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...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000889&type=printable |
| _version_ | 1827800192723714048 |
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| author | Myrrith Hulsbergen Birhanu Abera Mulat Adefris Dawit Kassahun Marieke Meulenbeld Sabine van Nievelt Charles Ameh Mimosa Bruinooge Marcus J Rijken Jelle Stekelenburg |
| author_facet | Myrrith Hulsbergen Birhanu Abera Mulat Adefris Dawit Kassahun Marieke Meulenbeld Sabine van Nievelt Charles Ameh Mimosa Bruinooge Marcus J Rijken Jelle Stekelenburg |
| author_sort | Myrrith Hulsbergen |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T20:04:48Z |
| format | Article |
| id | doaj.art-c1a4f524dab24464b879809385cce686 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-11T20:04:48Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-c1a4f524dab24464b879809385cce6862023-10-04T05:58:09ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0139e000088910.1371/journal.pgph.0000889Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study.Myrrith HulsbergenBirhanu AberaMulat AdefrisDawit KassahunMarieke MeulenbeldSabine van NieveltCharles AmehMimosa BruinoogeMarcus J RijkenJelle StekelenburgIn 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.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000889&type=printable |
| spellingShingle | Myrrith Hulsbergen Birhanu Abera Mulat Adefris Dawit Kassahun Marieke Meulenbeld Sabine van Nievelt Charles Ameh Mimosa Bruinooge Marcus J Rijken Jelle Stekelenburg Evaluation of the Emergency Obstetric and Newborn Care training in Gondar, Ethiopia; a mixed methods study. PLOS Global Public Health |
| 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 |
| url | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000889&type=printable |
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