Standard basic emergency obstetric and neonatal care training in Addis Ababa; trainees reaction and knowledge acquisition

BMC Medical Education

Mulu Muleta Bedane³  Mitike Molla Sisay²  Alemnesh H Mirkuzie¹ 

[1] Center for International Health, University of Bergen, Årstadv 21, Overlegedanielsenshus, Bergen 5020, Norway;School of Public Health, College of Health Sciences, Tikur Anbessa Hospital, Second Floor, Room Number 58 Post Box 40860, Addis Ababa, Ethiopia;WAHA International, University of Gondar, Post box 41822, Gondar, Ethiopia

关键词: Training evaluation;    Training;    Providers;    Knowledge based mastery;    In-service;    Competency;    BEmONC;    Addis Ababa;   

Others  :  1091084
DOI  :  10.1186/1472-6920-14-201

 received in 2014-06-05, accepted in 2014-09-16,  发布年份 2014

【 摘 要 】

Background

In 2010, the Federal Ministry of Health of Ethiopia (FMOH) has developed standard Basic Emergency Obstetric and Neonatal Care (BEmONC) in-service training curricula to respond to the high demand for competency in EmONC. However, the effectiveness of the training curricula has not been well documented. A collaborative intervention project in Addis Ababa has trained providers using the standard BEmONC curricula where this paper presents Krikpartick level 1 and level 2 evaluation of the training.

Methods

The project has been conducted in 10 randomly selected public health centers (HC) in Addis Ababa. Providers working in the labour wards of the selected HCs have received the standard BEmONC training between May and July 2013. Using standard tools, trainees’ reaction to the course and factual knowledge during the immediate post-course and six months after the training were assessed. Descriptive statistics and t-tests were done.

Results

Of the total 82 providers who received the training, 30 (36.6%) were male, 61 (74.4%) were midwives. Providers’ work experiences ranged from 1 month to 37 years. Seventy-four (89%) providers reported that the training was appropriate for their work, 95% reported that the training have updated their knowledge & skills, while 27 (32.9%) reported that the training facilities & arrangements were unsatisfactory. The mean immediate post-course knowledge score was 83.5% and 33 (40%) providers did not achieve knowledge-based mastery in their first attempt. The midwives were more likely to achieve knowledge-based mastery than the nurses (p < 0.05). The mean knowledge score six-months post-training was 80.2% and 40% have scored knowledge based mastery.

Conclusions

Being one of the first papers reporting the implementation of the standard in-service BEmONC training curriculum, we have identified an important limitation on the course evaluations of the curriculum, which need urgent consideration. The majority of the trainees has reported favourable reaction to the training, but many of them did not achieve knowledge-based mastery in the immediate post training although the knowledge retention six months post training was encouraging.

【 授权许可】

   
2014 Mirkuzie et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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