Evaluation of a novel training package among frontline maternal, newborn, and child health workers in South Sudan

Nelson, Brett D.; Ahn, Roy; Fehling, Maya; Eckardt, Melody J.; Conn, Kathryn L.; El-Bashir, Alaa; Tiernan, Margaret; Purcell, Genevieve; Burke, Thomas F.

doi:10.1016/j.ijgo.2012.05.019

Cited by 30 publications

(40 citation statements)

References 11 publications

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“…The HBLSS program uses a cascade training approach, similar to other programs in which training extends across multiple levels of trainees and the numbers of people trained increases with each level (eg, health consultants, master trainers, and trainers). After receiving training, one level is responsible for training the next level down with support from higher levels, as needed . These programs differ in the extent to which they emphasize didactic or participatory methods such as hands‐on training and practice and follow‐up supervision after the initial training …”

Section: Introductionmentioning

confidence: 99%

“…Health worker training programs have used a number of strategies to evaluate and demonstrate change in health workers’ skills and knowledge. Evaluation efforts have entailed (solely or in combination) pre‐ and posttraining knowledge tests, observation of skills by trainers, objective simulated clinical examinations, health worker self‐reports, and interviews with end users (community members who are the intended recipients of the care/education) . Some have also conducted evaluations a while after the posttraining to assess retention of knowledge and skills over time .…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and Skills Retention Among Frontline Health Workers: Community Maternal and Newborn Health Training in Rural Ethiopia

Gobezayehu¹,

Mohammed²,

Dynes³

et al. 2014

J Midwife Womens Health

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Introduction We examined the degree to which the skills and knowledge of health workers in Ethiopia were retained 18 months after initial maternal and newborn health training and sought to identify factors associated with 18‐month skills assessment performance. Methods A nonexperimental, descriptive design was employed to assess 18‐month skills performance on the topics of Prevent Problems Before Baby Is Born and Prevent Problems After Baby Is Born. Assessment was conducted by project personnel who also received the maternal and newborn health training and additional training to reliably assess health worker performance. Results Among the 732 health workers who participated in maternal and newborn health training in 6 rural districts of the Amhara and Oromia regions of Ethiopia (including pretesting before training and a posttraining posttest), 75 health extension workers (78%) and 234 guide team members (37%) participated in 18‐month posttest. Among health extension workers in both regions, strong knowledge retention was noted in 10 of 14 care steps for Prevent Problems Before Baby Is Born and in 14 of 16 care steps of Prevent Problems After Baby Is Born. Lower knowledge retention was observed among guide team members in the Amhara region. Across regions, health workers scored lowest on steps that involved nonaction (eg, do not give oxytocin). Educational attainment and age were among the few variables found to significantly predict test performance, although participants varied substantially by other sociodemographic characteristics. Discussion Results demonstrated an overall strong retention of knowledge and skills among health extension workers and highlighted the need for improvement among some guide team members. Refresher training and development of strategies to improve knowledge of retention of low‐performing steps were recommended.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge and Skills Retention Among Frontline Health Workers: Community Maternal and Newborn Health Training in Rural Ethiopia

Gobezayehu¹,

Mohammed²,

Dynes³

et al. 2014

J Midwife Womens Health

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“…The current study demonstrated that the local trainers adequately managed the midwifery training and improved trainee's knowledge. As the effectiveness of training of trainers targeting nurses/midwives has been rarely reported (Nelson et al, 2012), this study contributes additional evidence. The local trainers could be key players in the expansion of the trainings throughout the State.…”

Section: ) Expansion Of Midwifery Trainings and Continuous Educationmentioning

confidence: 85%

“…The local trainers could be key players in the expansion of the trainings throughout the State. However, it should be noted that the improvements in outcomes were attained just after the training sessions, and the knowledge level was likely to drop to some extent over time (Nelson et al, 2012). Refresher training for midwives and periodical supervisory visits to PHCs by the trainers could contribute to the retention of skills as well as the knowledge obtained through the trainings.…”

Section: ) Expansion Of Midwifery Trainings and Continuous Educationmentioning

confidence: 99%

Impact assessment of a maternal health project in a megacity, Nigeria: toward a future with more demand for maternal health services

Matsuoka¹,

Koga²,

Suzui

et al. 2016

Health Planning & Management

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To improve the quantity and quality of maternal health services in Lagos State, Nigeria having a maternal mortality ratio of 555 per 100 000 live births, a four-year project was implemented since February 2010. The major activity of the project was training for both the service supply and demand sides. This study aimed to examine the impact of the project on coverages and quality of the services in target areas, and guide statewide policies. The Cochran-Armitage test for trend was applied to understand trends in the service coverages during 2009-2013. The same test was performed to analyse trends in the proportions of perineal conditions (i.e. intact or tear) and to evaluate variations in midwives' snkill during 2011-2013. The paired t-test was used to analyse changes in midwives' knowledge. The project interventions contributed to a significant increase in the overall service coverages, including improvements in midwifery knowledge and possibly in their skills. However, the service coverage was still limited as of the termination of the project. To instal the interventions and maximise the effect of them state-wide, it is recommended to undertake five tasks: (i) establishment of public primary health centres offering 24-h maternal health services; (ii) redeployment and recruitment of public health personnel; (iii) expansion of midwifery trainings and continuous education by the local trainers; (iv) review of grass-roots level activities; and (v) scrutiny of barriers to maternal health services. Copyright © 2016 John Wiley & Sons, Ltd.

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“…Additional details on the implementation, monitoring and evaluation of the programme will be published elsewhere. 28 …”

Section: Introductionmentioning

confidence: 99%

Development of a community-based maternal, newborn and child emergency training package in South Sudan

et al. 2013

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Evaluation of a novel training package among frontline maternal, newborn, and child health workers in South Sudan

Abstract: The MNCS package has led to improved FHW knowledge, skills, and referral. A novel package of training, checklists, and equipment can be successfully implemented in resource-limited settings and enhance links between community-based providers and healthcare facilities.

Cited by 30 publications

References 11 publications

Knowledge and Skills Retention Among Frontline Health Workers: Community Maternal and Newborn Health Training in Rural Ethiopia

Knowledge and Skills Retention Among Frontline Health Workers: Community Maternal and Newborn Health Training in Rural Ethiopia

Impact assessment of a maternal health project in a megacity, Nigeria: toward a future with more demand for maternal health services

Development of a community-based maternal, newborn and child emergency training package in South Sudan

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