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Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study
In Ethiopia maternal and perinatal morbidity and mortality remains high. Timely access to quality emergency obstetric and neonatal care is essential for the prevention of adverse outcomes. Training healthcare providers can play an important role in improving quality of care, thereby reducing materna...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522022/ https://www.ncbi.nlm.nih.gov/pubmed/37751409 http://dx.doi.org/10.1371/journal.pgph.0000889 |
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author | Hulsbergen, Myrrith Abera, Birhanu Adefris, Mulat Kassahun, Dawit Meulenbeld, Marieke van Nievelt, Sabine Ameh, Charles Bruinooge, Mimosa Rijken, Marcus J. Stekelenburg, Jelle |
author_facet | Hulsbergen, Myrrith Abera, Birhanu Adefris, Mulat Kassahun, Dawit Meulenbeld, Marieke van Nievelt, Sabine Ameh, Charles Bruinooge, Mimosa Rijken, Marcus J. Stekelenburg, Jelle |
author_sort | Hulsbergen, Myrrith |
collection | PubMed |
description | In Ethiopia maternal and perinatal morbidity and mortality remains high. Timely access to quality emergency obstetric and neonatal care is essential for the prevention of adverse outcomes. Training healthcare providers can play an important role in improving quality of care, thereby reducing maternal and perinatal mortality and morbidity. The aim of this study was to evaluate change of knowledge, skills and behaviour in health workers who attended a postgraduate Emergency Obstetric and Newborn Care training in Gondar, Ethiopia. A descriptive study with before-after approach, using a mix of quantitative and qualitative data, based on Kirkpatrick’s model for training evaluation was conducted. The evaluation focussed on reaction, knowledge, skills, and change in behaviour in clinical practice of health care providers and facilitator’s perspectives on performance. A ‘lessons learned approach’ was included to summarize facilitators’ perspectives. Health care providers reacted positively to the Emergency Obstetric and Newborn Care training with significant improvement in knowledge and skills. Of the 56 participants who attended the training, 44 (79%) were midwives. The main evaluation score for lectures was 4,51 (SD 0,19) and for breakout sessions was 4,52 (SD 0.18) on scale of 1–5. There was a statistically significant difference in the pre and post knowledge (n = 28, mean difference 13.8%, SD 13.5, t = 6.216, p<0.001) and skills assessments (n = 23, mean difference 27.4%, SD 22.1%, t = 5.941, p<0.001). The results were the same for every component of the skills and knowledge assessment. Overall, they felt more confident in performing skills after being trained. Local sustainability, participant commitment and local context were identified as challenging factors after introducing a new training program. In Gondar Ethiopia, the Emergency Obstetric and Newborn Care training has the potential to increase skilled attendance at birth and improve quality of care, both vital to the reduction of maternal and perinatal mortality and morbidity. |
format | Online Article Text |
id | pubmed-10522022 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-105220222023-09-27 Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study Hulsbergen, Myrrith Abera, Birhanu Adefris, Mulat Kassahun, Dawit Meulenbeld, Marieke van Nievelt, Sabine Ameh, Charles Bruinooge, Mimosa Rijken, Marcus J. Stekelenburg, Jelle PLOS Glob Public Health Research Article In Ethiopia maternal and perinatal morbidity and mortality remains high. Timely access to quality emergency obstetric and neonatal care is essential for the prevention of adverse outcomes. Training healthcare providers can play an important role in improving quality of care, thereby reducing maternal and perinatal mortality and morbidity. The aim of this study was to evaluate change of knowledge, skills and behaviour in health workers who attended a postgraduate Emergency Obstetric and Newborn Care training in Gondar, Ethiopia. A descriptive study with before-after approach, using a mix of quantitative and qualitative data, based on Kirkpatrick’s model for training evaluation was conducted. The evaluation focussed on reaction, knowledge, skills, and change in behaviour in clinical practice of health care providers and facilitator’s perspectives on performance. A ‘lessons learned approach’ was included to summarize facilitators’ perspectives. Health care providers reacted positively to the Emergency Obstetric and Newborn Care training with significant improvement in knowledge and skills. Of the 56 participants who attended the training, 44 (79%) were midwives. The main evaluation score for lectures was 4,51 (SD 0,19) and for breakout sessions was 4,52 (SD 0.18) on scale of 1–5. There was a statistically significant difference in the pre and post knowledge (n = 28, mean difference 13.8%, SD 13.5, t = 6.216, p<0.001) and skills assessments (n = 23, mean difference 27.4%, SD 22.1%, t = 5.941, p<0.001). The results were the same for every component of the skills and knowledge assessment. Overall, they felt more confident in performing skills after being trained. Local sustainability, participant commitment and local context were identified as challenging factors after introducing a new training program. In Gondar Ethiopia, the Emergency Obstetric and Newborn Care training has the potential to increase skilled attendance at birth and improve quality of care, both vital to the reduction of maternal and perinatal mortality and morbidity. Public Library of Science 2023-09-26 /pmc/articles/PMC10522022/ /pubmed/37751409 http://dx.doi.org/10.1371/journal.pgph.0000889 Text en © 2023 Hulsbergen et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Hulsbergen, Myrrith Abera, Birhanu Adefris, Mulat Kassahun, Dawit Meulenbeld, Marieke van Nievelt, Sabine Ameh, Charles Bruinooge, Mimosa Rijken, Marcus J. Stekelenburg, Jelle Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study |
title | Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study |
title_full | Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study |
title_fullStr | Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study |
title_full_unstemmed | Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study |
title_short | Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study |
title_sort | evaluation of the emergency obstetric and newborn care training in gondar, ethiopia; a mixed methods study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522022/ https://www.ncbi.nlm.nih.gov/pubmed/37751409 http://dx.doi.org/10.1371/journal.pgph.0000889 |
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