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Home‐Based Life Saving Skills in Ethiopia: An Update on the Second Phase of Field Testing
Author(s) -
Sibley Lynn,
Buffington Sandra Tebben,
Tedessa Lelisse,
McNatt Kathryn
Publication year - 2006
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1016/j.jmwh.2005.10.015
Subject(s) - phase (matter) , field (mathematics) , psychology , computer science , mathematics , chemistry , organic chemistry , pure mathematics
Home‐Based Life Saving Skills (HBLSS) was integrated over 3 years into a district‐level child survival project coordinated through the Ministry of Health and Save the Children Foundation/US in Liben Woreda, Guji Zone, Oromia Region, southern Ethiopia. During late 2004, the second phase of the program was reviewed for performance, home‐based management, learning transfer, and program coverage. The immediate posttraining performance score for HBLSS guides for “First Actions” was 87% (a 78% increase over the pretraining baseline) and 79% at 1 year (a 9% decrease from the immediate posttraining score). The home‐based management score of women attended by HBLSS guides for “First Actions” was 89%, compared to 32% for women assisted by other unskilled attendants. HBLSS guides teach women and families in the community as they were taught, by using pictorial Take Action Cards, role‐play and demonstration, and a variety of venues. Estimates of HBLSS coverage suggest that HBLSS guides attended 24% to 26% of births, and 54% of women giving birth were exposed to HBLSS training. The HBLSS field tests demonstrate a promising program that increases access to basic care for poor, underserved, rural populations who carry the greatest burden of maternal and neonatal mortality.