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Author Notes:

Correspondence: Julia C. Dettinger, Department of Global Health, University of Washington, 325 9th Avenue, Box 355931 Seattle, WA 98104, USA. Email: jcdettin@uw.edu

Author contributions: JCD contributed to study design, data collection, program implementation, data analysis, and interpretation of results. SK contributed to data collection, program implementation, and interpretation of results. KC contributed to study design, program implementation, and interpretation of results.

SRC contributed to study design, program implementation, and interpretation of results. JC contributed to data collection, program implementation, data analysis, and interpretation of results. MK contributed to study design, data collection, program implementation, and interpretation of results.

OG contributed to study design, data collection, program implementation, and interpretation of results. DW contributed to study design, data collection, program implementation, and interpretation of results.

We would like to acknowledge the support of the entire Linda Afya ya Mama na Mtoto team, all of the facility staff, and the entire PRONTO team.

Disclosures: JCD, SK, KC, JC, MK, and OG have no conflicts of interest to report. SRC and DW are on the Board of Directors for PRONTO International, a nonprofit organization.

Subjects:

Research Funding:

We would also like to acknowledge the funding for REDCap (UL1TR000423)

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Nutrition & Dietetics
  • Pediatrics
  • birth
  • cultural context
  • neonate
  • obstetrics
  • pregnancy
  • training
  • Neonatal emergencies
  • Health care
  • Impact
  • Tool

Measuring movement towards improved emergency obstetric care in rural Kenya with implementation of the PRONTO simulation and team training program

Tools:

Journal Title:

Maternal & Child Nutrition

Volume:

Volume 14

Publisher:

, Pages e12465-e12465

Type of Work:

Article | Final Publisher PDF

Abstract:

As the proportion of facility-based births increases, so does the need to ensure that mothers and their newborns receive quality care. Developing facility-oriented obstetric and neonatal training programs grounded in principles of teamwork utilizing simulation-based training for emergency response is an important strategy for improving the quality care. This study uses 3 dimensions of the Kirkpatrick Model to measure the impact of PRONTO International (PRONTO) simulation-based training as part of the Linda Afya ya Mama na Mtoto (LAMMP, Protect the Health of mother and child) in Kenya. Changes in knowledge of obstetric and neonatal emergency response, self-efficacy, and teamwork were analyzed using longitudinal, fixed-effects, linear regression models. Participants from 26 facilities participated in the training between 2013 and 2014. The results demonstrate improvements in knowledge, self-efficacy, and teamwork self-assessment. When comparing pre-Module I scores with post-training scores, improvements range from 9 to 24 percentage points (p values <.0001 to.026). Compared to baseline, post-Module I and post-Module II (3 months later) scores in these domains were similar. The intervention not only improved participant teamwork skills, obstetric and neonatal knowledge, and self-efficacy but also fostered sustained changes at 3 months. The proportion of facilities achieving self-defined strategic goals was high: 95.8% of the 192 strategic goals. Participants rated the PRONTO intervention as extremely useful, with an overall score of 1.4 out of 5 (1, extremely useful; 5, not at all useful). Evaluation of how these improvements affect maternal and perinatal clinical outcomes is forthcoming.

Copyright information:

© 2018 John Wiley & Sons Ltd.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/).
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