Training interventions aimed at building the capacity of healthcare providers to deliver critical care needed by pregnant women in emergency situations are critical to bridging knowledge and skill gaps. They are also essential to improve pregnancy outcomes for women who receive care. However, despite strong evidence on effectiveness of these trainings, there is little evidence of the opinions of key stakeholders of this intervention, including the trained healthcare providers, the women who receive care and the training implementers.
Researchers from the Centre for Maternal and Newborn Health (CMNH) conducted a new study to explore the perspectives of multiple key stakeholders towards this training in Kenya via interviews and focus group discussions. The findings have been published in International Health: https://academic.oup.com/inthealth/advance-article/doi/10.1093/inthealth/ihz007/5365392
In total, they engaged with 69 trained healthcare providers, 114 women who received care and their relatives, 30 Master Trainers and training organisers, and 6 Emergency Obstetric Care (EOC) facility/Ministry of Health (MoH) staff. Following training, which was deemed valuable for its “hands-on” approach and content by trained healthcare providers (HCPs), women reported that they experienced improvements in the quality of care provided. The trained healthcare providers also reported that training led to improved knowledge, skills and attitudes with improved care outcomes. However, they also reported an increased workload.
The findings show that the value of these trainings in improving capacity of HCPs and outcomes for mothers and newborns is not just ascribed but felt by beneficiaries. However, unintended outcomes such as increased workload for healthcare providers may occur and need to be systematically addressed to maximise training gains.
This research was conducted as part of the PhD thesis of Dr Aduragbemi Banke-Thomas, under the supervision of Prof Nynke van den Broek and Dr Barbara Madaj.
Dr Banke-Thomas said:
“This study reports the first qualitative research on emergency obstetric training which captures perspectives of all key stakeholders of the intervention. This is particularly relevant in the post-2015 era where there has been greater interest in subjective wellbeing and best approaches to optimise outcomes of public health interventions. This research provides new insight into approaches for implementing emergency obstetric training in resource-poor settings.”