Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi

Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi

Abstract Objective To evaluate whether a hospital-based mentoring program could significantly increase short- and longer-term emergency obstetrics and neonatal care (EmONC) knowledge and skills among health providers. Methods In a prospective before-and-after study, 20 mentors were trained using a s...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics Vol. 132; no. 2; pp. 240 - 243
Main Authors: Tang, Jennifer H, Kaliti, Charlotte, Bengtson, Angela, Hayat, Sumera, Chimala, Eveles, MacLeod, Rachel, Kaliti, Stephen, Sisya, Fanny, Mwale, Mwawi, Wilkinson, Jeffrey
Format: Journal Article
Language:English
Published: United States Elsevier Ireland Ltd 01-02-2016
Subjects:
Adult
Clinical Competence
Curriculum
Emergency Medical Services - methods
Emergency Medicine - education
Emergency Medicine - methods
Emergency obstetrics
Female
Hospitals
Humans
Infant, Newborn
Malawi
Male
Mentoring
Mentors - education
Obstetrics - education
Obstetrics - methods
Obstetrics and Gynecology
Perinatal Care - methods
Pregnancy
Program Evaluation
Prospective Studies
Sub-Saharan Africa
Training
Training
Emergency obstetrics
Mentoring
Malawi
Sub-Saharan Africa
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Summary:Abstract Objective To evaluate whether a hospital-based mentoring program could significantly increase short- and longer-term emergency obstetrics and neonatal care (EmONC) knowledge and skills among health providers. Methods In a prospective before-and-after study, 20 mentors were trained using a specially-created EmONC mentoring and training program at Bwaila Hospital in Lilongwe, Malawi. The mentors then trained an additional 114 providers as mentees in the curriculum. Mentors and mentees were asked to complete a test before initiation of the training (Pre-Test), immediately after training (Post-Test 1), and at least 6 months after training (Post-Test 2) to assess written and practical EmONC knowledge and skills. Mean scores were then compared. Results Scores increased significantly between the Pre-Test and Post-Test 1 for both written (n = 134; difference 22.9%, P < 0.001) and practical (n = 125; difference 29.5%, P < 0.001) tests. Scores were still significantly higher in Post-Test 2 than in the Pre-Test for written (n = 111; difference 21.0%, P < 0.001) and practical (n = 103; difference 29.3%, P < 0.001) tests. Conclusion A hospital-based mentoring program can result in both short- and longer-term improvement in EmONC knowledge and skills. Further research is required to assess whether this leads to behavioral changes that improve maternal and neonatal outcomes.
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ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2015.06.062