A study on training frontline health workers for prevention, early recognition and treatment or transfer of women with post-partum haemorrhage using mamanatalie
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20184145Keywords:
Frontline health workers, Mamanatalie, PHCs, Postpartum hemorrhageAbstract
Background: The objective of the present study was to train frontline health workers (FHW) on prevention, early recognition and treatment/transfer of women with post-partum haemorrhage using mamanatalie and to compare their pre-training and post training knowledge and skills, and to reassess the knowledge and skills of the trainees after six months.
Methods: Training of 159 FHW belonging to the nine Primary Health Centres (PHC) of Kuppam constituency was conducted using mamanatalie. Pre and post training knowledge and skill assessment were compared using questionnaires and the mamanatalie. Reassessment of knowledge and skill was done after six months.
Results: Among 159 participants 93% scored more, 3% scored same and 4% scored lesser in post training when compared to pre-training test. In the follow up knowledge assessment after six months 73 trainees were lost for follow up, among the remaining, 8% scored more, 16% scored same and 76% scored less when compared to the post training test. However, the follow up scores were higher than the pre-training scores. In the skill test, 82% scored more than 80%. Four trainees were lost for follow up skill assessment, among the remaining, 16% scored more, 23% scored same and 61% scored less when compared to the initial skill test scores
Conclusions: The training increased knowledge, skill and confidence among the trainees. It has the potential to lead to improved clinical outcomes, especially in the rural areas. Revision sessions may help in better retention of knowledge and skill.
References
Bhardwaj N, Yunus M, Hasan SB, Zaheer M. Role of traditional birth attendants in maternal care services- a rural study. Indian J Matern Child Health. 1990;1(1):29-30.
Prevention of postpartum hemorrhage: Active management of the third stage of labor: On site and Individual (SAIN) Learning Approach Mentor’s Guide; Seattle: PATH; 2009. Available at https://www.k4health.org/sites/default/files/3%20POPPHI%20_%20%20SAIN%20Learner%27s%20guide%20AMTSL.pdf
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes for maternal death: A WHO systematic analysis. Lancet Global Health 2014;2(6):e323-33
Reduction of maternal mortality: a joint WHO/UNFPA/UNICEF/World Bank Statement. Geneva, Switzerland, World Health Organization, 1999;(4):40.
AbouZahr C. Antepartum and postpartum haemorrhage. In: Murray CJL, Lopez AD, eds. Health dimensions of sex and reproduction: the global burden of sexually transmitted diseases, HIV, maternal conditions, perinatal disorders, and congenital anomalies. Harvard University Press, Cambridge, pp.243-266
AbouZahr C. Global burden of maternal death and disability. Reducing maternal death and disability in pregnancy. British Med Bulletin 2003;67:1-11
Nellissen E, Ersdal H. Helping mothers survive bleeding after birth: An evaluation of simulation based training in a low resource setting; Acta Obstet Gynecol Scand.2014,93(3);287-95
Nelissen E, Ersdal H, Mduma E, Evjen-Olsen B, Broerse J, van Roosmalen J, et al. Helping mothers survive bleeding after birth: retention of knowledge, skills, and confidence nine months after obstetric simulation-based training. BMC Pregnancy Childbirth. 2015;15(1):190.
Cherrie L. Evans, Peter Johnson, Eva Bazant, Neeta Bhatnagar, Jane Zgambo, Asma R. Khamis Competency-based training “HelpingMothers Survive: Bleeding after Birth” for providers from central and remote facilities in three countries. Int J Gynegyncol Obstet.2014;126(3)286-90.
Satishchandra DM, Naik VA, Wantamutte AS, Mallapur MD, Sangolli HN. Impact of training of traditional birth attendants on maternal health care: a community-based study. J Obstet Gynecol India. 2013;63(6):383-7.