Prehospital emergency obstetric and neonatal care train-the-trainers program in Rwanda.

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Ashley RosenbergSudha Jayaraman

Abstract

To improve maternal mortality rates, our collaboration developed and implemented a context-specific, prehospital Emergency Obstetrics and Neonatal Course (EONC) and train-the-trainers program in Rwanda. Two cohorts of staff participated in the program-the SAMU emergency medical service and staff from district hospitals. A 2-day course was developed, consisting of skills stations, simulations, and didactics. A 50-question assessment was administered to both cohorts before and after the courses. Student's t test and matched paired t tests were used to evaluate the assessments through retrospective analysis of the data. EONC1 median scores were 60% versus 92% (pre vs post), using matched-pair analysis of 20 participants. EONC2 median scores were 52% versus 96% (pre vs post), using matched-pair analysis of participants. A one-way analysis of variance mean square analysis showed that regardless of the baseline level of training for each participant, all trainees reached similar post-course assessment scores (F(1)  = 8.35, P = 0.0059). Optimal prehospital management of obstetric emergencies is essential to prevent needless mortality and morbidity. This study demonstrated that a context-appropriate prehospital obstetric and neonatal t...Continue Reading

References

Feb 23, 2010·Quality & Safety in Health Care·A K JhaUNKNOWN Research Priority Setting Working Group of the WHO World Alliance for Patient Safety
Aug 18, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Henriette Svarre Nielsen, Torbjørn Moe Eggebø
Dec 12, 2012·BMC Public Health·Shahrzad JoharifardNathan M Thielman
Dec 30, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·H HolmerL Hagander
Feb 24, 2017·Prehospital and Disaster Medicine·Nee-Kofi Mould-MillmanLee A Wallis
Feb 19, 2019·BMJ Global Health·Aduragbemi Banke-ThomasNynke van den Broek
May 6, 2019·Health Policy and Planning·Charles A AmehNynke van den Broek

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