Journal
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
Volume 29, Issue 8, Pages 1077-1091Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.bpobgyn.2015.03.019
Keywords
pregnancy complications; newborn; emergency care; in-service training; health-care providers
Categories
Funding
- Department for International Development (DFID) UK (Kenya, RSA) [202945-101]
- UNICEF (Sierra Leone) [43144788]
- UNICEF (Malawi) [MLW/LST/Health/2015/006]
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An estimated 289,000 maternal deaths, 2.6 million stillbirths and 2.4 million newborn deaths occur globally each year, with the majority occurring around the time of childbirth. The medical and surgical interventions to prevent this loss of life are known, and most maternal and newborn deaths are in principle preventable. There is a need to build the capacity of health-care providers to recognize and manage complications during pregnancy, childbirth and the post-partum period. Skills-and-drills competency-based training in skilled birth attendance, emergency obstetric care and early newborn care (EmONC) is an approach that is successful in improving knowledge and skills. There is emerging evidence of this resulting in improved availability and quality of care. To evaluate the effectiveness of EmONC training, operational research using an adapted Kirkpatrick framework and a theory of change approach is needed. The Making It Happen programme is an example of this. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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