Anne-Marie Bergh, Shisana Baloyi and Robert C Pattinson
University of Pretoria, South Africa
Posters-Accepted Abstracts: Health Care: Current Reviews
This paper reviews evidence regarding change in healthcare-provider behavior and maternal and neonatal outcomes as a result of emergency obstetric and neonatal care (EmONC) training. A refined version of the Kirkpatrick classification for program evaluation was used to focus on change in efficiency and impact of training (levels 3 and 4). Twenty-three studies were reviewed 5 randomized controlled trials, 2 quasi-experimental studies and 16 before and after observational studies. Training programs had all been developed in high-income countries and adapted for use in low and middle income countries. Nine studies reported on behavior change and 13 on process and patient outcomes. Most showed positive results. Every maternity unit should provide EmONC teamwork training, mandatory for all healthcare providers. The challenges are scaling up such training to all institutions, sustaining regular in-service training, integrating training into institutional and health-system patient-safety initiatives and â??thinking-out-of-the-boxâ?? in evaluation research.
Email: robert.pattinson@up.ac.za anne-marie.bergh@up.ac.za shisana.baloyi@gmail.com