The American College of Nurse‐Midwives' Home‐Based Lifesaving Skills Program: A Review of the Ethiopia Field Test

Sibley, Lynn; Buffington, Sandra Tebben; Haileyesus, Degafech

doi:10.1016/j.jmwh.2004.03.013

Cited by 23 publications

(39 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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: 74%

“…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%

See 1 more Smart Citation

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

Garcia¹

2013

JNEP

View full text Add to dashboard Cite

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.

show abstract

Section: Resultssupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

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

Garcia¹

2013

JNEP

View full text Add to dashboard Cite

show abstract

“…19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103 Among these, 77 references were excluded 19, 20, 21, 22, 23, 24, 25, 26, 27, <...>…”

Section: Resultsmentioning

confidence: 99%

Home-based neonatal care by community health workers for preventing mortality in neonates in low- and middle-income countries: a systematic review

Gogia

Sachdev

2016

J Perinatol

View full text Add to dashboard Cite

The objective of this review is to assess the effect of home-based neonatal care provided by community health workers (CHWs) for preventing neonatal, infant and perinatal mortality in resource-limited settings with poor access to health facility-based care. The authors conducted a systematic review, including meta-analysis and meta-regression of controlled trials. The data sources included electronic databases, with a hand search of reviews, abstracts and proceedings of conferences to search for randomized, or cluster randomized, controlled trials evaluating the effect of home-based neonatal care provided by CHWs for preventing neonatal, infant and perinatal mortality. Among the included trials, all from South Asian countries, information on neonatal, infant and perinatal mortality was available in five, one and three trials, respectively. The intervention package comprised three components, namely, home visits during pregnancy (four trials), home-based preventive and/or curative neonatal care (all trials) and community mobilization efforts (four trials). Intervention was associated with a reduced risk of mortality during the neonatal (random effects model relative risk (RR) 0.75; 95% confidence intervals (CIs) 0.61 to 0.92, P=0.005; I2=82.2%, P<0.001 for heterogeneity; high-quality evidence) and perinatal periods (random effects model RR 0.78; 95% CI 0.64 to 0.94, P=0.009; I2=79.6%, P=0.007 for heterogeneity; high-quality evidence). In one trial, a significant decline in infant mortality (RR 0.85; 95% CI 0.77 to 0.94) was documented. Subgroup and meta-regression analyses suggested a greater effect with a higher baseline neonatal mortality rate. The authors concluded that home-based neonatal care is associated with a reduction in neonatal and perinatal mortality in South Asian settings with high neonatal-mortality rates and poor access to health facility-based care. Adoption of a policy of home-based neonatal care provided by CHWs is justified in such settings.

show abstract

“…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.

View full text Add to dashboard Cite

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.

show abstract

The American College of Nurse‐Midwives' Home‐Based Lifesaving Skills Program: A Review of the Ethiopia Field Test

Cited by 23 publications

References 4 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

Home-based neonatal care by community health workers for preventing mortality in neonates in low- and middle-income countries: a systematic review

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

Contact Info

Product

Resources

About