A rapid cycle method for local adaptation of an obstetric emergencies training program

Ghag, Kiren; Winter, Cathy; Bahl, Rachna; Lynch, M.B.; Bautista, Nayda; Ilagan, Rogelio; Draycott, Timothy

doi:10.1002/ijgo.12472

Cited by 3 publications

(1 citation statement)

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“…The selection criteria for these hospitals included: tertiary urban hospitals, varied birth rates and a mix of public and private hospitals. The PROMPT training package was adapted to local clinical practices and needs following reflexive feedback from multidisciplinary teams [ 27 ]. Local PROMPT training was successfully implemented between December 2015 and February 2017: 31 local PROMPT courses delivered training to 816 multi-professional staff, 87% of all maternity staff in the hospitals.…”

Section: Introductionmentioning

confidence: 99%

Key components influencing the sustainability of a multi-professional obstetric emergencies training programme in a middle-income setting: a qualitative study

Ghag¹,

Bahl²,

Winter³

et al. 2021

BMC Health Serv Res

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Background Multi-professional obstetric emergencies training is one promising strategy to improve maternity care. Sustaining training programmes following successful implementation remains a challenge. Understanding, and incorporating, key components within the implementation process can embed interventions within healthcare systems, thereby enhancing sustainability. This study aimed to identify key components influencing sustainability of PRactical Obstetric Multi-Professional Training (PROMPT) in the Philippines, a middle-income setting. Methods Three hospitals were purposively sampled to represent private, public and teaching hospital settings. Two focus groups, one comprising local trainers and one comprising training participants, were conducted in each hospital using a semi-structured topic guide. Focus groups were audio recorded. Data were analysed using thematic analysis. Three researchers independently coded transcripts to ensure interpretation consistency. Results Three themes influencing sustainability were identified; attributes of local champions, multi-level organisational involvement and addressing organisational challenges. Conclusions These themes, including potential barriers to sustainability, should be considered when designing and implementing training programmes in middle-income settings. When ‘scaling-up’, local clinicians should be actively involved in selecting influential implementation champions to identify challenges and strategies specific to their organisation. Network meetings could enable shared learning and sustain enthusiasm amongst local training teams. Policy makers should be engaged early, to support funding and align training with national priorities.

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Section: Introductionmentioning

confidence: 99%