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

Banke-Thomas, Aduragbemi, Maua, Judith, Madaj, Barbara, Ameh, Charles and van den Broek, Nynke (2019) Perspectives of stakeholders on emergency obstetric care training in Kenya: a qualitative study. International Health. ISSN 1876-3413

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Identification Number: 10.1093/inthealth/ihz007

Abstract

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.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.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.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
Additional Information: © The Authors
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RG Gynecology and obstetrics
Date Deposited: 13 May 2019 13:09
Last Modified: 15 Jan 2020 00:18
URI: http://eprints.lse.ac.uk/id/eprint/100788

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