Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road, Atlanta, GA 30322, USA.
Midwifery. 2013 Mar;29(3):251-9. doi: 10.1016/j.midw.2012.01.006. Epub 2012 Feb 17.
to describe early results from the Community Maternal and Newborn Health (CMNH) training programme of the Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) project.
a non-experimental, descriptive design was employed to assess training implementation.
six rural districts of Amhara and Oromiya regions, Ethiopia.
91 Health Extension Workers (HEWs) and 626 Guide Team members including Traditional Birth Attendants (TBAs) and volunteer Community Health Promoters (vCHPs).
CMNH is one aspect of a broader strategy to improve maternal and newborn health at the community level in rural areas of Ethiopia where pregnant women have limited access to health facilities.
performance testing of HEWs, TBAs, and vCHPs was conducted to assess transfer of knowledge and skills from CMNH Master Trainer level to CMNH Trainer level, and from CMNH Trainer level to CMNH Guide Team (GT) level on the topic areas of Prevent Problems before Baby is Born and Prevent Problems after Baby is Born.
post-training performance scores were significantly higher than immediate pre-training scores for Amhara and Oromiya regions on both topic areas (p<0.001). For HEWs and GT members, respectively, average scores increased over 250% and 300% for Prevent Problems before Baby is Born, and over 300% and 400% for Prevent Problems after Baby is Born.
CMNH was successful in transferring knoweldge to HEWs at the CMNH Trainer level and to Guide Team members at the community level. In order for gains to be realised and sustained, the CMNH programme will be nested within an enabling environment created through behaviour change communication to increase demand for CMNH services, emphasising evidence-based maternal and newborn care practices, teamwork among frontline health workers, and an enhanced role of HEWs in provision of safe care during pregnancy, birth, and the early postnatal period.
描述埃塞俄比亚母婴健康伙伴关系项目中的社区母婴健康（CMNH）培训计划的早期成果。
采用非实验性描述性设计来评估培训实施情况。
埃塞俄比亚阿姆哈拉和奥罗米亚地区的六个农村地区。
91 名健康推广员（HEWs）和 626 名指导团队成员，包括传统助产妇（TBAs）和志愿社区健康促进者（vCHPs）。
CMNH 是改善埃塞俄比亚农村地区社区母婴健康的更广泛战略的一个方面，在这些地区，孕妇获得卫生设施的机会有限。
对 HEWs、TBAs 和 vCHPs 进行绩效测试，以评估 CMNH 主培训师级别到 CMNH 培训师级别，以及从 CMNH 培训师级别到 CMNH 指导团队（GT）级别的知识和技能转移，主题领域为预防婴儿出生前问题和预防婴儿出生后问题。
在两个主题领域，阿姆哈拉和奥罗米亚地区的培训后绩效得分均明显高于培训前即时得分（p<0.001）。对于 HEWs 和 GT 成员，预防婴儿出生前问题的平均得分分别增加了 250%以上，预防婴儿出生后问题的平均得分增加了 300%以上。
CMNH 成功地将知识传授给了 CMNH 培训师级别的 HEWs 和社区级别的指导团队成员。为了实现和维持收益，CMNH 计划将嵌套在通过行为改变沟通创造的有利环境中，以增加对 CMNH 服务的需求，强调基于证据的母婴护理实践、前线卫生工作者之间的团队合作，以及 HEWs 在提供安全妊娠、分娩和产后早期期间提供安全护理方面的增强作用。
