Perspectives of stakeholders on emergency obstetric care training in Kenya: a qualitative study

Banke-Thomas, Aduragbemi, Maua, Judith, Madaj, Barbara ORCID: https://orcid.org/0000-0002-4073-3191, Ameh, Charles ORCID: https://orcid.org/0000-0002-2341-7605 and van den Broek, Nynke ORCID: https://orcid.org/0000-0001-8523-2684 (2020) 'Perspectives of stakeholders on emergency obstetric care training in Kenya: a qualitative study'. International Health, Vol 12, Issue 1, pp. 11-18.

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Abstract

Background
This study explores stakeholders’ perceptions of emergency obstetric care (EmOC) ‘skills-and-drills’-type training including the outcomes, strengths, weaknesses, opportunities and threats of the intervention in Kenya.
Methods
Stakeholders who either benefited from or contributed to EmOC training were purposively sampled. Semi-structured topic guides were used for key informant interviews and focus group discussions. Following verbatim transcriptions of recordings, the thematic approach was used for data analysis.
Results
Sixty-nine trained healthcare providers (HCPs), 114 women who received EmOC and their relatives, 30 master trainers and training organizers, and six EmOC facility/Ministry of Health staff were recruited. Following training, deemed valuable for its ‘hands-on’ approach and content by HCPs, women reported that they experienced improvements in the quality of care provided. HCPs reported that training led to improved knowledge, skills and attitudes, with improved care outcomes. However, they also reported an increased workload. Implementing stakeholders stressed the need to explore strategies that help to maximize and sustain training outcomes.
Conclusions
The value of EmOC training in improving the capacity of HCPs and outcomes for mothers and newborns is not just ascribed but felt by beneficiaries. However, unintended outcomes such as increased workload may occur and need to be systematically addressed to maximize training gains.

Item Type:	Article
Subjects:	WQ Obstetrics > WQ 100 General works WQ Obstetrics > Childbirth. Prenatal Care > WQ 160 Midwifery WQ Obstetrics > Childbirth. Prenatal Care > WQ 175 Prenatal care 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 330 Complications of labor
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1093/inthealth/ihz007
Depositing User:	Stacy Murtagh
Date Deposited:	04 Mar 2019 10:48
Last Modified:	14 Feb 2020 16:38
URI:	https://archive.lstmed.ac.uk/id/eprint/10280

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