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Competency‐based training “Helping Mothers Survive: Bleeding after Birth” for providers from central and remote facilities in three countries
Author(s) -
Evans Cherrie L.,
Johnson Peter,
Bazant Eva,
Bhatnagar Neeta,
Zgambo Jane,
Khamis Asma R.
Publication year - 2014
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2014.02.021
Subject(s) - medicine , training (meteorology) , nursing , medical emergency , medical education , physics , meteorology
Objective To validate a new training module for skilled and semiskilled birth attendants authorized to provide care at birth—Helping Mothers Survive: Bleeding After Birth (HMS:BAB)—aimed at reducing postpartum hemorrhage, the leading cause of maternal mortality worldwide. BAB training involves single‐day, facility‐based training that emphasizes simulation of scenarios related to prevention, detection, and management of postpartum hemorrhage. Methods A total of 155 skilled and semiskilled birth attendants participated in training in India, Malawi, and Zanzibar, Tanzania. Knowledge and confidence were assessed before and after training. Skills and acceptability were assessed after training. Results Knowledge and confidence scores improved significantly from pre‐ to post‐training among all cadres in all three countries. The proportion of providers with passing knowledge scores increased significantly from pre‐ to post‐training among all cadres except for those already high at baseline. On three post‐training skills tests the overall proportion of individuals with a passing score ranged from 83% to 89%. Conclusion BAB training in prevention and management of postpartum hemorrhage increased knowledge and confidence among skilled and semiskilled birth attendants. Further studies are needed to determine the impact of this training on skills retention and clinical outcomes following postpartum hemorrhage, after broader implementation of the training program.