Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.

Program managers routinely design and implement specialised maternal and newborn health trainings for health workers in low- and middle-income countries to provide better-coordinated care across the continuum of care. However, in these countries details on the availability of different training pack...

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Autores principales:	Gaurav Sharma, Yordanos B Molla, Shyam Sundar Budhathoki, Million Shibeshi, Abraham Tariku, Adhish Dhungana, Bindu Bajracharya, Goitam G Mebrahtu, Shilu Adhikari, Deepak Jha, Yunis Mussema, Abeba Bekele, Neena Khadka
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0c1ba82862e24baca936889056ba6627
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spelling	oai:doaj.org-article:0c1ba82862e24baca936889056ba66272021-12-02T20:16:31ZAnalysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.1932-620310.1371/journal.pone.0258624https://doaj.org/article/0c1ba82862e24baca936889056ba66272021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258624https://doaj.org/toc/1932-6203Program managers routinely design and implement specialised maternal and newborn health trainings for health workers in low- and middle-income countries to provide better-coordinated care across the continuum of care. However, in these countries details on the availability of different training packages, skills covered in those training packages and the gaps in their implementation are patchy. This paper presents an assessment of maternal and newborn health training packages to describe differences in training contents and implementation approaches used for a range of training packages in Ethiopia and Nepal. We conducted a mixed-methods study. The quantitative assessment was conducted using a comprehensive assessment questionnaire based on validated WHO guidelines and developed jointly with global maternal and newborn health experts. The qualitative assessment was conducted through key informant interviews with national stakeholders involved in implementing these training packages and working with the Ministries of Health in both countries. Our quantitative analysis revealed several key gaps in the technical content of maternal and newborn health training packages in both countries. Our qualitative results from key informant interviews provided additional insights by highlighting several issues with trainings related to quality, skill retention, logistics, and management. Taken together, our findings suggest four key areas of improvement: first, training materials should be updated based on the content gaps identified and should be aligned with each other. Second, trainings should address actual health worker performance gaps using a variety of innovative approaches such as blended and self-directed learning. Third, post-training supervision and ongoing mentoring need to be strengthened. Lastly, functional training information systems are required to support planning efforts in both countries.Gaurav SharmaYordanos B MollaShyam Sundar BudhathokiMillion ShibeshiAbraham TarikuAdhish DhunganaBindu BajracharyaGoitam G MebrahtuShilu AdhikariDeepak JhaYunis MussemaAbeba BekeleNeena KhadkaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258624 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Gaurav Sharma Yordanos B Molla Shyam Sundar Budhathoki Million Shibeshi Abraham Tariku Adhish Dhungana Bindu Bajracharya Goitam G Mebrahtu Shilu Adhikari Deepak Jha Yunis Mussema Abeba Bekele Neena Khadka Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.
description	Program managers routinely design and implement specialised maternal and newborn health trainings for health workers in low- and middle-income countries to provide better-coordinated care across the continuum of care. However, in these countries details on the availability of different training packages, skills covered in those training packages and the gaps in their implementation are patchy. This paper presents an assessment of maternal and newborn health training packages to describe differences in training contents and implementation approaches used for a range of training packages in Ethiopia and Nepal. We conducted a mixed-methods study. The quantitative assessment was conducted using a comprehensive assessment questionnaire based on validated WHO guidelines and developed jointly with global maternal and newborn health experts. The qualitative assessment was conducted through key informant interviews with national stakeholders involved in implementing these training packages and working with the Ministries of Health in both countries. Our quantitative analysis revealed several key gaps in the technical content of maternal and newborn health training packages in both countries. Our qualitative results from key informant interviews provided additional insights by highlighting several issues with trainings related to quality, skill retention, logistics, and management. Taken together, our findings suggest four key areas of improvement: first, training materials should be updated based on the content gaps identified and should be aligned with each other. Second, trainings should address actual health worker performance gaps using a variety of innovative approaches such as blended and self-directed learning. Third, post-training supervision and ongoing mentoring need to be strengthened. Lastly, functional training information systems are required to support planning efforts in both countries.
format	article
author	Gaurav Sharma Yordanos B Molla Shyam Sundar Budhathoki Million Shibeshi Abraham Tariku Adhish Dhungana Bindu Bajracharya Goitam G Mebrahtu Shilu Adhikari Deepak Jha Yunis Mussema Abeba Bekele Neena Khadka
author_facet	Gaurav Sharma Yordanos B Molla Shyam Sundar Budhathoki Million Shibeshi Abraham Tariku Adhish Dhungana Bindu Bajracharya Goitam G Mebrahtu Shilu Adhikari Deepak Jha Yunis Mussema Abeba Bekele Neena Khadka
author_sort	Gaurav Sharma
title	Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.
title_short	Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.
title_full	Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.
title_fullStr	Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.
title_full_unstemmed	Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.
title_sort	analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: lessons from ethiopia and nepal.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/0c1ba82862e24baca936889056ba6627
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Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal.

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