Home-based life saving skills in Matlab, Bangladesh: a process evaluation of a community-based maternal child health programme

Dynes, Michelle; Rahman, Aminur; Beck, Diana; Moran, Allisyn C.; Rahman, Anisur; Pervin, Jesmin; Yunus, Muhammad; Rashid, Md. Harun-Or; Gazi, Tamanna; Biswas, Kamal Kanti; Buffington, Sandra Tebben; Patterson, Joän M.; Sibley, Lynn

doi:10.1016/j.midw.2009.07.009

Cited by 38 publications

(44 citation statements)

References 13 publications

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“…Findings of this project also coincide with evidence the ACNM has documented from implementing the HBLSS in India [16] , Ethiopia [17,18] and Bangladesh [15] . The ACNM has positively changed knowledge among traditional birth attendants in other third world countries by offering oral teachings from the HBLSS is the primary language of participants.…”

Section: Resultssupporting

confidence: 75%

“…After midwives shared emic knowledge in the focus group, midwives attended a culturally teaching about etic nursing interventions to address PPH. Nursing interventions were based on a Home Based Life Saving Skills (HBLSS) curriculum the American College of Nurse Midwives (ACNM) has developed and field tested in several third world countries with great success [15][16][17][18] . Midwives were given a pretest and posttest based on a PPH Checklist from the ACNM.…”

Section: Introductionmentioning

confidence: 99%

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Mixed methods evaluation & teaching with Guatemalan traditional midwives’ regarding nursing interventions to manage postpartum hemorrhage

Garcia¹

2013

JNEP

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Purpose: The purpose of this pilot descriptive study was twofold: to explore Guatemalan traditional midwives' knowledge, attitudes and practices about nursing interventions to manage postpartum hemorrhage (PPH), and to evaluate the effect of a culturally sensitive teaching on traditional midwives' knowledge of nursing interventions to manage PPH. Methods:Thirteen midwives participated in a one-day teaching at a Refuge International Health Clinic in the remote town of Sarstun, Guatemala. The quasi experimental study used a one-group, pretest posttest design. Researchers relied on a PPH checklist from the American College of Nurse Midwives (ACNM) to evaluate knowledge of PPH interventions before and after the PPH teaching. One 45-minute focus group also was conducted among the midwives. The Long Table Approach was used to develop a matrix of common themes. Results:The culturally sensitive teaching improved traditional midwives' knowledge and skills about nursing interventions to manage PPH (pretest M=1.385/8, posttest M=4.846/8). In the focus group, midwives revealed several themes that contradicted the literature. Midwives repeatedly denied managing PPH despite a combined 197 years of midwifery experience. Midwives said they trusted local health care providers, and would transfer patients to hospitals in emergencies. Midwives asked for assistance in educating villagers about the importance of prenatal care and of seeking early labor support. Conclusions:Results of this pilot project suggest a culturally sensitive oral teaching in the primary language of participants improves traditional midwives' ability to manage PPH. Future training should follow a similar format to address the needs of illiterate participants in resource-poor settings, and should include the entire community, not just midwives.

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Section: Resultssupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Mixed methods evaluation & teaching with Guatemalan traditional midwives’ regarding nursing interventions to manage postpartum hemorrhage

Garcia¹

2013

JNEP

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“…It also described the challenges of LHWs which directly or indirectly affects the interventions, such as differences in quality of services (14), high workload (15) and fear in counseling the community people to use the services who are afraid of paying high cost to trained birth attendant (16).…”

Section: Resultsmentioning

confidence: 99%

Task Shifting: an approach to bridge inadequate skill mix in low and middle income countries

Marahatta

Chhetri

2018

J. Manmohan Memorial Inst. Health. Sci.

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“…To build capacity for their activities, these volunteers received training on Home Based Life Saving Skills (HBLSS) to recognize danger signs and stabilize the mothers and newborn and refer them to the health facility. They also receive training on Community Action Cycle (CAC) for community mobilization activities [9][10][11][12] . The activities in the CAC included preparing to mobilize, exploring, planning, acting and evaluating action plans.…”

Section: Emonc Study Design and Processmentioning

confidence: 99%

Commonly cited incentives in the community implementation of the emergency maternal and newborn care study in western Kenya

Gisore¹,

Rono²,

Marete³

et al. 2013

Afr H. Sci.

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Background: Mortality of mothers and newborns is an important public health problem in low-income countries. In the rural setting, implementation of community based education and mobilization are strategies that have sought to reduce these mortalities. Frequently such approaches rely on volunteers within each community. Objective: To assess the perceptions of the community volunteers in rural Kenya as they implemented the EmONC program and to identify the incentives that could result in their sustained engagement in the project. Method: A community-based cross sectional survey was administered to all volunteers involved in the study. Data were collected using a self-administered supervision tool from all the 881 volunteers. Results: 881 surveys were completed. 769 respondents requested some form of incentive; 200 (26%) were for monetary allowance, 149 (19.4%) were for a bicycle to be used for transportation, 119 (15.5%) were for uniforms for identification, 88 (11.4%) were for provision of training materials, 81(10.5%) were for training in Home based Life Saving Skills (HBLSS), 57(7.4%) were for provision of first AID kits, and 39(5%) were for provision of training more facilitators, 36(4.7%) were for provision of free medication. Conclusion: Monetary allowances, improved transportation and some sort of identification are the main incentives cited by the respondents in this context.

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Home-based life saving skills in Matlab, Bangladesh: a process evaluation of a community-based maternal child health programme

Cited by 38 publications

References 13 publications

Mixed methods evaluation & teaching with Guatemalan traditional midwives’ regarding nursing interventions to manage postpartum hemorrhage

Mixed methods evaluation & teaching with Guatemalan traditional midwives’ regarding nursing interventions to manage postpartum hemorrhage

Task Shifting: an approach to bridge inadequate skill mix in low and middle income countries

Commonly cited incentives in the community implementation of the emergency maternal and newborn care study in western Kenya

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