Scripties UMCG - Rijksuniversiteit Groningen
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Evaluation of intruducing a training of emergency obstetric and newborn care in Gondar, Ethiopia

(2016) Meulenbeld, M. (Marieke0

Background: Ethiopia is one of the countries with the highest number of maternal deaths.
The availability and access to emergency obstetric care is essential for the prevention of
maternal deaths. Training of healthcare providers (HCPs) can play an important role in
improving quality of care and thereby reducing maternal mortality and morbidity.
Objectives: To contribute to improving emergency obstetric care in Gondar Region, Ethiopia
by evaluating the impact of the introduction of a postgraduate Life Saving Skills-Emergency
Obstetric Care-Newborn Care (LSS-EmONC) training. The evaluation was focussed on
reaction, knowledge, skills, and change in behavior in clinical practice of HCPs. In this way
lessons learned from introducing a new competency based training program in emergency
obstetric care can be derived.
Methods: The descriptive study design with a before-after approach, using a mix of
quantitative and qualitative data, was based on Kirkpatrick’s model for training evaluation. In
addition a ‘lessons learned approach’ summarized facilitators’ perspectives.
Results: HCPs reacted positively to the LSS-EMONC training with significant improvement
in knowledge and skills after the training. Overall HCPs felt more confident in performing
skills after being trained. Based on supervisory visits and facilitators experience we learned
that local sustainability, participant commitment and local context are challenging factors in
introducing a new training program.
Conclusions: The LSS-EmONC training has the potential to improve skilled attendance at
birth and improve quality of care, which are all vital to the reduction of maternal mortality
and morbidity.

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