The American College of Nurse-Midwives' home-based lifesaving skills program: a review of the Ethiopia field test

Journal of Midwifery & Women's Health
Lynn M SibleyDegafech Haileyesus

Abstract

The Home-Based Lifesaving Skills program (HBLSS) is a family- and community-focused, competency-based program that aims to reduce maternal and newborn mortality by increasing access to basic lifesaving measures within the home and community and by decreasing delays in reaching referral facilities where obstetric complications, such as postpartum hemorrhage and newborn asphyxia, can be managed. HBLSS was field tested in rural southern Ethiopia where over 90% of births take place at home with unskilled attendants. The program review assessed 1) the performance of HBLSS-trained guides; 2) management of postpartum hemorrhage and newborn infection by women, family, and birth attendants; 3) exposure of women and families to HBLSS training; and 4) community support. There was improved performance in management of postpartum hemorrhage, a leading cause of maternal death. Findings for management of newborn infection were less compelling. None of the communities had established reliable emergency transportation. Exposure to HBLSS training in the community was estimated at 38%, and there was strong community support. Organizations incorporating HBLSS into proposals focusing on maternal and newborn health during birth and the immediate pos...Continue Reading

References

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Citations

Aug 30, 2005·Health Care for Women International·Judith T FullertonPatricia M Gass
Apr 26, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·S Gogia, H P S Sachdev
Jul 4, 2006·Journal of Midwifery & Women's Health·Lynn SibleyKathryn McNatt
Jan 24, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S E GellerR J Derman
Sep 18, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M N WegnerM Mehta
Jul 16, 2010·Journal of Midwifery & Women's Health·Jody R LoriKristy K Martyn
Apr 17, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·André Lalonde, UNKNOWN International Federation of Gynecology and Obstetrics
Dec 14, 2011·MCN. the American Journal of Maternal Child Nursing·Kimberly GarciaCarol Savrin
Jul 15, 2017·BMC Pregnancy and Childbirth·Jody R LoriRichard M K Adanu
Oct 10, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Gary L DarmstadtJoy E Lawn
Sep 8, 2012·Journal of Midwifery & Women's Health·Jody R LoriKathleen Moriarty

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