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Retention of knowledge and skills after Emergency Obstetric Care training: A multi-country longitudinal study

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Ameh, Charles ORCID: https://orcid.org/0000-0002-2341-7605, White, Sarah, Dickinson, Fiona ORCID: https://orcid.org/0000-0002-5298-9127, Mdegela, Mselenge ORCID: https://orcid.org/0000-0002-0374-6583, Madaj, Barbara ORCID: https://orcid.org/0000-0002-4073-3191 and van den Broek, Nynke ORCID: https://orcid.org/0000-0001-8523-2684 (2018) 'Retention of knowledge and skills after Emergency Obstetric Care training: A multi-country longitudinal study'. PLoS ONE, Vol 13, e0203606.

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Abstract

Objective
To determine retention of knowledge and skills after standardised “skills and drills” training in Emergency Obstetric Care.
Design
Longitudinal cohort study.
Setting
Ghana, Malawi, Nigeria, Kenya, Tanzania and Sierra Leone.
Population
609 maternity care providers, of whom 455 were nurse/midwives (NMWs)
Methods
Knowledge and skills assessed before and after training, and, at 3, 6, 9 and 12 months. Analysis of variance to explore differences in scores by country and level of healthcare facility for each cadre. Mixed effects regression analysis to account for potential explanatory factors including; facility type, years of experience providing maternity care, months since training and number of repeat assessments.
Main outcome measures
Change in knowledge and skills.
Results
Before training the overall mean (SD) score for skills was 48.8% (11.6%) and 65.6% (10.7%). for knowledge. After training the mean (95% CI) relative improvement in knowledge was 30.8% (29.1% - 32.6%) and 59.8% (58.6%– 60.9%) for skills. Mean scores for knowledge and skills at each subsequent assessment remained between those immediately post-training and those at 3 months. NMWs who attended all four assessments demonstrated statistically better retention of skills (14.9%, 95% CI 7.8%, 22.0% p<0.001) but not knowledge (8.6%, 95% CI -0.3%, 17.4%. p = 0.06) compared to those who attended one or two assessments only. Health care facility level or experience were not determinants of retention.
Conclusions
After training, healthcare providers retain knowledge and skills for up to 12 months. This effect can likely be enhanced by short repeat skills-training sessions, or, ‘fire drills’.

Item Type: Article
Subjects: WQ Obstetrics > WQ 100 General works
WQ Obstetrics > Childbirth. Prenatal Care > WQ 160 Midwifery
WQ Obstetrics > WQ 20 Research (General)
WQ Obstetrics > Pregnancy > WQ 200 General works
WQ Obstetrics > Pregnancy Complications > WQ 240 Pregnancy complications (General)
WQ Obstetrics > Labor > WQ 300 General works
WQ Obstetrics > Labor > WQ 330 Complications of labor
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1371/journal.pone.0203606
Depositing User: Caroline Hercod
Date Deposited: 10 Oct 2018 10:10
Last Modified: 10 Oct 2018 10:10
URI: http://archive.lstmed.ac.uk/id/eprint/9434

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