232. Michelle Spears (USA) – Team Romania 2008

233. Mikki Garris* (USA) – Team Ghana 2010, 2011

234. Milicia Markovic (USA) – Team Serbia 2016

235. Modupeola Akinola* (USA)  – Team Ghana 2012, 2013

236. Nader Helmi (USA) – Team Egypt 2008

237. Nancy Jenner*# (USA) – Team Ghana 2008, 2009

238. Nancy Pearson* (USA)  – Team Ghana 2012, 2013(2), 2015, 2016

239. Naomi Kronitz (Canada) – Team Croatia 2005

240. Nate Tighe (USA) – Team Ghana 2018

241. Neeti Sadana* (USA) – Team Serbia/Bosnia 2017, 2018

242. Nicole Coulter (UK) – Team Ghana 2013

243. Niki Taylor (USA) – Team Ghana 2009

244. Nyree van Maarseveen (USA) – Team Vietnam 2013

245. Oleg Turkot (USA) – Team Serbia/Bosnia 2017

246. Olga DeSimone* (USA) – Team Georgia 2010 | Team Armenia 2012, 2014

247. Onyi Oluoha* (USA) – Team Ghana 2012, 2013

248. Ozlem Yalcindag (USA) – Team Romania 2009

249. Parker Lovell* (USA) – Team Ghana 2012, 2013

250. Pat Cotton Lord (USA) – Team Serbia 2017

251. Patricia Dalby* (USA) – Team Croatia 2005 | Team Serbia 2016

252. Patrick McConville (USA) – Team Ghana 2010

253. Paul Gibson* (Canada) – Team Croatia 2005 | Team Brazil 2007

254. Paul Nelson (USA) – Team Romania 2008

255. Pauline Stone (Scotland) – Team Brazil 2007

256. Phil Morgan (USA) – Team Mongolia 2009

257. Philip Herlihy# (UK) – Team Ghana 2011

258. Phillippe Gautier* (Belgium) – Team Croatia 2005, 2007 | Team Georgia/Armenia 2006

259. Quin Vu (USA) – Team Vietnam 2013

260. Ray Hawley*# (USA) – Team Ghana 2012, 2013

261. Renee Abbott (USA) – Team Egypt 2009

262. Richard Smiley (USA) – Team Ghana 2009

263. Richard William Lord (USA) – Team Serbia 2017

264. Robert Bowes (USA) Team Ghana 2008

265. Robin Sizemore*# (USA) – Team Georgia/Armenia 2006, 2007 | Team Ghana 2008

266. Rod Hamilton (Scotland) – Team Georgia/Armenia 2006

267. Rohit Ramaswamy* (USA) – Team Ghana 2006, 2012(3), 2013, 2014(2), 2015(2), 2016, 2017, 2018(2)

268. Romeck van Zeyl*# (Germany) – Team Ghana 2013, 2014(4), 2015(3)

269. Ron Goldberg (USA) – Team Ghana 2011

270. Ron Olson (USA) – Team Ghana 2016

271. Ronald George* (Canada) – Team Egypt 2008 | Team Armenia 2014, 2015 | Team Mongolia 2018 | Team Ghana 2007, 2008(2), 2009, 2010, 2011(2),
         2012, 2013(3), 2014(2), 2015(2), 2016(2), 2017(2), 2018(2)

272. Ronny Bell (USA) – Team Ghana 2010

273. Rosalie Truong (USA) – Team Vietnam 2013

274. Rosalind Boyer-Cole (USA) – Team Ghana 2011

275. Ross Vaughan (USA) – Team Mongolia 2009

276. Russell Fothergill* (USA) – Team Romania 2009 | Team Georgia 2010

277. Ryan Oglesby* (USA) – Team Ghana 2017(2)

278. Sabri Barsoum* (USA) – Team Egypt 2007, 2008, 2009

279. Samantha Tulenko* (USA) – Team Ghana 2017(2)

280. Sandra Jadin (Canada) – Team Serbia/Bosnia 2018

281. Sarah Poggi* (USA) – Team Egypt 2009 | Team Ghana 2011, 2012 | Team Serbia 2014 | Team Serbia/Bosnia 2018

282. Sashi Rathnasabapathy* (UK) – Team Brazil 2007 | Team Egypt 2008

283. Scott Witt (USA) – Team Ghana 2009

284. Sebnem Ucer * (USA) – Team Ghana 2015, 2016(2), 2017, 2018

285. Shahla Namak* (USA) – Team Egypt 2009 | Team Armenia 2012, 2013, 2014, 2015 | Team Serbia 2016, 2017, 2018(2)

286. Shannon Barto*# (USA) – Team Ghana 2012, 2013, 2016, 2017

287. Shannon Curry (USA) – Team Ghana 2012

288. Sheel Todd (USA) – Team Ghana 2015

289. Shelby Turley# (USA) – Team Ghana 2006

290. Shelma Williams * (USA) – Team Ghana 2007(2), 2009, 2012, 2013(2), 2015

291. Sherlynn Walker# (USA) – Team Ghana 2009

292. Simon Millar* (Scotland) – Team Georgia/Armenia 2006, 2007 | Team Armenia 2010, 2012, 2013, 2014, 2015

293. Stephanie Blake (USA) – Team Ghana 2011

294. Stephanie Castro (USA) – Team Vietnam 2013

295. Stephanie McGuire (USA) – Team Ghana 2010

296. Steve Cole (Australia) – Team Mongolia 2009

297. Steve Contag (USA) – Team Brazil 2007

298. Sung Min Kim* (USA) – Team Ghana 2014(2)

299. Susan Christmas (USA) – Team Croatia 2005

300. Susan Jane Wheeldon (UK) – Team Chana 2017, 2018

301. Susan Stein (USA) – Team Eqypt 2008

302. Suzanne Mintz* (USA) – Team Ghana 2016, 2018

303. Sydney Mahaffey (USA) – Team Ghana 2012

304. Tara Cushman (USA) – Team Ghana 2016

305. Taylor Austin (USA) – Team Ghana 2013

306. Teresa Marino (USA) – Team Romania 2011

307. Terrence Allen* (UK) – Team Egypt 2008, 2009

308. Terry Bogard* (USA) – Team Croatia 2005, 2007

309. Terry Breen* (Canada) – Team Turkey 2004 | Team Ghana 2007 | Team Vietnam 2013

310. Thomas Vernon (USA) – Team Serbia 2016

311. Tiffany Gay# (USA) – Team Ghana 2008

312. Tigran Sukiasyan (USA) – Team Armenia 2012

313. Toby Olufolabi (USA) – Team Ghana 2010

314. Tom Ivester* (USA) – Team Ghana 2008, 2009(2), 2010(3), 2011, 2012

315. Torijaun Dallas (USA) – Team Ghana 2013

316. Turgay Aytac (Turkey) – Team Ghana 2012

317. Valerie Zaphiratos (Canada) – Team Ghana 2013

318. Vernon Ross* (USA) – Team Ghana 2004, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2015, 2016(2), 2017, 2018

319. Vicki Clark* (Scotland) – Team Brazil 2007 | Team Eqypt 2008, 2009

320. Victor Tregubov* (UK) – Team Armenia 2012, 2013, 2014, 2015

321. Victoria Giammattei (USA) – Team Ghana 2017

322. Virgil Manica* (USA) – Team Georgia/Armenia 2006, 2007, 2009 | Team Romania 2007, 2008, 2009, 2010, 2011, 2012, 2014, 2015, 2016 | Team Moldolva 2016

323. Von Vivita Peters* (USA) – Team Ghana 2017, 2018

324. Walidah Muhammad*# – Team Ghana 2013(2)

325. Wendy Gore-Hickman* (Canada) – Team Ghana 2006, 2008, 2010, 2011 | Team Georgia/Armenia 2006

326. William Horn (USA) – Team Ghana 2008

327. Wilson Chimbira*  (USA) – Team Ghana 2006, 2007

328. Winifred Nyarko (Ghana) – Team Ghana 2010

329. Yemi Olufolabi* (USA) – Team Ghana 2004, 2006(2), 2007(2), 2008(3), 2009(3), 2010(2), 2011(4), 2012(4), 2013(2), 2014(3), 2015(4), 2016(3), 2017(2), 2018

330. Yen Flanagin# – (USA) – Team Vietnam 2013

331. Yesim Unal# (Turkey) – Team Ghana 2010

332. Yvette West (USA) – Team Ghana 2008

333. Zaneta Strouch (USA) – Team Ghana 2016