Improving essential obstetric and newborn care in resource-poor countries

Abstract

Skilled birth attendance (SBA) and essential obstetric care (EOC) are key strategies for reducing maternal and newborn mortality and morbidity globally. Lack of adequately trained competent staff is a key barrier to achieving this. We assessed the effectiveness of a new package of ‘Life Saving Skills – Essential Obstetric and Newborn Care Training’ (LSS-EOC and NC) designed specifically around the UN signal functions in seven countries in sub-Saharan Africa. Among 600 healthcare providers (nurse-midwives, doctors, clinical officers and specialists), knowledge about the diagnosis and management of complications of pregnancy and childbirth as well as newborn care significantly increased (p < 0.001). There was measurable improvement in skills (p < 0.001), and participants expressed a high level of satisfaction with the training. The training package was found to meet the needs of healthcare providers, increased awareness of the need for evidence-based care and encouraged teamwork.

Keywords:

• Emergency
• essential
• newborn care
• obstetric care
• staff
• training

Acknowledgements

The LSTM-RCOG International Partnership is a partnership between the Royal College of Obstetricians and Gynaecologists and the Liverpool School of Tropical Medicine. We would like to thank all our colleagues both in Europe and all seven sub-Saharan countries that helped with development and delivery of the LSS-EOC and NC courses.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.