Home‐Based Life‐Saving Skills in Liberia: Acquisition and Retention of Skills and Knowledge

Lori, Jody R.; Majszak, Christina M.; Martyn, Kristy K.

doi:10.1016/j.jmwh.2009.09.016

Cited by 15 publications

(17 citation statements)

References 21 publications

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“…Recall bias is of special concern when the situation being recalled was stressful. Earlier studies have revealed that reliability estimates of obstetric morbidity in West African countries are poor, especially when based on women's recall of their birth experiences 23 . In our study, incidents of postpartum hemorrhage were identified by the women interviewed.…”

Section: Discussionmentioning

confidence: 96%

“…In 1998, the American College of Nurse‐Midwives (ACNM) developed HBLSS with the understanding that childbearing women in the developing world have high rates of home birth with limited access to skilled care 5 6 …”

Section: Introductionmentioning

confidence: 99%

“…This group of traditional midwives then trained approximately 3400 community members, expected to be present at a birth, in the subsequent 6 months. One year posttest evaluation with traditional midwives revealed significant knowledge and skills retention of the steps associated with first actions, too much bleeding after birth, woman referral, and neonatal referral 5 …”

Section: Introductionmentioning

confidence: 99%

“…While studies report increased knowledge with community‐based education in developing countries, 5,7 this does not directly result in behavioral changes, such as more timely referrals, nor has it significantly affected maternal or neonatal outcomes 13‐15 . Other studies have shown modest behavioral changes and improved outcomes 16 …”

Section: Introductionmentioning

confidence: 99%

“…In 1998, the American College of Nurse-Midwives (ACNM) developed HBLSS with the understanding that childbearing women in the developing world have high rates of home birth with limited access to skilled care. 5 "HBLSS is a community and competency-based program that aims to reduce maternal and neonatal mortality by increasing access to basic life-saving measures within the home and community, and by decreasing delays in reaching referral facilities where life-threatening problems can be managed." 6 Home-Based Life-Saving Skills uses a participatory process that builds on local traditional knowledge and skills through discussion, demonstration, negotiation, and practice, working toward skills that are acceptable and thus more likely to be used when needed.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Behavior Change Following Implementation of Home‐Based Life‐Saving Skills in Liberia, West Africa

Lori¹,

Amable²,

Mertz³

et al. 2012

J Midwife Womens Health

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Introduction Home-Based Life Saving Skills (HBLSS) has been fully integrated into Liberia’s long term plan to decrease maternal and newborn mortality and morbidity coordinated through the Ministry of Health and Social Welfare. The objective of this article is to disseminate evaluation data from project monitoring and documentation on translation of knowledge and skills obtained through HBLSS into behavior change at the community level. Methods One year after completion of HBLSS training, complication audits were conducted with 434 postpartum women in one rural county in Liberia. Results Sixty-two percent (n=269) of the women were attended during birth by either an HBLSS-trained traditional midwife or family member, while 38 percent (n=165) were attended by a traditional midwife or family member who did not receive HBLSS training. HBLSS trained birth attendants performed significantly more First Actions (lifesaving actions taught to be performed after every delivery) than the non HBLSS trained attendants. Fourteen percent of our sample (n=62) reported “too much bleeding” following the delivery. Of these women, approximately half (n=29) were attended by an HBLSS-trained traditional midwife or family member. There was a significant difference in Secondary Actions (those actions taught to be performed when a woman experiences “too much bleeding” following childbirth) that were reported to have been performed by HBLSS-trained attendants (mean = 5.26, SD = 1.88) and untrained attendants (mean = 2.73, SD = 1.97); p-value <.0001. Conclusion Our findings suggest HBLSS knowledge is being transferred into behavior change and used at the community-level by traditional midwives and family members.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%