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Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal

Program managers routinely design and implement specialised maternal and newborn health trainings for health workers in low- and middle-income countries to provide better-coordinated care across the continuum of care. However, in these countries details on the availability of different training pack...

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Autores principales: Sharma, Gaurav, Molla, Yordanos B., Budhathoki, Shyam Sundar, Shibeshi, Million, Tariku, Abraham, Dhungana, Adhish, Bajracharya, Bindu, Mebrahtu, Goitam G., Adhikari, Shilu, Jha, Deepak, Mussema, Yunis, Bekele, Abeba, Khadka, Neena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553030/
https://www.ncbi.nlm.nih.gov/pubmed/34710115
http://dx.doi.org/10.1371/journal.pone.0258624
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author Sharma, Gaurav
Molla, Yordanos B.
Budhathoki, Shyam Sundar
Shibeshi, Million
Tariku, Abraham
Dhungana, Adhish
Bajracharya, Bindu
Mebrahtu, Goitam G.
Adhikari, Shilu
Jha, Deepak
Mussema, Yunis
Bekele, Abeba
Khadka, Neena
author_facet Sharma, Gaurav
Molla, Yordanos B.
Budhathoki, Shyam Sundar
Shibeshi, Million
Tariku, Abraham
Dhungana, Adhish
Bajracharya, Bindu
Mebrahtu, Goitam G.
Adhikari, Shilu
Jha, Deepak
Mussema, Yunis
Bekele, Abeba
Khadka, Neena
author_sort Sharma, Gaurav
collection PubMed
description Program managers routinely design and implement specialised maternal and newborn health trainings for health workers in low- and middle-income countries to provide better-coordinated care across the continuum of care. However, in these countries details on the availability of different training packages, skills covered in those training packages and the gaps in their implementation are patchy. This paper presents an assessment of maternal and newborn health training packages to describe differences in training contents and implementation approaches used for a range of training packages in Ethiopia and Nepal. We conducted a mixed-methods study. The quantitative assessment was conducted using a comprehensive assessment questionnaire based on validated WHO guidelines and developed jointly with global maternal and newborn health experts. The qualitative assessment was conducted through key informant interviews with national stakeholders involved in implementing these training packages and working with the Ministries of Health in both countries. Our quantitative analysis revealed several key gaps in the technical content of maternal and newborn health training packages in both countries. Our qualitative results from key informant interviews provided additional insights by highlighting several issues with trainings related to quality, skill retention, logistics, and management. Taken together, our findings suggest four key areas of improvement: first, training materials should be updated based on the content gaps identified and should be aligned with each other. Second, trainings should address actual health worker performance gaps using a variety of innovative approaches such as blended and self-directed learning. Third, post-training supervision and ongoing mentoring need to be strengthened. Lastly, functional training information systems are required to support planning efforts in both countries.
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spelling pubmed-85530302021-10-29 Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal Sharma, Gaurav Molla, Yordanos B. Budhathoki, Shyam Sundar Shibeshi, Million Tariku, Abraham Dhungana, Adhish Bajracharya, Bindu Mebrahtu, Goitam G. Adhikari, Shilu Jha, Deepak Mussema, Yunis Bekele, Abeba Khadka, Neena PLoS One Research Article Program managers routinely design and implement specialised maternal and newborn health trainings for health workers in low- and middle-income countries to provide better-coordinated care across the continuum of care. However, in these countries details on the availability of different training packages, skills covered in those training packages and the gaps in their implementation are patchy. This paper presents an assessment of maternal and newborn health training packages to describe differences in training contents and implementation approaches used for a range of training packages in Ethiopia and Nepal. We conducted a mixed-methods study. The quantitative assessment was conducted using a comprehensive assessment questionnaire based on validated WHO guidelines and developed jointly with global maternal and newborn health experts. The qualitative assessment was conducted through key informant interviews with national stakeholders involved in implementing these training packages and working with the Ministries of Health in both countries. Our quantitative analysis revealed several key gaps in the technical content of maternal and newborn health training packages in both countries. Our qualitative results from key informant interviews provided additional insights by highlighting several issues with trainings related to quality, skill retention, logistics, and management. Taken together, our findings suggest four key areas of improvement: first, training materials should be updated based on the content gaps identified and should be aligned with each other. Second, trainings should address actual health worker performance gaps using a variety of innovative approaches such as blended and self-directed learning. Third, post-training supervision and ongoing mentoring need to be strengthened. Lastly, functional training information systems are required to support planning efforts in both countries. Public Library of Science 2021-10-28 /pmc/articles/PMC8553030/ /pubmed/34710115 http://dx.doi.org/10.1371/journal.pone.0258624 Text en © 2021 Sharma 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
Sharma, Gaurav
Molla, Yordanos B.
Budhathoki, Shyam Sundar
Shibeshi, Million
Tariku, Abraham
Dhungana, Adhish
Bajracharya, Bindu
Mebrahtu, Goitam G.
Adhikari, Shilu
Jha, Deepak
Mussema, Yunis
Bekele, Abeba
Khadka, Neena
Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal
title Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal
title_full Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal
title_fullStr Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal
title_full_unstemmed Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal
title_short Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal
title_sort analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: lessons from ethiopia and nepal
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553030/
https://www.ncbi.nlm.nih.gov/pubmed/34710115
http://dx.doi.org/10.1371/journal.pone.0258624
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