妇产科

在埃塞俄比亚农村加强母婴保健:前线卫生社区工作者母婴保健训练的早期结果

作者:高翠歌 编译 来源:医学论坛网 日期:2013-03-11
导读

         在埃塞俄比亚农村加强母婴保健:前线卫生社区工作者母婴保健训练的早期结果

 

Strengthening maternal and newborn health in rural Ethiopia: Early results from frontline health worker community maternal and newborn health training

Michelle Dynes, Sandra T. Buffington, Mary Carpenter, Anna Handley, Maureen Kelley, Lelisse Tadesse, Hanna Tessema Beyene, Lynn Sibley

Objective

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.

Design

a non-experimental, descriptive design was employed to assess training implementation.

Setting

six rural districts of Amhara and Oromiya regions, Ethiopia.

Participants

91 Health Extension Workers (HEWs) and 626 Guide Team members including Traditional Birth Attendants (TBAs) and volunteer Community Health Promoters (vCHPs).

Intervention

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.

Measurements

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.

Findings

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.

Key conclusions

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.

Midwifery

Volume 29, Issue 3 , Pages 251-259, March 2013

分享:

评论

我要跟帖
发表
回复 小鸭梨
发表

copyright©医学论坛网 版权所有,未经许可不得复制、转载或镜像 京ICP证120392号 京公网安备11010502031486号

京卫网审[2013]第0193号

互联网药品信息服务资格证书:(京)-经营性-2012-0005

//站内统计 //百度统计 //站长统计
*我要反馈: 姓    名: 邮    箱: