Midwifery. 2011 Feb;27(1):15-22. doi: 10.1016/j.midw.2009.07.009. Epub 2009 Sep 26.
to conduct and describe results from a process evaluation of home-based life saving skills (HBLSS) one year post-implementation.
a non-experimental, descriptive design was utilised employing both qualitative and quantitative techniques for data collection including: (1) key informant interviews, (2) group discussions, (3) performance testing, and (4) review of programme data.
rural Matlab, Bangladesh in the sub-district of Chandpur.
41 community health research workers (CHRW), five pregnant women, 14 support persons and four programme co-ordinators.
HBLSS is a family-centred approach to improving recognition of and referral for potentially life-threatening maternal and newborn complications. In June 2007, four HBLSS meetings were implemented in Matlab by 41 CHRW with all pregnant women in the study area.
(1) knowledge retention among CHRW, (2) programme coverage, and (3) strengths and challenges in HBLSS implementation.
results revealed rapid integration of the programme into the Matlab community with nearly 4500 HBLSS contacts with 2409 pregnant women between 15 June 2007 and 31 March 2008. Over 51% of pregnant women attended all four HBLSS meetings. Knowledge testing of CHRW showed strong retention with an increase in mean scores between immediate post-training and one-year post-training (from 78.7% to 92.7% and from 77.8% to 97.7% for two different HBLSS modules). Strengths of the HBLSS programme include high satisfaction among pregnant women, dedication of CHRW to the community, and strong organisation and supervision by programme staff. Challenges include lack of involvement of men, loss of two master trainers, and limited access to comprehensive emergency obstetric care at some referral sites.
the HBLSS programme was successfully implemented as a result of the high level of support and supervision by the maternal, newborn and child health staff at ICDDR,B. This evaluation highlights the value of community health workers in the fight against maternal and newborn mortality. Findings emphasise the strength of the HBLSS training approach in transferring knowledge from trainer to HBLSS guide.
对实施家庭生命支持技能（HBLSS）一年后的情况进行并描述其过程评估结果。
采用非实验性描述性设计，结合定性和定量技术收集数据，包括：（1）关键知情人访谈，（2）小组讨论，（3）绩效测试，和（4）方案数据审查。
孟加拉国 Chandpur 分区的 rural Matlab。
41 名社区卫生研究工作者（CHRW）、5 名孕妇、14 名支持人员和 4 名方案协调员。
HBLSS 是一种以家庭为中心的方法，旨在提高对产妇和新生儿潜在生命威胁并发症的识别和转介。2007 年 6 月，41 名 CHRW 在 Matlab 实施了 4 次 HBLSS 会议，覆盖了研究地区的所有孕妇。
（1）CHRW 的知识保留情况，（2）方案覆盖率，和（3）HBLSS 实施中的优势和挑战。
结果显示，该方案迅速融入 Matlab 社区，2007 年 6 月 15 日至 2008 年 3 月 31 日期间，4500 多次与 2409 名孕妇的 HBLSS 接触。超过 51%的孕妇参加了全部 4 次 HBLSS 会议。CHRW 的知识测试显示出较强的保留，即时训后和一年后培训的平均分数均有所提高（从 78.7%提高到 92.7%和从 77.8%提高到 97.7%，分别对应两个不同的 HBLSS 模块）。HBLSS 方案的优势包括孕妇满意度高、CHRW 对社区的奉献精神、以及方案工作人员的强有力组织和监督。挑战包括缺乏男性参与、两名主培训师流失，以及在一些转诊点获得全面紧急产科护理的机会有限。
由于 ICDDR,B 的孕产妇、新生儿和儿童健康工作人员的高度支持和监督，HBLSS 方案得以成功实施。此次评估强调了社区卫生工作者在降低孕产妇和新生儿死亡率方面的价值。研究结果强调了 HBLSS 培训方法在将知识从培训师转移到 HBLSS 指导员方面的有效性。
