Maternal and Newborn Health Unit, Liverpool School of Tropical Medicine, Liverpool, UK.
Int J Gynaecol Obstet. 2012 Jun;117(3):283-7. doi: 10.1016/j.ijgo.2012.01.015. Epub 2012 Mar 24.
To provide and evaluate in-service training in "Life Saving Skills - Emergency Obstetric and Newborn Care" in order to improve the availability of emergency obstetric care (EmOC) in Somaliland.
In total, 222 healthcare providers (HCPs) were trained between January 2007 and December 2009. A before-after study was conducted using quantitative and qualitative methods to evaluate trainee reaction and change in knowledge, skills, and behavior, in addition to functionality of healthcare facilities, during and immediately after training, and at 3 and 6 months post-training.
The HCPs reacted positively to the training, with a significant improvement in 50% of knowledge and 100% of skills modules assessed. The HCPs reported improved confidence in providing EmOC. Basic and comprehensive EmOC healthcare facilities provided 100% of expected signal functions-compared with 43% and 56%, respectively, at baseline-with trained midwives performing skills usually performed by medical doctors. Lack of drugs, supplies, medical equipment, and supportive policy were identified as barriers that could contribute to nonuse of new skills and knowledge acquired.
The training impacted positively on the availability and quality of EmOC and resulted in "up-skilling" of midwives.
提供并评估“救生技能-紧急产科和新生儿护理”在职培训，以提高索马里兰紧急产科护理（EmOC）的可及性。
2007 年 1 月至 2009 年 12 月期间，共有 222 名医疗保健提供者（HCP）接受了培训。采用定量和定性方法进行了一项前后研究，以评估培训生的反应以及知识、技能和行为的变化，以及培训期间和培训后立即以及培训后 3 个月和 6 个月医疗保健设施的功能。
HCP 对培训反应积极，50%的知识模块和 100%的技能模块评估有显著改善。HCP 报告在提供 EmOC 方面的信心有所提高。基础和综合 EmOC 医疗保健设施提供了 100%的预期信号功能-而基线时分别为 43%和 56%-由接受培训的助产士执行通常由医生执行的技能。缺乏药物、用品、医疗设备和支持性政策被确定为可能导致未使用新技能和新知识的障碍。
培训对 EmOC 的可及性和质量产生了积极影响，并使助产士的技能得到了“提升”。
