One-year evaluation of the impact of an emergency obstetric and neonatal care training program in Western Kenya

Spitzer, Rachel F.; Steele, Sarah Jane; Caloia, David; Thorne, Julie; Bocking, Alan D.; Christoffersen-Deb, Astrid; Yarmoshuk, Aaron N.; Maina, Loise; Sitters, Johanna; Chemwolo, Benjamin; Omenge, Elkanah

doi:10.1016/j.ijgo.2014.05.023

Cited by 27 publications

(38 citation statements)

References 8 publications

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“…The present findings support those of previous studies assessing the immediate outcomes associated with EmONC training [8–11]. A further study [22], which included 65 senior medical students in Rwanda who completed a 2-day training in Advanced Life Support in Obstetrics before their clerkship in obstetrics and gynecology, also evaluated longer-term EmONC knowledge and skills retention following training.…”

Section: Discussionsupporting

confidence: 87%

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Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi

Tang

Kaliti

Bengtson

et al. 2015

Intl J Gynecology & Obste

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Objective To evaluate whether a hospital-based mentoring program could significantly increase short- and longer-term emergency obstetrics and neonatal care (EmONC) knowledge and skills among health providers. Methods In a prospective before-and-after study, 20 mentors were trained using a specially-created EmONC mentoring and training program at Bwaila Hospital in Lilongwe, Malawi. The mentors then trained an additional 114 providers as mentees in the curriculum. Mentors and mentees were asked to complete a test before initiation of the training (Pre-Test), immediately after training (Post-Test 1), and at least 6 months after training (Post-Test 2) to assess written and practical EmONC knowledge and skills. Mean scores were then compared. Results Scores increased significantly between the Pre-Test and Post-Test 1 for both written (n=134; difference 22.9%, P<0.001) and practical (n=125; difference 29.5%, P<0.001) tests. Scores were still significantly higher in Post-Test 2 than in the Pre-Test for written (n=111; difference 21.0%, P<0.001) and practical (n=103; difference 29.3%, P<0.001) tests. Conclusion A hospital-based mentoring program can result in both short- and longer-term improvement in EmONC knowledge and skills. Further research is required to assess whether this leads to behavioral changes that improve maternal and neonatal outcomes.

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Section: Discussionsupporting

confidence: 87%

“…Two studies have evaluated the effect of EmONC training on maternal outcomes [8,11]. One such study was performed at a hospital in Kenya and involved the introduction of an international program named “Advances in Labor and Risk Management” [11].…”

Section: Discussionmentioning

confidence: 99%

Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi

Tang

Kaliti

Bengtson

et al. 2015

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Four studies reported changes in behaviour or practice (level 3c) [17,34,35,54,57]. Thirteen studies had outcomes at level 4, of which 11…”

Section: Impact Of Skill Training In Emergency Obstetric and Neonatalmentioning

confidence: 99%

“…With regard to infant outcomes, three studies reported, after training, a significant reduction in Apgar scores <7 at 5 minutes [33, 44,57], whereas in the Australian PROMPT study the reduction was only significant at 1 minute [46]. Drayott and colleagues…”

Section: Impact Of Skill Training In Emergency Obstetric and Neonatalmentioning

confidence: 99%

“…Two studies from Tanzania [12] and Kenya [57] observed a significant decrease in postpartum haemorrhage, although in the latter study there was no significant reduction in the case fatality rate [57]. In terms of a reduction in maternal mortality the QUARITE study documented a decrease in maternal deaths from haemorrhage, pre-eclampsia or eclampsia, and puerperal infection in the intervention group, but the mortality reduction was only significant in the capital hospitals and district hospitals, but not in regional hospitals [36].…”

Section: Impact Of Skill Training In Emergency Obstetric and Neonatalmentioning

confidence: 99%

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What is the impact of multi-professional emergency obstetric and neonatal care training?

Bergh

Baloyi

Pattinson

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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This paper reviews evidence regarding change in healthcare-provider behaviour and maternal and neonatal outcomes as a result of emergency obstetric and neonatal care (EmONC) training. A refined version of the Kirkpatrick classification for programme evaluation was used to focus on change in efficiency and impact of training (levels 3 and 4). Twenty-three studies were reviewed -5 randomised controlled trials, 2 quasi-experimental studies and 16 before-and-after observational studies. Training programmes had all been developed in highincome countries and adapted for use in low-and middle-income countries. Nine studies reported on behaviour change and 13 on process and patient outcomes. Most showed positive results. Every maternity unit should provide EmONC teamwork training, mandatory for all healthcare providers. The challenges are: scaling up such training to all institutions; sustaining regular in-service training; integrating training into institutional and health-system patient-safety initiatives; and 'thinking-out-of-the-box' in evaluation research.

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Challenges of management and outcome of neonatal surgery in Africa: a systematic review

2016

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Improvement has been achieved in outcomes of neonatal surgery in Africa in the past two decades, although several of the studies reviewed are retrospective and poorly designed. Cost effective adaptations for neonatal intensive care, improved health-care funding, coordinated neonatal surgical care via regional centres, and collaboration with international partners are potential interventions that could help to address the challenges and further improve outcome.

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One-year evaluation of the impact of an emergency obstetric and neonatal care training program in Western Kenya

Abstract: The introduction of the AIP improved maternal outcomes. There were significant differences related to use of oxytocin and postpartum hemorrhage.

Cited by 27 publications

References 8 publications

Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi

Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi

What is the impact of multi-professional emergency obstetric and neonatal care training?

Challenges of management and outcome of neonatal surgery in Africa: a systematic review

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