Prenatal Skills Pilot Study of Graduates from a Traditional Birth Attendant Training Program in Rural Guatemala
ACOG ePoster. Hernandez S. Apr 27, 2018; 211853; 5M
Sasha Hernandez
Sasha Hernandez
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Introduction: In developing countries the importance of training traditional birth attendants (TBAs) has been recognized. There is limited data on direct affect on clinical skills and referring capacities from training programs. This pilot study tests the efficacy of a WHO-adapted skills checklist in capturing prenatal skills and referrals in real time in rural Guatemala.

Methods: There have been three graduating classes from Saving Mothers TBA training program from 2014-2016 with a total of forty-eight participants. Seventeen graduates were recruited and consented. Four Saving Mothers medical volunteers observed 84 prenatal home-visits in 6 weeks and measured clinical skills in real time.

Results: 92% of prenatal visits by TBAs from the first graduating class, who have had three years of training, were complete. TBAs with four to six months of prenatal skills training performed complete prenatal visits 26% of the time. 30 women were referred to a government clinic and/or hospital; one revealed fetal demise. In 90% of prenatal home visits blood pressure and pulse were correctly taken. Review of at least one of four signs requiring immediate refer to a hospital occurred at 67% of visits. Hand washing only occurred on 35% of total visits.

Conclusion/Implications: This pilot testing of a WHO adapted skills checklist appropriately captured clinical skill and referral capabilities in our cohort of TBAs. Continued in-field training improves prenatal clinical skills and referring capacities. This WHO-adapted checklist will be subsequently used in a large-scale study to measure direct skill improvement before and after our training program.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings